The New England Journal of Medicine
e-mail icon  FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |    Advanced Search
Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe
 
Editorial
PreviousPrevious
Volume 333:1281-1283 November 9, 1995 Number 19
NextNext

Management of Gestational Diabetes Mellitus

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

 Sign up for free e-toc
 

This Article
-Full Text
-Purchase this article

Tools and Services
-Add to Personal Archive
-Add to Citation Manager
-Notify a Friend
-E-mail When Cited

More Information
-PubMed Citation
Glucose intolerance that is first diagnosed during pregnancy is termed gestational diabetes mellitus. The definition is ambiguous, and the treatment controversial. Most important, the threshold at which glucose intolerance adversely affects the course of pregnancy and increases the risk of future diabetes in the mother and her child is not known.

Pregnancy can be viewed as a physiologic beta-cell stress test, with glucose tolerance depending on the presence of adequate maternal beta-cell reserves. In normal pregnancy, fasting plasma glucose concentrations decrease and postprandial glucose concentrations rise. The latter effect continues throughout pregnancy; postprandial insulin release doubles, whereas insulin sensitivity is . . . [Full Text of this Article]

References


This article has been cited by other articles:



HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  TERMS OF USE  |  HELP  |  beta.nejm.org

Comments and questions? Please contact us.

The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved.