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Gestational diabetes mellitus and possibilities for its treatment


Authors: O. Krystyník;  D. Goldmannová;  J. Schovánek;  Ľ. Cibičková;  J. Spurná;  D. Karásek
Authors‘ workplace: III. interní klinika –  nefrologická, revmatologická a endokrinologická LF UP a FN Olomouc
Published in: Kardiol Rev Int Med 2018, 20(3): 208-211

Overview

Gestational diabetes mellitus (GDM) is a transient type of glucose intolerance of any degree that usually develops in the latter half of pregnancy. GDM has been associated with short-term adverse perinatal outcomes. Moreover, there is also an increased risk of developing type 2 diabetes mellitus in the women and their children in the long-term perspective. GDM diagnosis is based on the evaluation of the fasting plasma glucose levels as well as the postprandial plasma glucose levels following a glucose challenge during the oral glucose tolerance test. In most pregnant women with GDM, the disorder is managed effectively with dietary counselling and exercise. When the lifestyle modification fails to achieve the optimal glycaemic control, insulin injection therapy and/or metformin should be considered. 

Key words:

gestational diabetes mellitus – pregnancy – therapy – insulin – metformin


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Paediatric cardiology Internal medicine Cardiac surgery Cardiology
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