Gestational diabetes mellitus is defined by new-onset glucose intolerance during pregnancy. About 2-5% of all pregnant women develop gestational diabetes during their pregnancies and the prevalence has increased considerably during the last decade. This metabolic condition is manifested when pancreatic β-cells lose their ability to compensate for increased insulin resistance during pregnancy, h...

F or over two decades I have religiously clung to the notion that maternal hyperglycemia is the root of all evil in pregnancies complicated by diabetes (1). To this end, I have valiantly waved the flag for universal screening for gestational diabetes (2), intensified glucose monitoring (3,4), and intensified insulin delivery for all women with hyperglycemia in pregnancy (5). In addition, I cham...

P regnancies complicated by diabetes are at increased risk of adverse fetal and maternal outcomes and longer-term health problems in the offspring. Treatments directed at improving glycemic control reduce these risks. However, observational studies show that pregnancies complicated by either type 1 or type 2 diabetes, compared with nondiabetic pregnancies , still have more adverse outcomes, inc...

Gestational diabetes mellitus is a common but controversial disorder. While no large randomized controlled trials show that screening for and treating gestational diabetes affect perinatal outcomes, multiple studies have documented an increase in adverse pregnancy outcomes in patients with the disorder. Data on perinatal mortality, however, are inconsistent. In some prospective studies, treatme...

Gestational Diabetes Mellitus (GDM) is a hyperglycemia condition with onset in the second or third trimester of pregnancy. Currently, first-line prevention and management GDM are lifestyle modifications that must be implemented throughout pregnancy, even before When unable to maintain normoglycemia treatment therapy such as insulin and/or oral antidiabetic drugs needed. Insulin first-choice sti...

S ince hyperinsulinemia tracks from childhood to adulthood and is associated with diabetes risk, identifying modifiable conditions during gestation that may impact insulin metabolism in offspring is important. We conducted a pilot study to investigate associations between maternal weight gain and infant insulin concentrations in an underserved population at high risk for diabetes. Mexican or Na...

OBJECTIVE To evaluate the influence of gestational diabetes mellitus on weight discrepancy in twin pregnancies. METHODS 200 twin pregnancies were included in the study. 157 nondiabetic pregnant women with twin gestations and 43 twin pregnancies with gestational diabetes mellitus (GDM) with viable fetuses born after 24 weeks of gestation were enrolled. Influence of maternal age, body-mass-inde...

BACKGROUND Gestational diabetes mellitus (GDM) is one of the common complications that occur during pregnancy. Early intervention is essential to prevent the development of the disease in the non-pregnant state but also helpful in preventing the occurrence of GDM. The aim of the study was to assess the effect of aerobic exercises on insulin sensitivity and fasting plasma glucose level in pregna...