Gestational diabetes: diagnosis and management.

Purpose:To review the diagnosis and management of gestational diabetes.Epidemiology:In the United States, approximately 2 to 5% of all pregnant women have gestational diabetes. Those women with a family history of type 2 diabetes mellitus, Asian or native American race, Latina ethnicity or obesity a...

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Publicado en:Journal of Perinatology Vol. 28; no. 10; pp. 657 - 665
Autores principales: Cheng YW, Caughey AB
Formato: review tables/charts Journal Article
Publicado: Springer Nature Oct2008
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2008
      vid: 28
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        atl: Gestational diabetes: diagnosis and management.
      aug:
        au:
          Cheng YW
          Caughey AB
        affil: Department of Obstetrics and Gynecology, University of California, San Francisco, CA, USA
      sug:
        subj:
          Diabetes Mellitus, Gestational
          Asians
          Blood Glucose Blood
          Cesarean Section
          Delivery, Obstetric
          Diabetes Mellitus, Gestational Diagnosis
          Diabetes Mellitus, Gestational Drug Therapy
          Diabetes Mellitus, Gestational Epidemiology
          Diabetes Mellitus, Gestational Physiopathology
          Diabetes Mellitus, Gestational Prevention and Control
          Diabetes Mellitus, Gestational Risk Factors
          Diabetes Mellitus, Gestational Therapy
          Diabetes Mellitus, Type 2 Complications
          Diet
          Exercise
          Family History
          Female
          Health Screening Methods
          Hispanic Americans
          Hypoglycemic Agents Contraindications
          Insulin Therapeutic Use
          Labor Physiology
          Monitoring, Physiologic
          Native Americans
          Nutritional Counseling
          Obesity Complications
          Pregnancy Physiology
          Prenatal Care
          Female
      ab: Purpose:To review the diagnosis and management of gestational diabetes.Epidemiology:In the United States, approximately 2 to 5% of all pregnant women have gestational diabetes. Those women with a family history of type 2 diabetes mellitus, Asian or native American race, Latina ethnicity or obesity are at higher risk for developing gestational diabetes.Conclusion:Women with gestational diabetes who are treated appropriately can achieve good outcomes in the majority of pregnancies. Frequent blood glucose monitoring, nutrition counseling and frequent physician contact allow for individualized care to achieve optimal outcomes. Such treatment includes diet, exercise and insulin. The use of oral hypoglycemic agents is controversial and there is some concern about worse maternal and neonatal outcomes as compared to treatment with insulin. Evolving technologies promise to provide more therapeutic options.
      pubtype: Academic Journal
      doctype:
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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