Gestational diabetes risk factors and long-term consequences for both mother and offspring: a literature review.
Salar FarahvarAsnat WalfischEyal SheinerPublished in: Expert review of endocrinology & metabolism (2018)
Many of the adverse consequences of GDM might be avoided with proper management and treatment. Patients belonging to high-risk ethnic groups, and/or with body mass index ≥ 25 kg/m2, and/or known history of diabetes in first-degree relatives may benefit from universal screening and diagnostic criteria proposed by the International Association of Diabetes and Pregnancy Study Group (IADPSG). The IADPSG one-step method has several advantages, including simplicity of execution, greater patient-friendliness, and higher diagnostic accuracy. Additionally, evidence suggests that the recent increased popularity of bariatric surgery will help to decrease GDM rates over next 5 years. Similarly, metformin may be useful for treating and preventing obstetrical complications in confirmed GDM patients.
Keyphrases
- end stage renal disease
- bariatric surgery
- body mass index
- type diabetes
- newly diagnosed
- ejection fraction
- chronic kidney disease
- cardiovascular disease
- case report
- emergency department
- peritoneal dialysis
- prognostic factors
- metabolic syndrome
- pregnant women
- weight loss
- high fat diet
- patient reported outcomes
- obese patients
- pregnancy outcomes
- electronic health record