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
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