<abstract xmlns="http://www.w3.org/1999/xhtml">

<p>Gestational diabetes mellitus (GDM) is an increasingly condition in medical practice. In the absence of an effective therapeutic management, it can lead to significant maternal and neonatal complications with adverse health effects. Reducing the risk of morbidity is the goal achived by screening of all pregnant women and active involvement of health care staff and early medical intervention in case of detection of GDM. The aim of this review is to present the nowadays strategy of GDM approach. The management challenge is to maintain blood glucose levels within the targets recommended by current guidelines, which are in relatively narrow ranges. Nutritional intervention and lifestyle changes are of primary importance. If necessary insulin therapy is initiated, insulin analogues are preferable due to lower risk of hypoglycemia. Oral antidiabetics are not recommended in pregnancy, even if they are used in certain circumstances.</p>
</abstract>

Gestational diabetes mellitus (GDM) is an increasingly condition in medical practice. In the absence of an effective therapeutic management, it can lead to significant maternal and neonatal complications with adverse health effects. Reducing the risk of morbidity is the goal achived by screening of all pregnant women and active involvement of health care staff and early medical intervention in case of detection of GDM. The aim of this review is to present the nowadays strategy of GDM approach. The management challenge is to maintain blood glucose levels within the targets recommended by current guidelines, which are in relatively narrow ranges. Nutritional intervention and lifestyle changes are of primary importance. If necessary insulin therapy is initiated, insulin analogues are preferable due to lower risk of hypoglycemia. Oral antidiabetics are not recommended in pregnancy, even if they are used in certain circumstances.

The Gestational Diabetes Mellitus Approach in Clinical Practice – A Narrative Review

Compartment of Diabetology, Emergency Clinical County Hospital of Targu Mures

George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures

Acta Marisiensis - Seria Medica

This work is licensed under the Creative Commons Attribution 4.0 International License.

Gestational diabetes mellitus (GDM) is an increasingly condition in medical practice. In the absence of an effective therapeutic management, it can lead to...

The Gestational Diabetes Mellitus Approach in Clinical Practice – A Narrative Review

Article Category: REVIEW

Published Online: Dec 30, 2021

Page range: 193 - 198

Received: Jul 22, 2021

Accepted: Nov 02, 2021

DOI: https://doi.org/10.2478/amma-2021-0037

Keywords
gestational diabetes mellitus, maternal complications, fetal complications

© 2021 Oana Deteșan et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

The Gestational Diabetes Mellitus Approach in Clinical Practice – A Narrative Review

Article Category: REVIEW

Published Online: Dec 30, 2021

Page range: 193 - 198

Received: Jul 22, 2021

Accepted: Nov 02, 2021

DOI: https://doi.org/10.2478/amma-2021-0037

Keywordsgestational diabetes mellitus, maternal complications, fetal complications

© 2021 Oana Deteșan et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Keywords
gestational diabetes mellitus, maternal complications, fetal complications