Gestational Diabetes Mellitus Treatment Guidelines

It has been estimated that 69 of pregnancies are complicated by diabetes.

Gestational diabetes mellitus treatment guidelines. Caucasian women generally have the lowest rates of gdm. Selective reporting bias inconsistency in the chosen outcomes between trials and irrelevance of the chosen outcomes for women limit the efficiency and value of research for prevention and treatment of gestational diabetes mellitus gdm. The treatment always includes special meal plans and scheduled physical activity and it may also include daily blood glucose testing and insulin injections. Gestational diabetes mellitus that requires medication to achieve normal blood sugar levels is often called class a2gdm.

95 or less 1 hour after eating. It can include special meal plans and regular physical activity. Pregnant women without known diabetes mellitus should be screened for gdm after 24 weeks of gestation. Treatment of gdm results in a statistically significant decrease in the incidence of preeclampsia shoulder dystocia and macrosomia.

These 2015 clinical practice guidelines cpgs for developing a diabetes mellitus dm comprehensive care plan are an update of the 2011 american association of clinical endocrinologists aace medical guidelines for clinical practice for developing a diabetes mellitus comprehensive care plan. Women in whom gestational diabetes mellitus gdm is diagnosed should be treated with nutrition therapy and when necessary medication for both fetal and maternal benefit. As treatable as it is gestational diabetes can hurt you and your baby. Initial management includes glucose monitoring and lifestyle modifications.

Recommended daily target blood glucose levels for most women with gestational diabetes are before meals at bedtime and overnight. If youre at high risk of diabetes for example if youre overweight or obese before pregnancy or you have a mother father sibling or child with diabetes your doctor may test for diabetes early in pregnancy likely at your first prenatal visit. The following recommendation and conclusion are based on good and consistent scientific evidence level a. Treatment aims to keep your blood sugar levels normal.

Treatment for gestational diabetes aims to keep blood glucose levels equal to those of pregnant women who dont have gestational diabetes. The new aspects include early screening of pregnant women with a high risk for diabetes or gestational diabetes the validity of two stage screening in the third trimester by means of the 50 g challenge test as specified in the maternity guidelines use of metformin instead of or in addition to insulin in gestational diabetes and birth planning with gdm andor macrosomia.