Gestational Diabetes During and After Pregnancy

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Gestational Diabetes Mellitus is becoming an increasingly prevalent disease as obesity and other chronic diseases are on the rise. It requires careful and informed clinical management as the care received during pregnancy affects not only perinatal health but the risk of developing type 2 diabetes even decades into the future, in both the mother and the child.From epidemiology and pathophysiology to diagnosis and management, covering recent breakthroughs in research and up-to-date developments in clinical practice, Gestational Diabetes During and After Pregnancy offers the reader a comprehensive and current look at Gestational Diabetes. Public Health issues are also addressed, with discussions on screening, control programs and policy. Also included are the results of the landmark Hyperglycemia and Adverse Pregnancy Outcome (HAPO) study.Anyone involved in the research, public health or clinical aspects of Gestational Diabetes will find this volume a valuable aid in consolidating all recent developments regarding this disease.

Author(s): John L. Kitzmiller (auth.), Catherine Kim, Assiamira Ferrara (eds.)
Edition: 1
Publisher: Springer-Verlag London
Year: 2011

Language: English
Pages: 394
Tags: Endocrinology; Maternal and Child Health; Obstetrics/Perinatology; Health Informatics; Gynecology

Front Matter....Pages i-xviii
An Overview of Problems and Solutions in the Diagnosis and Treatment of Gestational Diabetes....Pages 1-13
Front Matter....Pages 15-15
Hyperglycemia and Adverse Pregnancy Outcome (HAPO) Study: An Overview....Pages 17-34
Evolution of Screening and Diagnostic Criteria for GDM Worldwide....Pages 35-49
Front Matter....Pages 51-51
Prevalence of GDM....Pages 53-69
Risk Factors for Gestational Diabetes: from an Epidemiological Standpoint....Pages 71-81
Front Matter....Pages 83-83
Burden of GDM in Developing Countries....Pages 85-93
Front Matter....Pages 95-95
Insulin and the Placenta in GDM....Pages 97-111
What Causes Gestational Diabetes?....Pages 113-123
Mechanisms Underlying Insulin Resistance in Human Pregnancy and Gestational Diabetes Mellitus....Pages 125-138
Inflammation, Adipokines, and Gestational Diabetes Mellitus....Pages 139-153
Lipids in Gestational Diabetes: Abnormalities and Significance....Pages 155-169
Blood Pressure in GDM....Pages 171-180
Genetics of Gestational Diabetes Mellitus and Type 2 Diabetes....Pages 181-193
Front Matter....Pages 195-195
Maternal Obesity and Epidemiological Review of Pregnancy Complications....Pages 197-213
Maternal Comorbidities During Gestational Diabetes Mellitus: Obstetrical Complications, Prematurity, and Delivery....Pages 215-226
The Diabetic Intrauterine Environment: Short and Long-Term Consequences....Pages 227-239
Front Matter....Pages 241-241
Exercise Recommendations in Women with Gestational Diabetes Mellitus....Pages 243-257
Nutrition and Weight Recommendations for Treating Gestational Diabetes Mellitus....Pages 259-280
Pharmacological Treatment Options for Gestational Diabetes....Pages 281-297
Front Matter....Pages 299-299
Risk for Maternal Postpartum Diabetes....Pages 301-315
Front Matter....Pages 299-299
Contraception Before and After GDM....Pages 317-329
Lactation and Diabetes Among Women with a History of GDM Pregnancy....Pages 331-344
Front Matter....Pages 345-345
Emerging Science: Interventions in Women at Risk of GDM During Pregnancy....Pages 347-359
Diabetes Prevention Interventions for Women with a History of GDM....Pages 361-372
Front Matter....Pages 373-373
Diabetes Control Programs and Policy....Pages 375-385
Back Matter....Pages 387-394