Gestational diabetes mellitus and obstetric complications
Gestational diabetes mellitus is not only an important medical, but also a serious social problem in developed countries. Despite the sufficiently high level of development of modern medicine, the prevalence of gestational diabetes mellitus is gradually increasing and reflects an increase in the incidence of obesity and type 2 diabetes mellitus worldwide. The specialized literature has been reviewed to analyze the main issues of the etiopathogenesis and diagnosis of gestational diabetes mellitus. The paper analyzes the data of Russian and foreign studies of the causes and risk factors of gestational diabetes mellitus. The presented materials demonstrate that gestational diabetes mellitus is associated with several maternal and fetal comorbidities in the short term and carries a high risk of type 2 diabetes and cardiovascular diseases for both mother and child in the future in the long term. In this connection, a search for universal markers is needed to identify women at high risk of gestational diabetes mellitus.Zagarskikh E.Yu., Kurashova N.A.
Keywords
pregnancy
preeclampsia
diabetes mellitus
insulin resistance
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Received 19.11.2018
Accepted 07.12.2018
About the Authors
Zagarskikh, Elena Y., MD, professor, endocrinologist Maternity Hospital Ten. 198259, Russia, St. Petersburg, Tambasova str. 21. E-mail: zagarsklena@mail.ru ORCID:http://orcid.org/0000-0002-9716-1905; eLibrary SPIN:1149-7540
Kurashova, Nadezhda A., MD, researcher of the Laboratory of Pathophysiology of Research Center for Family Health and Human Reproduction Problems.
664003, Russia, Irkutsk, Timiryazev str. 16. E-mail: nakurashova@yandex.ru ORCID:http://orcid.org/0000-0001-8591-8619; eLibrary SPIN: 9160-2008
For citations: Zagarskikh E.Yu., Kurashova N.A. Gestational diabetes mellitus and obstetric complications. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2019; (5): 144-8. (in Russian)
http://dx.doi.org/10.18565/aig.2019.5.144-148