Gestational Diabetes Mellitus

In pregnant women, who were not known to have diabetes before, hyperglycaemia manifesting after 20 weeks of gestation is diagnosed as Gestational diabetes mellitus. Approximately 7% of all pregnancies are complicated by GDM. Risk assessment for GDM should be undertaken at the first prenatal visit. Management consists of nutritional counseling, calorie restriction etc. Insulin has consistently shown to reduce fetal morbidities when added to nutrition counseling. Oral hypoglycemic agents are generally not recommended during pregnancy. All patients with h/o GDM in previous pregnancy should be educated regarding lifestyle modifications including maintenance of normal body weight through diet and physical activity.


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