An Update of the Gestational Diabetes Mellitus Management – A Narrative Review

  • Oana Deteșan Compartment of Diabetology, Emergency Clinical County Hospital of Targu Mures, Romania
  • Lucia Mihaela Custură Compartment of Diabetology, Emergency Clinical County Hospital of Targu Mures, Romania
  • Reka Annamaria Schmiedt Compartment of Diabetology, Emergency Clinical County Hospital of Targu Mures, Romania
  • Brigitta Irén Bacso Compartment of Diabetology, Emergency Clinical County Hospital of Targu Mures, Romania
  • Andrew Corneliu Bell “George Emil Palade” University of Medicine, Pharmacy, Science and Technology of Targu Mures, Romania
  • Maria Alexandra Streza “George Emil Palade” University of Medicine, Pharmacy, Science and Technology of Targu Mures, Romania
  • Mariana Cornelia Tilinca Compartment of Diabetology, Emergency Clinical County Hospital of Targu Mures, Romania; “George Emil Palade” University of Medicine, Pharmacy, Science and Technology of Targu Mures, Romania
Keywords: gestational diabetes mellitus, maternal complications, fetal complications

Abstract

Gestational diabetes mellitus (GDM) is an increasingly common condition in medical practice. In the absence of effective therapeutic management, it can lead to significant maternal and neonatal complications with adverse effects on maternal and fetal health. Reducing the risk of morbidity is the goal achived by screening of all pregnant women and active involvement of health care staff and early medical intervention in case of detection of GDM. The aim of this review is to present the latest data on the diagnosis and management of GDM. The management challenge is to maintain blood glucose levels within the targets recommended by current guidelines, the range of which is relatively narrow. In this regard, nutritional intervention and lifestyle changes are of primary importance, and if necessary insulin therapy is initiated, insulin analogues being preferable due to lower risk of hypoglycemia. Oral antidiabetics are so far not recommended for use in pregnancy.

Published
2021-11-07
How to Cite
1.
Deteșan O, Custură L, Schmiedt R, Bacso B, Bell A, Streza M, Tilinca M. An Update of the Gestational Diabetes Mellitus Management – A Narrative Review. amm [Internet]. 7Nov.2021 [cited 28May2022];67(4). Available from: https://ojs.actamedicamarisiensis.ro/index.php/amm/article/view/91