Controversies in Gestational Diabetes.
Gestational diabetes mellitus
glyburide
insulin
metformin
screening
treatment
Journal
TouchREVIEWS in endocrinology
ISSN: 2752-5457
Titre abrégé: touchREV Endocrinol
Pays: England
ID NLM: 101779126
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
received:
01
09
2020
accepted:
23
02
2021
entrez:
4
2
2022
pubmed:
5
2
2022
medline:
5
2
2022
Statut:
ppublish
Résumé
Gestational diabetes mellitus (GDM) complicates approximately 7% of pregnancies in the USA. Despite recognition of the benefits of diagnosing and treating GDM, there are several areas of controversy that remain unresolved. There is debate as to whether to screen for GDM with the one-step versus the two-step approach. While the former identifies more pregnancies with potential adverse outcomes, data are lacking as to whether treatment of these pregnancies will improve outcomes, while increasing costs by diagnosing more women. Though it is well established that the diagnosis of even mild GDM, and treatment with lifestyle recommendations and insulin, improves pregnancy outcomes, it is controversial as to which type and regimen of insulin is optimal, and whether oral agents can be used safely and effectively to control glucose levels. Finally, it is recommended that women with GDM get tested for type 2 diabetes within several months of delivery; however, many women do not undergo this testing and alternative approaches are needed. These controversies are discussed with data from both sides of the debate to enable clinicians to make patient-centered decisions until more definitive data are available.
Identifiants
pubmed: 35118455
doi: 10.17925/EE.2021.17.2.102
pmc: PMC8676105
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
102-107Informations de copyright
© Touch Medical Media 2021.
Déclaration de conflit d'intérêts
Disclosures: Chloe A Zera and Ellen W Seely have no financial or non-financial relationships or activities to declare in relation to this article.
Références
Diabetes Care. 2007 Jul;30 Suppl 2:S251-60
pubmed: 17596481
Obstet Gynecol. 2015 Jul;126(1):109-14
pubmed: 26241263
Aust N Z J Obstet Gynaecol. 2015 Feb;55(1):47-52
pubmed: 25688819
Obstet Gynecol. 2017 Sep;130(3):539-544
pubmed: 28796680
Diabetes Care. 2019 Sep;42(9):1661-1668
pubmed: 30940641
PLoS Med. 2018 Oct 29;15(10):e1002681
pubmed: 30372451
JAMA. 2018 Sep 11;320(10):1005-1016
pubmed: 30208453
Obstet Gynecol. 2018 Feb;131(2):e49-e64
pubmed: 29370047
Diabetes Care. 2010 Jan;33(1):29-33
pubmed: 19808914
N Engl J Med. 2005 Jun 16;352(24):2477-86
pubmed: 15951574
Lancet. 2000 Aug 5;356(9228):443-5
pubmed: 10981882
Cochrane Database Syst Rev. 2014 Mar 18;(3):CD009578
pubmed: 24638998
N Engl J Med. 2009 Oct 1;361(14):1339-48
pubmed: 19797280
Diabetes. 2009 Feb;58(2):453-9
pubmed: 19011170
Drug Metab Dispos. 2010 May;38(5):833-40
pubmed: 20118196
Diabetes Care. 2020 Jan;43(Suppl 1):S14-S31
pubmed: 31862745
Obstet Gynecol. 2016 Jul;128(1):159-167
pubmed: 27275787
PLoS One. 2016 May 18;11(5):e0155737
pubmed: 27192491
NIH Consens State Sci Statements. 2013 Mar 06;29(1):1-31
pubmed: 23748438
Am J Perinatol. 2009 Sep;26(8):591-5
pubmed: 19370512
Am J Obstet Gynecol. 1982 Dec 1;144(7):768-73
pubmed: 7148898
NCHS Data Brief. 2020 Feb;(360):1-8
pubmed: 32487284
Can J Diabetes. 2015 Apr;39(2):117-22
pubmed: 25512097
Diabetes Care. 2016 Jan;39(1):65-74
pubmed: 26657945
Am J Perinatol. 2010 Oct;27(9):705-10
pubmed: 20387186
J Perinatol. 2018 Feb;38(2):118-121
pubmed: 29048411
PLoS One. 2014 Oct 10;9(10):e109985
pubmed: 25302493
Ann Intern Med. 2013 Jul 16;159(2):123-9
pubmed: 23712381
BMJ Open Diabetes Res Care. 2019 Nov 2;7(1):e000759
pubmed: 31798900
J Clin Endocrinol Metab. 2015 May;100(5):2071-80
pubmed: 25803270
Acta Obstet Gynecol Scand. 2007 Oct;86(10):1171-4
pubmed: 17851816
Arch Gynecol Obstet. 2015 Oct;292(4):749-56
pubmed: 25855052
Am J Perinatol. 2016 Aug;33(10):966-71
pubmed: 27120481
Diabetologia. 2017 Sep;60(9):1577-1585
pubmed: 28776086
Diabetes Care. 2002 Oct;25(10):1862-8
pubmed: 12351492
BMJ Open Diabetes Res Care. 2018 Apr 13;6(1):e000456
pubmed: 29682291
Am J Obstet Gynecol. 2020 Jan;222(1):73.e1-73.e11
pubmed: 31351065
Diabetes Care. 2001 Dec;24(12):2078-82
pubmed: 11723086
Diabetes. 2000 Dec;49(12):2208-11
pubmed: 11118027
Natl Vital Stat Rep. 2018 May;67(3):1-14
pubmed: 29874159
Diabetes. 2000 Jun;49(6):999-1005
pubmed: 10866053
Women Birth. 2013 Jun;26(2):e69-76
pubmed: 23333029
JAMA. 2019 May 21;321(19):1926-1927
pubmed: 31009043
Diabetes Care. 2020 Jan;43(Suppl 1):S98-S110
pubmed: 31862752
Cochrane Database Syst Rev. 2017 Feb 03;2:CD011880
pubmed: 28156005
Diabetes Care. 2010 Mar;33(3):676-82
pubmed: 20190296
Diabetes. 1984 Sep;33(9):838-45
pubmed: 6432610
J Clin Endocrinol Metab. 2020 Jul 1;105(7):
pubmed: 32271383
Obstet Gynecol Int. 2012;2012:649070
pubmed: 22685467
Curr Diab Rep. 2017 Aug 10;17(10):85
pubmed: 28799123
Diabetes Care. 2017 Mar;40(3):332-337
pubmed: 28077460
Int J Gynaecol Obstet. 2010 Oct;111(1):37-40
pubmed: 20542272
Ann Pharmacother. 2011 Jan;45(1):9-16
pubmed: 21205954
BMC Pregnancy Childbirth. 2020 Feb 7;20(1):76
pubmed: 32028931
J Clin Endocrinol Metab. 2008 Dec;93(12):4774-9
pubmed: 18826999
N Engl J Med. 2008 May 8;358(19):2003-15
pubmed: 18463376
Fertil Steril. 2005 May;83(5):1575-8
pubmed: 15866611
BMJ. 2015 Jan 21;350:h102
pubmed: 25609400
Obstet Gynecol. 2018 May;131(5):e140-e150
pubmed: 29683911
Diabetes Care. 2003 May;26(5):1390-4
pubmed: 12716794
Am J Obstet Gynecol. 2015 Feb;212(2):224.e1-9
pubmed: 25173183
N Engl J Med. 2021 Mar 11;384(10):895-904
pubmed: 33704936
Am J Obstet Gynecol. 2019 Jun;220(6):562-564
pubmed: 30711511
Am J Obstet Gynecol. 2018 Oct;219(4):367.e1-367.e7
pubmed: 29959933
Diabetes Care. 2020 Jan;43(Suppl 1):S183-S192
pubmed: 31862757
Diabetes Care. 2011 Oct;34(10):2279-84
pubmed: 21949222
Am J Obstet Gynecol. 2018 May;218(5):B2-B4
pubmed: 29409848
Diabetes Care. 2012 Mar;35(3):529-35
pubmed: 22266735
Diabetes. 1964 May-Jun;13:278-85
pubmed: 14166677
Diabetes Care. 2012 Mar;35(3):526-8
pubmed: 22355019
Can J Diabetes. 2018 Apr;42 Suppl 1:S255-S282
pubmed: 29650105
Obstet Gynecol. 2014 Jun;123(6):1177-1184
pubmed: 24807336
Diabetes Care. 2013 May;36(5):1209-14
pubmed: 23248195
Curr Diab Rep. 2015 Dec;15(12):114
pubmed: 26458385
Curr Diab Rep. 2017 Feb;17(2):7
pubmed: 28150160
Diabetes Care. 2019 Jan;42(Suppl 1):S13-S28
pubmed: 30559228
Obstet Gynecol. 2014 Sep;124(3):563-570
pubmed: 25162257
Diabetes Care. 2018 May;41(5):917-928
pubmed: 29567642
JAMA. 2018 May 1;319(17):1773-1780
pubmed: 29715355
J Diabetes Res. 2019 Nov 4;2019:9804708
pubmed: 31781670
Prim Care Diabetes. 2013 Oct;7(3):177-86
pubmed: 23684416
Diabetes Care. 2015 Feb;38(2):e20-1
pubmed: 25614695