NDLI: Gestationsdiabetes (GDM). (Journal: Wiener klinische Wochenschrift Volume: 128 Issue: Suppl 2)

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Kautzky-Willer, Alexandra Harreiter, Jürgen Bancher-Todesca, Dagmar Berger, Angelika Repa, Andreas Lechleitner, Monika Weitgasser, Raimund
Description	Author Affiliation: Kautzky-Willer A ( Klinische Abteilung für Endokrinologie und Stoffwechsel, Gender Medicine Unit, Universitätsklinik für Innere Medizin III, Medizinische Universität Wien, Wien, Österreich. alexandra.kautzky-willer@meduniwien.ac.at.); Harreiter J ( Klinische Abteilung für Endokrinologie und Stoffwechsel, Gender Medicine Unit, Universitätsklinik für Innere Medizin III, Medizinische Universität Wien, Wien, Österreich.); Bancher-Todesca D ( Abteilung für Geburtshilfe und feto-maternale Medizin, Universitätsklinik für Frauenheilkunde, Medizinische Universität Wien, Wien, Österreich.); Berger A ( Abteilung für Neonatologie, Pädiatrische Intensivmedizin und Neuropädiatrie, Universitätsklinik für Kinder- und Jugendheilkunde, Medizinische Universität Wien, Wien, Österreich.); Repa A ( Abteilung für Neonatologie, Pädiatrische Intensivmedizin und Neuropädiatrie, Universitätsklinik für Kinder- und Jugendheilkunde, Medizinische Universität Wien, Wien, Österreich.); Lechleitner M ( Abteilung für Innere Medizin, Landeskrankenhaus Hochzirl - Natters, Hochzirl, Österreich.); Weitgasser R ( Abteilung für Innere Medizin, Privatklinik Wehrle-Diakonissen, Salzburg, Österreich.)
Abstract	Gestational diabetes (GDM) is defined as any degree of glucose intolerance with onset during pregnancy and is associated with increased feto-maternal morbidity as well as long-term complications in mothers and offspring. Women detected to have diabetes early in pregnancy receive the diagnosis of overt, non-gestational, diabetes (glucose: fasting > 126 mg/dl, spontaneous > 200 mg/dl or HbA1c > 6.5 % before 20 weeks of gestation). GDM is diagnosed by an oral glucose tolerance test (OGTT) or fasting glucose concentrations (> 92 mg/dl). Screening for undiagnosed type 2 diabetes at the first prenatal visit (Evidence level B) is recommended in women at increased risk using standard diagnostic criteria (high risk: history of GDM or pre-diabetes (impaired fasting glucose or impaired glucose tolerance); malformation, stillbirth, successive abortions or birth weight > 4,500 g in previous pregnancies; obesity, metabolic syndrome, age > 45 years, vascular disease; clinical symptoms of diabetes (e. g. glucosuria)). Performance of the OGTT (120 min; 75 g glucose) may already be indicated in the first trimester in some women but is mandatory between 24 and 28 gestational weeks in all pregnant women with previous non-pathological glucose metabolism (Evidence level B). Based on the results of the Hyperglycemia and Adverse Pregnancy Outcome (HAPO) study GDM is defined, if fasting venous plasma glucose exceeds 92 mg/dl or 1 h 180 mg/dl or 2 h 153 mg/dl after glucose loading (OGTT; international consensus criteria). In case of one pathological value a strict metabolic control is mandatory. This diagnostic approach was recently also recommended by the WHO. All women should receive nutritional counseling and be instructed in blood glucose self-monitoring and to increase physical activity to moderate intensity levels- if not contraindicated. If blood glucose levels cannot be maintained in the normal range (fasting < 95 mg/dl and 1 h after meals < 140 mg/dl) insulin therapy should be initiated as first choice. Maternal and fetal monitoring is required in order to minimize maternal and fetal/neonatal morbidity and perinatal mortality. After delivery all women with GDM have to be reevaluated as to their glucose tolerance by a 75 g OGTT (WHO criteria) 6-12 weeks postpartum and every 2 years in case of normal glucose tolerance (Evidence level B). All women have to be instructed about their (sevenfold increased relative) risk of type 2 diabetes at follow-up and possibilities for diabetes prevention, in particular weight management and maintenance/increase of physical activity. Monitoring of the development of the offspring and recommendation of healthy lifestyle of the children and family is recommended.
File Format	HTM / HTML
ISSN	00435325
Issue Number	Suppl 2
Journal	Wiener klinische Wochenschrift
Volume Number	128
e-ISSN	16137671
Language	German
Publisher	Springer
Publisher Date	2016-04-01
Publisher Place	Austria
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Medicine
Alternative Title	Gestational diabetes mellitus
Content Type	Text
Resource Type	Article
Subject	Medicine

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Thrombozytenaggregationshemmer. (Journal: Wiener klinische Wochenschrift Volume: 128 Issue: Suppl 2)

Blutzuckerselbstkontrolle. (Journal: Wiener klinische Wochenschrift Volume: 128 Issue: Suppl 2)

Migration und Diabetes. (Journal: Wiener klinische Wochenschrift Volume: 128 Issue: Suppl 2)

Insulintherapie bei Diabetes mellitus. (Journal: Wiener klinische Wochenschrift Volume: 128 Issue: Suppl 2)

Ernährungsempfehlungen bei Diabetes mellitus. (Journal: Wiener klinische Wochenschrift Volume: 128 Issue: Suppl 2)

Geriatrische Aspekte bei Diabetes mellitus. (Journal: Wiener klinische Wochenschrift Volume: 128 Issue: Suppl 2)

Positionspapier: Operation und Diabetes mellitus. (Journal: Wiener klinische Wochenschrift Volume: 128 Issue: Suppl 2)

Diabetesschulung bei Erwachsenen mit Diabetes. (Journal: Wiener klinische Wochenschrift Volume: 128 Issue: Suppl 2)

Diabetes mellitus - Definition, Klassifikation und Diagnose. (Journal: Wiener klinische Wochenschrift Volume: 128 Issue: Suppl 2)

Gestationsdiabetes (GDM). (Journal: Wiener klinische Wochenschrift Volume: 128 Issue: Suppl 2)

Similar Documents

Thrombozytenaggregationshemmer. (Journal: Wiener klinische Wochenschrift Volume: 128 Issue: Suppl 2)

Blutzuckerselbstkontrolle. (Journal: Wiener klinische Wochenschrift Volume: 128 Issue: Suppl 2)

Migration und Diabetes. (Journal: Wiener klinische Wochenschrift Volume: 128 Issue: Suppl 2)

Insulintherapie bei Diabetes mellitus. (Journal: Wiener klinische Wochenschrift Volume: 128 Issue: Suppl 2)

Ernährungsempfehlungen bei Diabetes mellitus. (Journal: Wiener klinische Wochenschrift Volume: 128 Issue: Suppl 2)

Geriatrische Aspekte bei Diabetes mellitus. (Journal: Wiener klinische Wochenschrift Volume: 128 Issue: Suppl 2)

Positionspapier: Operation und Diabetes mellitus. (Journal: Wiener klinische Wochenschrift Volume: 128 Issue: Suppl 2)

Diabetesschulung bei Erwachsenen mit Diabetes. (Journal: Wiener klinische Wochenschrift Volume: 128 Issue: Suppl 2)

Diabetes mellitus - Definition, Klassifikation und Diagnose. (Journal: Wiener klinische Wochenschrift Volume: 128 Issue: Suppl 2)

Gestationsdiabetes (GDM). (Journal: Wiener klinische Wochenschrift Volume: 128 Issue: Suppl 2)