Management of gestational diabetes in 2016: literature review

N. Pirson, D. Maiter, O. Alexopoulou Published in the journal : December 2016 Category : Endocrinologie et Nutrition

Summary :

Gestational diabetes refers to first-onset glucose intolerance occurring during pregnancy. The prevalence of this pathology was shown to vary widely, whilst currently increasing worldwide in relation to obesity and diabetes outbreak. The pathophysiology of gestational diabetes is similar to that of Type 2 diabetes, as characterized by increased insulin resistance and subsequent pancreatic beta-cell dysfunction. Even though complications of gestational diabetes are well-known, there is no universal consensus with respect to screening criteria. The cornerstone of treatment is diet, which may be followed by insulin therapy, if necessary. Post-partum follow-up appears essential, considering the high risk of diabetes in the patient's future.

What is already known about the topic?

The literature on gestational diabetes abounds with articles focusing on both screening criteria and treatment. It may thus prove useful to conduct a literature synthesis at regular intervals.

What does this article bring up for us?

The article provides a review on the management of gestational diabetes, highlighting the different screening criteria used over time, while drawing attention to the necessity of performing post-partum follow-up.

Key Words

Gestational diabetes, hyperglycemia, pregnancy, pathophysiology, screening criteria, recommendations