Gestational diabetes mellitus: Yesterday, today, tomorrow
Gestational diabetes mellitus (GDM) is hyperglycemia that is first detected during pregnancy and does not meet the criteria for manifest diabetes. The incidence of GDM worldwide varies from 1 to 14% and that in Russia is as high as 4%. Hyperglycemia during pregnancy is associated with the developmen...
| Main Authors: | , |
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| Format: | Article |
| Language: | Russian |
| Published: |
"Consilium Medicum" Publishing house
2014-10-01
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| Series: | Терапевтический архив |
| Subjects: | |
| Online Access: | https://ter-arkhiv.ru/0040-3660/article/view/31627 |
| _version_ | 1819017027655827456 |
|---|---|
| author | F F Burumkulova V A Petrukhin |
| author_facet | F F Burumkulova V A Petrukhin |
| author_sort | F F Burumkulova |
| collection | DOAJ |
| description | Gestational diabetes mellitus (GDM) is hyperglycemia that is first detected during pregnancy and does not meet the criteria for manifest diabetes. The incidence of GDM worldwide varies from 1 to 14% and that in Russia is as high as 4%. Hyperglycemia during pregnancy is associated with the development of preeclampsia, the birth of a big baby, emergency cesarean section, birth trauma, and neonatal hypoglycemia. The fact that there is no well-organized screening for GDM in our country leads to that the diagnosis of this condition is delayed for 4-20 weeks in 50-60% of cases. The risk group distribution of pregnant women leads to the diagnosis of GDM only in 50% of cases. At the same time, pregnancy is accompanied by physiological insulin resistance so the latter itself is a clinically important risk factor for carbohydrate metabolic disturbances. The Hyperglycemia and Adverse Pregnancy Outcomes (HYPO) study has indicated that the previously used diagnostic criteria for GDM require reconsideration. There is a need for uniform standards for the diagnosis and treatment of carbohydrate metabolic disturbances during pregnancy. The concepts "diabetes mellitus (DM)" and "manifest (new-onset DM during pregnancy" and directly "GDM" require clear clinical and laboratory definitions. Furthermore, GDM is a risk factor for obesity, type 2 DM and cardiovascular diseases in the mother and her offspring in future. |
| first_indexed | 2024-12-21T02:57:00Z |
| format | Article |
| id | doaj.art-5024a741e434400e88467eaff9bb02f0 |
| institution | Directory Open Access Journal |
| issn | 0040-3660 2309-5342 |
| language | Russian |
| last_indexed | 2024-12-21T02:57:00Z |
| publishDate | 2014-10-01 |
| publisher | "Consilium Medicum" Publishing house |
| record_format | Article |
| series | Терапевтический архив |
| spelling | doaj.art-5024a741e434400e88467eaff9bb02f02022-12-21T19:18:18Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422014-10-01861010911528643Gestational diabetes mellitus: Yesterday, today, tomorrowF F BurumkulovaV A PetrukhinGestational diabetes mellitus (GDM) is hyperglycemia that is first detected during pregnancy and does not meet the criteria for manifest diabetes. The incidence of GDM worldwide varies from 1 to 14% and that in Russia is as high as 4%. Hyperglycemia during pregnancy is associated with the development of preeclampsia, the birth of a big baby, emergency cesarean section, birth trauma, and neonatal hypoglycemia. The fact that there is no well-organized screening for GDM in our country leads to that the diagnosis of this condition is delayed for 4-20 weeks in 50-60% of cases. The risk group distribution of pregnant women leads to the diagnosis of GDM only in 50% of cases. At the same time, pregnancy is accompanied by physiological insulin resistance so the latter itself is a clinically important risk factor for carbohydrate metabolic disturbances. The Hyperglycemia and Adverse Pregnancy Outcomes (HYPO) study has indicated that the previously used diagnostic criteria for GDM require reconsideration. There is a need for uniform standards for the diagnosis and treatment of carbohydrate metabolic disturbances during pregnancy. The concepts "diabetes mellitus (DM)" and "manifest (new-onset DM during pregnancy" and directly "GDM" require clear clinical and laboratory definitions. Furthermore, GDM is a risk factor for obesity, type 2 DM and cardiovascular diseases in the mother and her offspring in future.https://ter-arkhiv.ru/0040-3660/article/view/31627pregnancygestational diabetes mellitusdiabetic fetopathymacrosomiagestosisinsulin |
| spellingShingle | F F Burumkulova V A Petrukhin Gestational diabetes mellitus: Yesterday, today, tomorrow Терапевтический архив pregnancy gestational diabetes mellitus diabetic fetopathy macrosomia gestosis insulin |
| title | Gestational diabetes mellitus: Yesterday, today, tomorrow |
| title_full | Gestational diabetes mellitus: Yesterday, today, tomorrow |
| title_fullStr | Gestational diabetes mellitus: Yesterday, today, tomorrow |
| title_full_unstemmed | Gestational diabetes mellitus: Yesterday, today, tomorrow |
| title_short | Gestational diabetes mellitus: Yesterday, today, tomorrow |
| title_sort | gestational diabetes mellitus yesterday today tomorrow |
| topic | pregnancy gestational diabetes mellitus diabetic fetopathy macrosomia gestosis insulin |
| url | https://ter-arkhiv.ru/0040-3660/article/view/31627 |
| work_keys_str_mv | AT ffburumkulova gestationaldiabetesmellitusyesterdaytodaytomorrow AT vapetrukhin gestationaldiabetesmellitusyesterdaytodaytomorrow |