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Lois Jovanovic, MD; David J. Pettitt, MD

JAMA. 2001;286:2516-2518.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

Gestational diabetes mellitus (GDM) is carbohydrate intolerance with onset or first recognition during pregnancy.^1-2 This diagnosis is independent of insulin use or persistence of the condition after the pregnancy and does not apply to pregnant women with previously diagnosed diabetes. Gestational diabetes has been recognized for decades,³ but the potential significance of the condition, as well as criteria for screening and diagnosis, remain controversial. While there is also controversy as to the optimal monitoring and treatment strategy, it is apparent that even mild degrees of maternal hyperglycemia may result in fetal developmental defects.⁴

Epidemiology

Gestational diabetes affects up to 14% of the pregnant population, approximately 135 000 women per year in the United States.⁵ Insulin resistance occurs to some degree in all pregnancies,⁶ but those women who are unable to compensate develop GDM. Women at greatest risk of developing GDM are those who are obese, . . . [Full Text of this Article]

Optimal Screening and Diagnostic Strategies

Importance of Blood Glucose Monitoring

Diets Designed to Minimize Postprandial Glycemia

Insulin Treatment

CONCLUSION

Author Affiliation: Sansum Medical Research Institute, Santa Barbara, Calif.

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