Towards a European Consensus on Gestational Diabetes Mellitus: A Pragmatic Guide for Diagnosis, Management, and Care
This article elucidates the FIGO Initiative on gestational diabetes mellitus. Given the interaction between hyperglycemia and poor pregnancy outcomes, the role of in utero imprinting in increasing the risk of diabetes and cardio-metabolic disorders in the offspring of mothers with hyperglycemia in pregnancy, as well as increasing maternal vulnerability to future diabetes and cardiovascular disorders, the issue of necessity to globally to focus on preventing, screening, diagnosing, and managing hyperglycemia in pregnancy is discussed. To solve the problem of GDM it is recommended to focus on universal testing using one-step procedure, and on the WHO and IADPSG criteria for diagnosis and management of diabetes mellitus in pregnancy, as well as on international research collaboration to provide best practice standards for testing, management, and care of women with GDM.Sukhikh G.T., Hod M.
Keywords
FIGO Initiative on GDM
gestational diabetes mellitus
diabetes mellitus in pregnancy
hyperglycemia
References
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Received 07.02.2017
Accepted 17.02.2017
About the Authors
Gennady T. Sukhich, academician of the Russian Academy of Sciences, Professor, Director of the Research Center of Obstetrics, Gynecology, Perinatology,Ministry of Health of Russia; Head of the Department of Obstetrics, Gynecology, Perinatology and Reproductology of the 1st Moscow State Medical University;
Vice-President of Russian Society of Obstetricians and Gynecologists. 117997, Russia, Moscow, Ac. Oparina str. 4. E-mail: g_sukhikh@oparina4.ru
Moshe Hod, Director of the Maternal Fetal Medicine Division at the Helen Schneider Women’s Hospital, Rabin Medical Center; Professor of Obstetrics and Gynecology at the Sackler Faculty of Medicine, Tel-Aviv University; Chairman of FIGO Working Group on Hyperglycemia in Pregnancy; President Elect of European Association of Perinatal Medicine (EAPM); Chairman of the Working Group on Diabetes and Pregnancy of EAPM. 4941492, Israel, Petah Tikva Derech Ze’ev Jabotinsky str. 39
For citations: Sukhikh G.T., Hod M. Towards a European Consensus on Gestational Diabetes Mellitus: A Pragmatic Guide for Diagnosis, Management, and Care. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2017; (4): 5-12. (in Russian)
http://dx.doi.org/10.18565/aig.2017.4.5-12
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