Gestational Diabetes Mellitus

Gestational diabetes mellitus (GDM) is defined as glucose intolerance with onset or first recognition during pregnancy. Available evidence suggests that beta cell defects in GDM result from the same spectrum of causes that underlie hyperglycemia in general, including autoimmune disease, monogenic causes, and insulin resistance; the concept of risk based screening is explained. The maternal and fetal morbidity is discussed. The surveillance and monitoring during pregnancy is explained. Management and postpartum followup is discussed. Keywords: Gestational diabetes, Risk stratified screening, Maternal morbidity, Fetal morbidity, Surveillance, Management, Post partum followup.