Gestational Diabetes: Seeing Both the Forest and the Trees

Gestational diabetes is a heterogeneous disorder. Various metabolic etiologies underpin the diagnosis and influence perinatal outcomes as well as an individual’s propensity for the subsequent development of diabetes. Recent landmark studies have driven a review of the diagnostic criteria for gestati...

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Bibliographic Details
Published inCurrent obstetrics and gynecology reports Vol. 1; no. 4; pp. 198 - 206
Main Authors Rudland, Victoria L., Wong, Jencia, Yue, Dennis K., Ross, Glynis P.
Format Journal Article
LanguageEnglish
Published New York Current Science Inc 01.12.2012
Subjects
High-risk Gestation and Prenatal Medicine (T Chan
Maternal and Child Health
Medicine
Medicine & Public Health
Obstetrics/Perinatology/Midwifery
Oncology
Section Editor
Autoimmunity
Monogenic diabetes
ICA antibodies
IA-2 antibodies
Insulin antibodies
Pregnancy
Heterogeneity
Maturity-onset diabetes of the young
Glucokinase
Genetics
Gestational diabetes
Diagnosis
High-risk gestation
GAD antibodies
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Summary:Gestational diabetes is a heterogeneous disorder. Various metabolic etiologies underpin the diagnosis and influence perinatal outcomes as well as an individual’s propensity for the subsequent development of diabetes. Recent landmark studies have driven a review of the diagnostic criteria for gestational diabetes, with an emergent category, “overt diabetes during pregnancy,” recognizing the increased surveillance required for some women. As we strive for consensus in diagnosis at a global level, consideration for its application to local populations, with different ethnicities, genetics, and immunological make-up, is essential to optimize obstetric care and neonatal outcomes. An individualized approach must remain the mainstay of management.
ISSN:2161-3303
2161-3303
DOI:10.1007/s13669-012-0020-9