MANAGEMENT OF GESTATIONAL DIABETES- A REVIEW OF CURRENT LITERATURE
MANAGEMENT OF GESTATIONAL DIABETES- A REVIEW OF CURRENT LITERATURE

Summary/Abstract: GESTATIONAL DIABETES MELLITUS (GDM) IS DEFINED AS GLUCOSE INTOLERANCE WHICH LEAD TO HYPERGLYCAEMIA OF VARIABLE DEGREES OF SEVERITY WITH FIRST ONSET OR FIRST RECOGNITION DURING PREGNANCY55,59. GDM IS ONE OF THE MOST COMMON MEDICAL DISORDERS OF PREGNANCY WITH AN SIGNIFICANT IMPACT ON THE MATERNAL–FETAL HEALTH. DUE TO THE EPIDEMY OF OBESITY, INCREASING MATERNAL AGE AND DECREASING PHYSICAL ACTIVITY, GDM’S PREVALENCE INCREASED BY 10–100% OVER THE PAST 30 YEARS. THE INTERNATIONAL DIABETES FEDERATION (IDF) REPORTS THAT ONE IN SIX (16.8%) PREGNANCIES ARE AFFECTED BY DIABETES GLOBALLY AND 86.4% OF CASES ARE DIAGNOSED WITH GDM27. HYPERGLYCEMIA DURING PREGNANCY INCREASES PERINATAL MORBIDITY AND MORTALITY IN MOTHERS AND CHILDREN WITH A HIGH RISK OF DEVELOPMENT OBESITY, METABOLIC SYNDROME AND TYPE 2 DIABETES MELLITUS (T2DM) LATER IN LIFE.9 THERE IS A NEED TO FOCUS ON PREVENTION, SCREENING, EARLY DIAGNOSIS AND MANAGEMENT OF GDM IN ORDER TO AVOID THIS TRANSGENERATIONAL VICIOUS CIRCLE. THE AIM OF THIS REVIEW IS TO SUMMARIZE THE LAST DATA ABOUT THE MANAGEMENT OF GESTATIONAL DIABETES.

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