Gestational diabetes mellitus In a symposium on advances in the understanding of obesity and weight gain during pregnancy, Teresa A. Hillier (Portland, OR) discussed the implications that pregnancy weight gain in gestational diabetes mellitus (GDM) has for the fetus. Much of the discussion following her lecture and those of the other speakers concerned the May 2009 guidelines of the Institute o...

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...

OBJECTIVE This study examines the effects of circuit-type resistance training on the need for insulin in women with gestational diabetes mellitus. STUDY DESIGN Thirty-two patients with gestational diabetes mellitus were randomly assigned either to a group that was treated with diet alone or to a group that was treated with diet plus resistance exercise. RESULTS The number of women whose con...

Despite recent attempts at building consensus, an internationally consistent definition of gestational diabetes mellitus remains elusive. Within and between countries there is disagreement between obstetric, medical and endocrine groups as to the diagnosis and management of GDM. The current article aims to discuss the background to the controversy of GDM diagnosis and to address issues related ...

As currently diagnosed, gestational diabetes mellitus (GDM) affects 5–9% of all pregnancies in the United States and is growing in prevalence. 1 It is defined as carbohydrate intolerance of variable severity that is first recognized during pregnancy. Although GDM has been recognized for decades, the potential significance of the condition, as well as criteria for screening and diagnosis , remai...

OBJECTIVE The purpose of this document is to briefly review the existing data regarding the effect of a diagnosis of gestational diabetes mellitus (GDM), the different screening and diagnostic practices for GDM, and, finally, outline the recommended options for GDM screening in Canada. OPTIONS Consideration has been given to the existing screening practices for GDM including universal screeni...

Women diagnosed with gestational diabetes mellitus have an increased risk of developing diabetes mellitus, which is a known risk factor for cardiovascular disease and insulin resistance. In the recently published article by Zajdenverg et al., they aimed to identify endothelial dysfunction and cardiovascular risk factors in women with previous gestational diabetes mellitus. However, authors did ...

Certaines manifestations cutanees sont fre­quement rencontrees au cours du diabete sucre.  L'auteur decrit les lesions cutanees pro­pres au dia.bete e.: celles qui sc manifestent dans des syndromes associes au diabe:e. Bien que ces signes cutanes ne soient pas pathogno­moniques du diabete sucre, mais par leur acce­cibilite aux yeux du clinicien et par leur fre­quence ils peuvent faire penser a...

BACKGROUND Von Hippel-Lindau (VHL) disease is an autosomal dominantly inherited, multisystemic tumor syndrome caused by mutations in the VHL gene. To date, more than 1,000 germline and somatic mutations of the VHL gene have been reported. We present a novel mutation in the VHL tumor suppressor gene that presented with gestational diabetes mellitus. METHODS A 30-year-old woman presented with g...