Gestational diabetes mellitus: current screening problems

Gestational diabetes mellitus (GDM) is characterized as hyperglycemia, first detected during pregnancy, yet not meeting the criteria for “manifest” diabetes mellitus. GDM is one of the most common gestational complications. This pathology is associated with many adverse pregnancy outcomes, both on t...

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Main Authors: N. I. Volkova, S. O. Panenko
Format: Article
Language:English
Published: Endocrinology Research Centre 2022-03-01
Series:Сахарный диабет
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Online Access:https://www.dia-endojournals.ru/jour/article/view/12727
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author N. I. Volkova
S. O. Panenko
author_facet N. I. Volkova
S. O. Panenko
author_sort N. I. Volkova
collection DOAJ
description Gestational diabetes mellitus (GDM) is characterized as hyperglycemia, first detected during pregnancy, yet not meeting the criteria for “manifest” diabetes mellitus. GDM is one of the most common gestational complications. This pathology is associated with many adverse pregnancy outcomes, both on the part of the mother and the fetus. The problem of identifying GDM has acquired particular relevance and significance for the healthcare system at the moment due to the steady increase in the prevalence of such risk factors of GDM as obesity and late pregnancy. The history of screening and diagnosis of GDM has undergone a number of significant changes in a short time. Currently, different clinical guidelines offer different approaches to GDM screening, thus, a unified approach to identifying this pathology has not yet been formulated and adopted. The purpose of this review was to discover the current clinical guidelines for the detection of GDM at 24–28 weeks of pregnancy, including historical context of their origin and development, to describe these approaches, as well as to critically evaluate them with a discussion of the main advantages and disadvantages of each of them.
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spelling doaj-art-77d0e99ca2754f938fe14bdc291e73c22025-08-20T03:47:53ZengEndocrinology Research CentreСахарный диабет2072-03512072-03782022-03-01251728010.14341/DM1272710929Gestational diabetes mellitus: current screening problemsN. I. Volkova0S. O. Panenko1Rostov State Medical UniversityRostov State Medical UniversityGestational diabetes mellitus (GDM) is characterized as hyperglycemia, first detected during pregnancy, yet not meeting the criteria for “manifest” diabetes mellitus. GDM is one of the most common gestational complications. This pathology is associated with many adverse pregnancy outcomes, both on the part of the mother and the fetus. The problem of identifying GDM has acquired particular relevance and significance for the healthcare system at the moment due to the steady increase in the prevalence of such risk factors of GDM as obesity and late pregnancy. The history of screening and diagnosis of GDM has undergone a number of significant changes in a short time. Currently, different clinical guidelines offer different approaches to GDM screening, thus, a unified approach to identifying this pathology has not yet been formulated and adopted. The purpose of this review was to discover the current clinical guidelines for the detection of GDM at 24–28 weeks of pregnancy, including historical context of their origin and development, to describe these approaches, as well as to critically evaluate them with a discussion of the main advantages and disadvantages of each of them.https://www.dia-endojournals.ru/jour/article/view/12727gestational diabetes mellitusdiagnostic screening programsdata analysis
spellingShingle N. I. Volkova
S. O. Panenko
Gestational diabetes mellitus: current screening problems
Сахарный диабет
gestational diabetes mellitus
diagnostic screening programs
data analysis
title Gestational diabetes mellitus: current screening problems
title_full Gestational diabetes mellitus: current screening problems
title_fullStr Gestational diabetes mellitus: current screening problems
title_full_unstemmed Gestational diabetes mellitus: current screening problems
title_short Gestational diabetes mellitus: current screening problems
title_sort gestational diabetes mellitus current screening problems
topic gestational diabetes mellitus
diagnostic screening programs
data analysis
url https://www.dia-endojournals.ru/jour/article/view/12727
work_keys_str_mv AT nivolkova gestationaldiabetesmellituscurrentscreeningproblems
AT sopanenko gestationaldiabetesmellituscurrentscreeningproblems