TITLE:
Gestational Diabetes Mellitus: New Diagnostic Criteria
AUTHORS:
Letícia Nascimento Medeiros Bortolon, Luciana de Paula Leão Triz, Bruna de Souza Faustino, Larissa Bianca Cunha de Sá, Denise Rosso Tenório Wanderley Rocha, Alberto Krayyem Arbex
KEYWORDS:
Gestational Diabetes Mellitus, Pregnancy, Glucose Intolerance, Metformin, Insulin, Complications
JOURNAL NAME:
Open Journal of Endocrine and Metabolic Diseases,
Vol.6 No.1,
January
14,
2016
ABSTRACT: Gestational mellitus
diabetes (GDM) is a highly prevalent metabolic disorder among pregnant women
nowadays. It is defined as any level of glucose intolerance, appearing or first
being recognized during pregnancy. It is essential to diagnose and treat GDM
early, in order to reduce or avoid complications for mother and fetus.
Recently, new guidelines have changed the diagnosis criteria, and it is
expected that the prevalence of GDM will increase by approximately 18%. A
relevant goal of these new definitions is to provide a better care for pregnant
women, in an attempt to reduce fetal and maternal complications. These new
criteria will also increase the impact on costs of the health care system.
Treatment must be individualized for best results, including a specific diet,
physical activity and the use of medications. Metformin and Insulin use are
analyzed in detail, in face of new evidences regarding their safety and
efficacy during pregnancy.