Pregnancy is associated with relative carbohydrate intoleranceand insulin resistance. Gestational diabetes mellitus (carbohydrateintolerance first diagnosed during pregnancy) has long beenrecognized as a risk factor for a number of adverse outcomesduring pregnancy, including excessive fetal growth, an increasedincidence of birth trauma and cesarean delivery, and neonatalmetabolic abnormalities such as polycythemia, hyperbilirubinemia,and hypoglycemia.1 This recognition has led to recommendationsto screen all pregnant women for gestational diabetes mellitusand to treat those whose glucose-tolerance tests exceed thresholdcriteria.2
The threshold criteria for diagnosing gestational diabetes wereinitially specified rather arbitrarily as values greater than2 . . . [Full Text of this Article]
Source Information
From Harvard Medical School and Massachusetts General Hospital — both in Boston.
This article has been cited by other articles:
(2008). Gestational Hyperglycemia: Continuum of Risk, Choices for Treatment. JWatch Women's Health
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(2008). Gestational Diabetes: Controversies About Diagnosis and Treatment Persist. JWatch General
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