Impact of glycaemic control on the pregnancy outcome in gestational diabetics

Sandhya Singh, S. and Asna Urooj (2015) Impact of glycaemic control on the pregnancy outcome in gestational diabetics. Journal of Diabetes and Health, 108. pp. 288-300. ISSN 7519-3753

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Gestational diabetes Mellitus (GDM) is a metabolic disorder characterised by carbohydrate intolerance first during pregnancy due to inadequate insulin or decreased insulin action or both. Pregnancy in women imposes increased insulin resistance. GDM is associated with adverse pregnancy outcome like macrosomia, stillbirth risk of type 2 diabetes in the mother which is 50% higher than in the general population. Obesity in childbearing age and poor lifestyle habits increases the risk of GDM, increasing the incidence of long term maternal and foetal complications. Screening and treatment is required in achieving glycaemic control. Monitroting of blood glucose, Medical nutrition therapy (MNT) and exercise has been proven to contol blood glucose and reduce maternal and foetal complications. Insulin intervention is another treatment modality for controlling blood glucose when MNT and exercise fails to achieve recommended glycemic control, where as use of oral agents is still not recommended. These interventions have still not been able to reduce the prevelance of GDM. It is very critical to create awareness among women of childbearing age about GDM and its complications, to take adequate measures to reduce the incidence of type 2 diabetes in the future population.

Item Type: Article
Subjects: B Life Science > Food Science and Nutrition
Divisions: Department of > Food Science and Nutrition
Depositing User: LA manjunath user
Date Deposited: 22 Oct 2019 09:45
Last Modified: 22 Oct 2019 09:45

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