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  • A Comprehensive Review Of Gestational Diabetes Mellitus
  • 1Assistant professor, Department of Pharmacy Practice, Srinivas College of Pharmacy, Mangalore, Karnataka, India
    2Student, Pharm D, Department of Pharmacy Practice, Srinivas College of Pharmacy, Mangalore, Karnataka, India
    3Professor and Head, Department of Pharmacy Practice, Srinivas College of Pharmacy, Mangalore, Karnataka, India

Abstract

Gestational Diabetes Mellitus (GDM) is a common medical condition affecting pregnant women, characterized by glucose intolerance that develops during pregnancy. This article provides a comprehensive overview of GDM, exploring its prevalence, risk factors, screening, and diagnostic procedures. The review emphasizes the potential complications associated with untreated or poorly managed GDM, such as maternal hypertension, preeclampsia, and neonatal complications like macrosomia and hypoglycemia. The article delves into the various management of GDM, encompassing lifestyle interventions, nutritional considerations, and, when necessary, pharmacological interventions. Special attention is given to the role of healthcare professionals, including obstetricians, endocrinologists, and dietitians, in creating personalized treatment plans to optimize maternal and neonatal outcomes. Furthermore, the importance of postpartum care and the heightened risk of Type 2 diabetes in women with a history of GDM is discussed, underscoring the need for long-term monitoring and preventive measures. The article also highlights the positive impact of breastfeeding on glycemic control for both mother and baby. In summary, this comprehensive review provides an overall understanding of GDM, emphasizing the importance of early detection, effective management, and ongoing postpartum care to ensure the well-being of both the pregnant woman and her newborn. The insights presented aim to inform healthcare professionals, researchers, and policymakers involved in maternal and neonatal health, contributing to improved strategies for the prevention, diagnosis, and management of GDM.

Keywords

1Assistant professor, Department of Pharmacy Practice, Srinivas College of Pharmacy, Mangalore, Karnataka, India 2Student, Pharm D, Department of Pharmacy Practice, Srinivas College of Pharmacy, Mangalore, Karnataka, India 3Professor and Head, Department of Pharmacy Practice, Srinivas College of Pharmacy, Mangalore, Karnataka, India

Reference

  1. Buchanan TA, Xiang AH. Gestational diabetes mellitus. The Journal of clinical investigation. 2005 Mar 1;115(3):485-91.
  2. Alia S, Pugnaloni S, Borroni F, Mazzanti L, Giannubilo SR, Ciavattini A, Vignini A. Impact of gestational diabetes mellitus in maternal and fetal health: An update. Diabetes Updates. 2019;5(3):1-6.
  3. Saeedi M, Cao Y, Fadl H, Gustafson H, Simmons D. Increasing prevalence of gestational diabetes mellitus when implementing the IADPSG criteria: A systematic review and meta-analysis. diabetes research and clinical practice. 2021 Feb 1;172:108642.
  4. Modzelewski R, Stefanowicz-Rutkowska MM, Matuszewski W, Bandurska-Stankiewicz EM. Gestational diabetes mellitus—recent literature review. Journal of Clinical Medicine. 2022 Sep 28;11(19):5736.
  5. Henderson CE, Nezam H, Castillo KM. Centers for Disease Control and Prevention–Recognized Diabetes Prevention Program After Gestational Diabetes Mellitus. AJOG Global Reports. 2023 Feb 1;3(1):100150.
  6. Behboudi-Gandevani S, Parajuli R, Vaismoradi M. A systematic review of the prevalence of gestational diabetes in Norway. International journal of environmental research and public health. 2021 Feb;18(4):142.
  7. N. V, Nirmala J, G. Sekar S, R.P. A study on prevalence of gestational diabetes mellitus and its associated risk indicators in pregnant women attending antenatal clinic in a tertiary health centre. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2023May;12(5):1374-1378
  8. Li Y, Ren X, He L, Li J, Zhang S, Chen W. Maternal age and the risk of gestational diabetes mellitus: a systematic review and meta-analysis of over 120 million participants. Diabetes research and clinical practice. 2020 Apr 1;162:108044.
  9. Chu SY, Callaghan WM, Kim SY, Schmid CH, Lau J, England LJ, Dietz PM. Maternal obesity and risk of gestational diabetes mellitus. Diabetes care. 2007 Aug 1;30(8):2070-6.
  10. Lewandowska M. Gestational diabetes mellitus (GDM) risk for declared family history of diabetes, in combination with BMI categories. International Journal of Environmental Research and Public Health. 2021 Jun 28;18(13):6936.
  11. Yuen L, Wong VW. Gestational diabetes mellitus: challenges for different ethnic groups. World journal of diabetes. 2015 Jul 7;6(8):1024.
  12. Egan AM, Enninga EA, Alrahmani L, Weaver AL, Sarras MP, Ruano R. Recurrent gestational diabetes mellitus: a narrative review and single-center experience. Journal of Clinical Medicine. 2021 Feb 3;10(4):569.
  13. Li X, Liu X, Zuo Y, Gao J, Liu Y, Zheng W. The risk factors of gestational diabetes mellitus in patients with polycystic ovary syndrome: What should we care. Medicine. 2021 Aug 8;100(31).
  14. Qi Y, Sun X, Tan J, Zhang G, Chen M, Xiong Y, Chen P, Liu C, Zou K, Liu X. Excessive gestational weight gain in the first and second trimester is a risk factor for gestational diabetes mellitus among women pregnant with singletons: A repeated measures analysis. Journal of diabetes investigation. 2020 Nov;11(6):1651-60.
  15. Quintanilla Rodriguez BS, Mahdy H. Gestational Diabetes. StatPearls. 2019 Dec 23.
  16. Sharma AK, Singh S, Singh H, Mahajan D, Kolli P, Mandadapu G, Kumar B, Kumar D, Kumar S, Jena MK. Deep Insight of the Pathophysiology of Gestational Diabetes Mellitus. Cells. 2022 Aug 28;11(17):2672.
  17. Berberoglu Z. Pathophysiology of gestational diabetes mellitus. Diabetes. European medical journal.  2019 Nov.
  18. Plows JF, Stanley JL, Baker PN, Reynolds CM, Vickers MH. The pathophysiology of gestational diabetes mellitus. International journal of molecular sciences. 2018 Oct 26;19(11):3342.
  19. Trivett C, Lees ZJ, Freeman DJ. Adipose tissue function in healthy pregnancy, gestational diabetes mellitus and pre-eclampsia. European Journal of Clinical Nutrition. 2021 Dec;75(12):1745-56.
  20. Modzelewski R, Stefanowicz-Rutkowska MM, Matuszewski W, Bandurska-Stankiewicz EM. Gestational diabetes mellitus—recent literature review. Journal of Clinical Medicine. 2022 Sep 28;11(19):5736.
  21. Davidson KW, Barry MJ, Mangione CM, Cabana M, Caughey AB, Davis EM, Donahue KE, Doubeni CA, Kubik M, Li L, Ogedegbe G. Screening for gestational diabetes: US preventive services task force recommendation statement. Jama. 2021 Aug 10;326(6):531-8.
  22. Liang X, Fu Y, Lu S, Shuai M, Miao Z, Gou W, Shen L, Liang Y, Xu F, Tian Y, Wang J. Continuous glucose monitoring-derived glycemic metrics and adverse pregnancy outcomes among women with gestational diabetes: a prospective cohort study. The Lancet Regional Health–Western Pacific. 2023 Jun 12.
  23. Belsare S, Tseng D, Ozcan A, Coté G. Monitoring gestational diabetes at the point-of-care via dual glycated albumin lateral flow assays in conjunction with a handheld reader. Analyst. 2022;147(23):5518-27.
  24. Amiri FN, Faramarzi M, Bakhtiari A, Omidvar S. Risk factors for gestational diabetes mellitus: A case-control study. American journal of lifestyle medicine. 2021 Mar;15(2):184-90.
  25. Raets L, Beunen K, Benhalima K. Screening for gestational diabetes mellitus in early pregnancy: what is the evidence?. Journal of clinical medicine. 2021 Mar 18;10(6):1257.
  26. Preda A, Iliescu DG, Com?nescu A, Zoril? GL, Vladu IM, For?ofoiu MC, ?enea-Cojan TS, Preda SD, Diaconu ID, Mo?a E, Gheorghe IO. Gestational Diabetes and Preterm Birth: What Do We Know? Our Experience and Mini-Review of the Literature. Journal of Clinical Medicine. 2023 Jul 9;12(14):4572.
  27. Ryu RJ, Hays KE, Hebert MF. Gestational diabetes mellitus management with oral hypoglycemic agents. InSeminars in perinatology 2014 Dec 1 (Vol. 38, No. 8, pp. 508-515). WB Saunders.Murray SR, Reynolds RM. Short?and long?term outcomes of gestational diabetes and its treatment on fetal development. Prenatal diagnosis. 2020 Aug;40(9):1085-91.
  28. Sweeting A, Wong J, Murphy HR, Ross GP. A clinical update on gestational diabetes mellitus. Endocrine reviews. 2022 Oct 1;43(5):763-93.
  29. Sheiner E. Gestational diabetes mellitus: long-term consequences for the mother and child grand challenge: how to move on towards secondary prevention?. Frontiers in Clinical Diabetes and Healthcare. 2020 Nov 4;1:546256.
  30. Adam S, McIntyre HD, Tsoi KY, Kapur A, Ma RC, Dias S, Okong P, Hod M, Poon LC, Smith GN, Bergman L. Pregnancy as an opportunity to prevent type 2 diabetes mellitus: FIGO Best Practice Advice. International Journal of Gynecology & Obstetrics. 2023 Jan;160:56-67.
  31. Catalano PM, Kirwan JP, Haugel-de Mouzon S, King J. Gestational diabetes and insulin resistance: role in short-and long-term implications for mother and fetus. The Journal of nutrition. 2003 May 1;133(5):1674S-83S.
  32. Kyrou I, Tsigos C, Mavrogianni C, Cardon G, Van Stappen V, Latomme J, Kivelä J, Wikström K, Tsochev K, Nanasi A, Semanova C. Sociodemographic and lifestyle-related risk factors for identifying vulnerable groups for type 2 diabetes: a narrative review with emphasis on data from Europe. BMC endocrine disorders. 2020 Mar;20:1-3.
  33. Chasan-Taber L. Lifestyle interventions to reduce risk of diabetes among women with prior gestational diabetes mellitus. Best practice & research Clinical obstetrics & gynaecology. 2015 Jan 1;29(1):110-22.
  34. Moon JH, Kwak SH, Jang HC. Prevention of type 2 diabetes mellitus in women with previous gestational diabetes mellitus. The Korean journal of internal medicine. 2017 Jan;32(1):26.
  35. Hopkins SA, Artal R. The role of exercise in reducing the risks of gestational diabetes mellitus. Women’s Health. 2013 Nov;9(6):569-81.
  36. Galaviz KI, Narayan KV, Lobelo F, Weber MB. Lifestyle and the prevention of type 2 diabetes: a status report. American journal of lifestyle medicine. 2018 Jan;12(1):4-20.
  37. Herman WH, Ye W, Griffin SJ, Simmons RK, Davies MJ, Khunti K, Rutten GE, Sandbaek A, Lauritzen T, Borch-Johnsen K, Brown MB. Early detection and treatment of type 2 diabetes reduce cardiovascular morbidity and mortality: a simulation of the results of the Anglo-Danish-Dutch study of intensive treatment in people with screen-detected diabetes in primary care (ADDITION-Europe). Diabetes care. 2015 Aug 1;38(8):1449-55.
  38. Song Y, Zhai X, Bai Y, Liu C, Zhang L. Progress and indication for use of continuous glucose monitoring in patients with diabetes in pregnancy: a review. Frontiers in Endocrinology. 2023;14.
  39. Rasmussen L, Poulsen CW, Kampmann U, Smedegaard SB, Ovesen PG, Fuglsang J. Diet and healthy lifestyle in the management of gestational diabetes mellitus. Nutrients. 2020 Oct 6;12(10):3050.
  40. Alfadhli EM. Gestational diabetes mellitus. Saudi medical journal. 2015;36(4):399.
  41. Zhang C, Liu S, Solomon CG, Hu FB. Dietary fiber intake, dietary glycemic load, and the risk for gestational diabetes mellitus. Diabetes care. 2006 Oct 1;29(10):2223-30.
  42. Rasmussen KM, Yaktine AL. Weight gain during pregnancy. reexamining the guidelines. 2009;10:12584.
  43. Venkatasamy VV, Pericherla S, Manthuruthil S, Mishra S, Hanno R. Effect of physical activity on insulin resistance, inflammation and oxidative stress in diabetes mellitus. Journal of clinical and diagnostic research: JCDR. 2013 Aug;7(8):1764.
  44. Vargas-Terrones M, Nagpal TS, Barakat R. Impact of exercise during pregnancy on gestational weight gain and birth weight: an overview. Brazilian journal of physical therapy. 2019 Mar 1;23(2):164-9.
  45. Stupin JH, Arabin B. Overweight and obesity before, during and after pregnancy. Geburtshilfe und Frauenheilkunde. 2014 Jul;74(07):639-45.
  46. Ruchat SM, Davenport MH, Giroux I, Hillier M, Batada A, Sopper MM, McManus R, Hammond JA, Mottola MF. Effect of exercise intensity and duration on capillary glucose responses in pregnant women at low and high risk for gestational diabetes. Diabetes/metabolism research and reviews. 2012 Nov;28(8):669-78.    
  47. Avery MD, Walker AJ. Acute effect of exercise on blood glucose and insulin levels in women with gestational diabetes. Journal of Maternal-Fetal Medicine. 2001 Jan 1;10(1):52-8.  
  48. Pantea-Stoian A, Stoica RA, Stefan SD. Insulin therapy in gestational diabetes. In Gestational Diabetes Mellitus-An Overview with Some Recent Advances 2019 Mar 1. IntechOpen.
  49. Thota S, Akbar A. Insulin. National Center for Biotechnology Information Statpearls. 2023 Jul 10.
  50. Weinstock RS, Aleppo G, Bailey TS, et al. The Role of Blood Glucose Monitoring in Diabetes Management. Arlington (VA): American Diabetes Association; 2020 Oct.
  51. Kolb L. An effective model of diabetes care and education: the ADCES7 Self-Care Behaviors™. The science of diabetes self-management and care. 2021 Feb;47(1):30-53.
  52. Nakhleh A, Shehadeh N. Hypoglycemia in diabetes: An update on pathophysiology, treatment, and prevention. World journal of diabetes. 2021 Dec 12;12(12):2036.
  53. Marcovecchio ML. Complications of acute and chronic hyperglycemia. Touch Reviews in Endocrinology and US Endocrinology. 2017 May;13(1):17–21.
  54. Mathew TK, Zubair M, Tadi P. Blood Glucose Monitoring. StatPearls. 2023 Jan.
  55. Gosmanov AR, Gosmanova EO, Kitabchi AE. Hyperglycemic crises: diabetic ketoacidosis and hyperglycemic hyperosmolar state. Endotext. 2021 May 9.
  56. Gosmanov AR, Gosmanova EO, Dillard-Cannon E. Management of adult diabetic ketoacidosis. Diabetes, metabolic syndrome and obesity: targets and therapy. 2014 Jun 30:255-64.
  57. Wang C, Yang HX. Diagnosis, prevention and management of gestational diabetes mellitus. Chronic diseases and translational medicine. 2016 Dec 1;2(04):199-203.
  58. Donazar-Ezcurra M, López-del Burgo C, Bes-Rastrollo M. Primary prevention of gestational diabetes mellitus through nutritional factors: a systematic review. BMC pregnancy and childbirth. 2017 Dec;17:1-5.
  59. OuYang H, Chen B, Abdulrahman AM, Li L, Wu N. Associations between gestational diabetes and anxiety or depression: a systematic review. Journal of diabetes research. 2021 Jul 28;2021.
  60. Fink NS, Urech C, Cavelti M, Alder J. Relaxation during pregnancy: what are the benefits for mother, fetus, and the newborn? A systematic review of the literature. The Journal of perinatal & neonatal nursing. 2012 Oct 1;26(4):296-306.
  61. Annis AM, Caulder MS, Cook ML, Duquette D. Peer Reviewed: Family History, Diabetes, and Other Demographic and Risk Factors Among Participants of the National Health and Nutrition Examination Survey 1999–2002. Preventing chronic disease. 2005 Apr;2(2).
  62. Raman P, Shepherd E, Dowswell T, Middleton P, Crowther CA. Different methods and settings for glucose monitoring for gestational diabetes during pregnancy. Cochrane Database Syst Rev. 2017 Oct 29;10(10):CD011069.
  63. Dandjinou M, Sheehy O, Bérard A. Antidepressant use during pregnancy and the risk of gestational diabetes mellitus: a nested case–control study. BMJ open. 2019 Sep 1;9(9):e025908.
  64. Hamadneh S, Hamadneh J. Active and passive maternal smoking during pregnancy and birth outcomes: a study from a developing country. Annals of Global Health. 2021;87(1).
  65. Al-Hassany L, Wahab RJ, Steegers EA, Jaddoe VW, Gaillard R. Smoking cessation in early-pregnancy, gestational weight gain and subsequent risks of pregnancy complications. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2020 Oct 1;253:7-14.
  66. Addila AE, Azale T, Gete YK, Yitayal M. The effects of maternal alcohol consumption during pregnancy on adverse fetal outcomes among pregnant women attending antenatal care at public health facilities in Gondar town, Northwest Ethiopia: a prospective cohort study. Substance abuse treatment, prevention, and policy. 2021 Aug 26;16(1):64.
  67. Diabetes Prevention Program (DPP) Research Group. The Diabetes Prevention Program (DPP) description of lifestyle intervention. Diabetes care. 2002 Dec 1;25(12):2165-71.
  68. Koivusalo SB, Rönö K, Klemetti MM, Roine RP, Lindström J, Erkkola M, Kaaja RJ, Pöyhönen-Alho M, Tiitinen A, Huvinen E, Andersson S. Gestational diabetes mellitus can be prevented by lifestyle intervention: the Finnish Gestational Diabetes Prevention Study (RADIEL) a randomized controlled trial. Diabetes care. 2016 Jan 1;39(1):24-30.
  69. Fedullo AL, Schiattarella A, Morlando M, Raguzzini A, Toti E, De Franciscis P, Peluso I. Mediterranean diet for the prevention of gestational diabetes in the Covid-19 era: implications of Il-6 in diabesity. International journal of molecular sciences. 2021 Jan 26;22(3):1213.
  70. Wei J, Heng W, Gao J. Effects of low glycemic index diets on gestational diabetes mellitus: a meta-analysis of randomized controlled clinical trials. Medicine. 2016 May;95(22).
  71. Huang S, Fu J, Zhao R, Wang B, Zhang M, Li L, Shi C. The effect of combined supplementation with vitamin D and omega-3 fatty acids on blood glucose and blood lipid levels in patients with gestational diabetes. Ann Palliat Med. 2021 May 1;10(5):5652-8.
  72. Zakaria H, Abusanana S, Mussa BM, Al Dhaheri AS, Stojanovska L, Mohamad MN, Saleh ST, Ali HI, Cheikh Ismail L. The Role of Lifestyle Interventions in the Prevention and Treatment of Gestational Diabetes Mellitus. Medicina. 2023 Feb 1;59(2):287.
  73. Polsky S, Garcetti R. CGM, pregnancy, and remote monitoring. Diabetes technology & therapeutics. 2017 Jun 1;19(S3):S-49.
  74. Park SJ, Lee J. The effects of health care programs for gestational diabetes mellitus in South Korea: a systematic review. Korean Journal of Women Health Nursing. 2020 Dec 31;26(4):274-84.
  75. Karimipour Z, Sharifi N, Seydkhani H, Sayadi H, Jalilian M. Lifestyle intervention for gestational diabetes prevention in rural woman of Shoush city. Journal of Education and Health Promotion. 2021;10(1).
  76. Lin Y, Fan R, Hao Z, Li J, Yang X, Zhang Y, Xia Y. The association between physical activity and insulin level under different levels of lipid indices and serum uric acid. Frontiers in physiology. 2022 Feb 2;13:40.
  77. Yehuda I. Implementation of preconception care for women with diabetes. Diabetes spectrum: A publication of the American Diabetes Association. 2016 May;29(2):105.
  78. Yang Y, Wu N. Gestational diabetes mellitus and preeclampsia: correlation and influencing factors. Frontiers in cardiovascular medicine. 2022 Feb 16;9:831297.
  79. Njogu PK, Makunyi EG, Musau J. Risk factors for caesarean delivery and fetal macrosomia among women with gestational diabetes in Nyeri County, Kenya: a cross-section study. Pan African Medical Journal. 2022 Apr 20;41(1).
  80. Kc K, Shakya S, Zhang H. Gestational diabetes mellitus and macrosomia: a literature review. Annals of Nutrition and Metabolism. 2015 Jun 1;66(Suppl. 2):14-20.
  81. Said AS, Manji KP. Risk factors and outcomes of fetal macrosomia in a tertiary centre in Tanzania: a case-control study. BMC pregnancy and childbirth. 2016 Dec;16(1):1-8.
  82. Sweet CB, Grayson S, Polak M. Management strategies for neonatal hypoglycemia. The Journal of Pediatric Pharmacology and Therapeutics: JPPT. 2013 Jul;18(3):199.
  83. Gu MH, Amanda F, Yuan TM. Brain injury in neonatal hypoglycemia: a hospital-based cohort study. Clinical Medicine Insights: Pediatrics. 2019 Aug;13:1179556519867953.
  84. Tovar A, Chasan-Taber L, Eggleston E, Oken E. Peer reviewed: postpartum screening for diabetes among women with a history of gestational diabetes mellitus. Preventing chronic disease. 2011 Nov;8(6).
  85. Much D, Beyerlein A, Roßbauer M, Hummel S, Ziegler AG. Beneficial effects of breastfeeding in women with gestational diabetes mellitus. Molecular metabolism. 2014 Jun 1;3(3):284-92.
  86. Martin CR, Ling PR, Blackburn GL. Review of infant feeding: Key features of breast milk and infant formula. Nutrients, 8 (5), 279.
  87. Shub A, Miranda M, Georgiou HM, McCarthy EA, Lappas M. The effect of breastfeeding on postpartum glucose tolerance and lipid profiles in women with gestational diabetes mellitus. International Breastfeeding Journal. 2019 Dec;14(1):1-5.
  88. Kellie FJ. Postpartum health professional contact for improving maternal and infant health outcomes for healthy women and their infants. The Cochrane Database of Systematic Reviews. 2017 Jun; 2017(6).
  89. Kim C. Gestational diabetes: risks, management, and treatment options. International journal of women's health. 2010 Oct 7:339-51.
  90. Stuebe A, Auguste T, Gulati M. ACOG Committee opinion on Optimizing Postpartum Care. The American college of obstetricians and gynecologists. 2018 May; 5(131).
  91. Noctor E, Dunne FP. Type 2 diabetes after gestational diabetes: the influence of changing diagnostic criteria. World journal of diabetes. 2015 Mar 3;6(2):234.
  92. Diaz-Santana MV, O’Brien KM, Park YM, Sandler DP, Weinberg CR. Persistence of risk for type 2 diabetes after gestational diabetes mellitus. Diabetes Care. 2022 Apr 1;45(4):864-70.
  93. Rodbard D. Continuous glucose monitoring: a review of recent studies demonstrating improved glycemic outcomes. Diabetes technology & therapeutics. 2017 Jun 1;19(S3):S-25.
  94. Shrivastava SR, Shrivastava PS, Ramasamy J. Role of self-care in management of diabetes mellitus. Journal of diabetes & Metabolic disorders. 2013 Dec;12(1):1-5.

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Kaula
Corresponding author

Department of Pharmacy Practice, Srinivas College of Pharmacy

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Vineetha K
Co-author

Department of Pharmacy Practice, Srinivas College of Pharmacy

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Ramakrishna Shabaraya A
Co-author

Department of Pharmacy Practice, Srinivas College of Pharmacy

Vineetha K, Kaula, Ramakrishna Shabaraya A, A Comprehensive Review Of Gestational Diabetes Mellitus, Int. J. in Pharm. Sci., 2023, Vol 1, Issue 12, 357- 375. https://doi.org/10.5281/zenodo.10389724

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