Early onset gestational diabetes mellitus: A case report and importance of early screening

Gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance with onset or first recognition during pregnancy. Screening for GDM is usually done at 24-28 weeks of gestation. In this case, we report a 31-year-old woman who developed gestational diabetes at 6 weeks in two succes...

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Published inJournal of family medicine and primary care Vol. 8; no. 5; pp. 1772 - 1774
Main Authors Najmi, Ahmad, Atal, Shubham, Sadasivam, Balakrishnan, Singh, Pooja, Ray, Avik
Format Journal Article
LanguageEnglish
Published India Wolters Kluwer India Pvt. Ltd 01.05.2019
Medknow Publications and Media Pvt. Ltd
Wolters Kluwer - Medknow
Wolters Kluwer Medknow Publications
Subjects
Abortion
antenatal visit
Care and treatment
Case Report
Diabetes mellitus
Diabetes therapy
Diagnosis
Gestational diabetes
gestational diabetes mellitus
Glucose
Glucose intolerance
Health aspects
Insulin
Insulin aspart
Insulin detemir
Insulin lispro
Medical research
Miscarriage
Pregnancy
Pregnant women
screening
Type 2 diabetes
screening
gestational diabetes mellitus
insulin
Abortion
antenatal visit
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Summary:Gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance with onset or first recognition during pregnancy. Screening for GDM is usually done at 24-28 weeks of gestation. In this case, we report a 31-year-old woman who developed gestational diabetes at 6 weeks in two successive pregnancies. She was in the perceived high-risk group to develop gestational diabetes. The first pregnancy terminated in spontaneous abortion at 10 weeks. In the second pregnancy, institution of insulin therapy at diagnosis was associated with a successful outcome. This case highlights the need of screening for gestational diabetes at the first antenatal visit in the high-risk group.
ISSN:2249-4863
2278-7135
DOI:10.4103/jfmpc.jfmpc_290_19