Gestational diabetes

Gestational diabetes mellitus (GDM), defined as any degree of glucose intolerance with onset during pregnancy, is increasing worldwide, and is associated with adverse maternal and fetal outcomes. This systematic review assesses the existing literature on primary prevention of GDM through diet and supplements, and concludes that while nutritional factors may have some benefit, higher quality evidence is required in order to draw firm conclusions on the best intervention for preventing GDM.

Donazar-Ezcurra M et al. BMC Pregnancy Childbirth 2017;17:30. doi:10.1186/s12884-016-1205-4

The review discusses pharmacological therapy for gestational diabetes, dealing with safety and efficacy, for both fetal and maternal morbidity consequences; as well as failure and success in establishing appropriate metabolic and glucose control.

Bergel R et al. Curr Diab Rep 2016; 16: 118. doi:10.1007/s11892-016-0802-y

Gestational diabetes mellitus (GDM) is one of the most common morbidities complicating pregnancy. This review aims to elaborate on the pharmacological options for GDM therapy.

Bergel R et al. Curr Diab Rep 2016; 16: 118. doi:10.1007/s11892-016-0802-y

A 35-year-old pregnant African woman with no apparent past medical history of diabetes mellitus attends the diabetes clinic after being referred from primary care for a high capillary blood glucose reading. What are your next steps?

Tan EJH & Scott EM. In: Endocrinology and Diabetes. Edited by Ajjan R & Orme SM. Springer London, 2015.

Understand the pathophysiology, diagnostic criteria and management guidelines relevant to the case of this 34-year-old patient diagnosed with GDM.

Levy CJ. In: A Case-Based Guide to Clinical Endocrinology. Edited by Davies TF. Springer New York, 2015.