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Previous Volume 341:1749-1756 December 2, 1999 Number 23 Next

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

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Gestational diabetes mellitus is defined as glucose intolerance that is first detected during pregnancy.¹ This simple definition belies the complexity of a condition that spans a spectrum of glycemia, pathophysiology, and clinical effects and for which there is a wide diversity of opinion regarding detection and clinical management. There is convincing evidence that mild maternal hyperglycemia is a risk factor for fetal morbidity,² but that morbidity occurs only in a minority of cases. Failure to recognize and treat the condition will result in unnecessary morbidity in some pregnancies, whereas overly aggressive approaches to detection and treatment will result in unneeded . . . [Full Text of this Article]

Detection of Gestational Diabetes

Screening

Diagnosis

Antepartum Implications and Treatment

Implications

Antepartum Metabolic Treatment

Route and Timing of Delivery

After the Pregnancy

Source Information

From the Department of Obstetrics and Gynecology (S.L.K., T.A.B.) and the Department of Medicine (T.A.B.), University of Southern California School of Medicine, Los Angeles.

Address reprint requests to Dr. Kjos at 1240 N. Mission Rd., Rm. L1017, Los Angeles, CA 90033, or at skjos@hsc.usc.edu.

References

Related Letters:

Gestational Diabetes
Ecker J. L., Mascola M. A., Riley L. E., Kjos S. L., Buchanan T. A.
Extract | Full Text  
N Engl J Med 2000; 342:896-897, Mar 23, 2000. Correspondence

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