Gestational diabetes mellitus (GDM) is the new onset of diabetes in the second half of pregnancy.
Maternity care providers should distinguish between GDM and previously unrecognized t...
Ask all pregnant women about risk factors (see above) at first prenatal visit.
May be normal
Overweight, obesity common
Acanthosis nigricans suggests T2D...
Treatment benefits both mother and fetus (4)[A].
Reduced risk of preeclampsia (NNT = 22)
Reduced risks of macrosomia, shoulder dystocia
Nutrition therapy for all women with GDM
Routine postpartum follow-up unless pharmacotherapy is continued
GDM is associated with a nearly 2-fold risk for postpartum depression.
Screen for T2DM at 4 to 12 w...
Perinatology.com. Gestational diabetes: caloric requirements and initial insulin dose. http://www.perinatology.com/calculators/GDM.htm. Accessed April 3, 2018.
O24.429 Gestational diabetes mellitus in childbirth, unsp control
O24.420 Gestational diabetes mellitus in childbirth, diet controlled
Z86.32 Personal history of gestational diabetes
Screen for undiagnosed T2DM at the first prenatal visit in women with risk factors.
Screen for GDM at 24 to 28 weeks of gestation in pregnant women not previously known to have diabetes...
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