Gestational diabetes: Diagnosis and management

Y. W. Cheng, A. B. Caughey

Research output: Contribution to journalReview article

23 Scopus citations

Abstract

Purpose: To review the diagnosis and management of gestational diabetes. Epidemiology: In the United States, approximately 2 to 5% of all pregnant women have gestational diabetes. Those women with a family history of type 2 diabetes mellitus, Asian or native American race, Latina ethnicity or obesity are at higher risk for developing gestational diabetes. Conclusion: Women with gestational diabetes who are treated appropriately can achieve good outcomes in the majority of pregnancies. Frequent blood glucose monitoring, nutrition counseling and frequent physician contact allow for individualized care to achieve optimal outcomes. Such treatment includes diet, exercise and insulin. The use of oral hypoglycemic agents is controversial and there is some concern about worse maternal and neonatal outcomes as compared to treatment with insulin. Evolving technologies promise to provide more therapeutic options.

Original languageEnglish (US)
Pages (from-to)657-664
Number of pages8
JournalJournal of Perinatology
Volume28
Issue number10
DOIs
StatePublished - Jul 17 2008

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ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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