Gestational diabetes mellitus

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Authors: H. Krejčí ^1,2; ?. K. Andělová ³; K. Anderlová ^1,2 ; J. Bláha ¹; D. Čechurová ⁴; Michal Černý ⁵ ; V. Dvořák ⁶; Z. Kokrdová ¹; V. Krejčí ¹; A. Pařízek ¹; M. Procházka ⁷; P. Šimják ¹ ; M. Lubušký ⁸
Authors place of work: Gynekologicko-porodnická klinika 1. LFUK a VFN, Praha, přednosta prof. MUDr. A. Martan, DrSc. ¹; III. interní klinika 1. LF UK a VFN, Praha, přednosta prof. MUDr. Š. Svačina, DrSc., MBA ²; Ústav pro péči o matku a dítě, ředitel doc. MUDr. J. Feyereisl, CSc. ³; I. interní klinika LF UK a FN, Plzeň, přednosta prof. MUDr. M. Matějovič, Ph. D. ⁴; Novorozenecné oddělení FN Motol, Praha, primář MUDr. M. Černý ⁵; Centrum ambulantní gynekologie a primární péče, Brno, vedoucí lékař MUDr. V. Dvořák, Ph. D. ⁶; Ústav lékařské genetiky LF UP, Olomouc, přednosta prof. MUDr. M. Procházka, Ph. D. ⁷; Porodnicko-gynekologická klinika LF UP a FN, Olomouc, přednosta prof. MUDr. R. Pilka, Ph. D. ⁸
Published in the journal: Ceska Gynekol 2018; 83(5): 397-406
Category:

Summary

From 2013 to 2015, specialist medical societies in the Czech Republic gradually adopted unified diagnostic criteria for gestational diabetes mellitus (GDM), based on the Hyperglycemia and Adverse Pregnancy Outcomes (HAPO) study and the recommendations of the International Association of the Diabetes and Pregnancy Study Groups (IADPSG) of 2010. The diagnosis, monitoring and treatment of GDM require the coordinated cooperation of gynecologists/obstetricians, diabetologists, anesthesiologists, and pediatricians/neonatologists. This work is therefore a summary of recommended procedures from individual specialist societies. This interdisciplinary consensus includes GDM screening, the monitoring and treatment of GDM during pregnancy, childbirth, and postpartum, and subsequent follow-up care for the mother. Recommendations for the care of newborns of mothers with GDM are also included.

Keywords:

gestational diabetes mellitus, guideline, gynecological care, obstetric care, diabetic care, neonatological care

Zdroje

1.   American Diabetes Association. Classification and diagnosis of Diabetes. Diabetes Care, 2017, 40, Suppl. 1, p. S11–S24.
2.   Andělová, K., Anderlová, K., Bláha, J., et al. Gestační diabetes mellitus. Doporučený postup screeningu, gynekologické, perinatologické, diabetologické a neonatologické péče 2017. http://www.diab.cz/dokumenty/DP_GDM_2017.pdf
3.   Andělová, K., Anderlová, K., Čechurová, D., et al. Gestační diabetes mellitus – doporučený postup. Čes Gynek, 2017, 82, s. 79–81.
4.   Clausen, TD., Mathiesen, ER., Hansen, T., et al. Overweight and the metabolic syndrome in adult offspring of women with diet-treated gestational diabetes mellitus or type 1 diabetes. J Clin Endocrinol Metab, 2009, 94, p. 2464–2470.
5.   Committee on Fetus and Newborn, Adamkin, D. H. Postnatal glucose homeostasis in late-preterm and term infants. Pediatrics, 2011, 127, p. 575–579.
6.   Crowther, CA., Hiller, JE., Moss, JR., et al. Effect of treatment of gestational diabetes mellitus on pregnancy outcomes. N Engl J Med, 2005, 352, p. 2477–2486.
7.   Černý, M. Neonatologická péče o donošené a lehce nezralé novorozence matek s GDM. http://www.neonatology.cz/upload/www.neonatology.cz/Legislativa/Postupy/gdm.pdf
8.   Černý, M., Tabery, K., Štechová, K., et al. Dítě matky s gestačním diabetem (GDM) – neonatologická problematika. Neonatologické listy, 2016, 22, s. 28–29.
9.   Friedecký, B., Kratochvíla, J., Springer, D., et al. Diabetes mellitus – laboratorní diagnostika a sledování stavu pacientů. Klin Biochem Metab, 2016, 24(45), s. 39–50.
10.   Holt, RIG., Lambert, KD. The use of oral hypoglycaemic agents in pregnancy. Diabet Med, 2013, 31(3), p. 282–291.
11.   International Assotiation of Diabetes and Pregnancy Study Groups Recommendations on the Diagnosis and Classification of Hyperglycemia in Pregnancy. Diabetes Care, 2010, 33, p. 676–682.
12.   Klebanoff, MA., Shiono, PH., Carey, JC. The effect of physical activity during pregnancy on preterm delivery and birth weight. Am J Obstet Gyn, 1990, 163, p. 1450–1456.
13.   Kleinberger, JW., Maloney, KA., Pollin, TI. The genetic architecture of diabetes in pregnancy: implications for clinical practise. Am J Perinatol, 2016, 33, p. 1319–1326.
14.   Landon, MB., Spong, CY., Thom, E., et al. A Multicenter, Randomized Trial of Treatment for Mild Gestational Diabetes. N Engl J Med, 2009, 361, p. 1339–1348.
15.   Mitanchez, D., Yzydorczyk, C., Simeoni, U. What neonatal complications should the pediatrican be aware of in case of maternal gestational diabetes? World J Diabetes, 2015, 6, p. 734–743.
16.   Nahum Sacks, K., Friger, M., Shoham-Vardi, I., et al. Prenatal exposure to gestational diabetes mellitus as an independent risk factor for long-term neuropsychiatric morbidity of the offspring. Am J Obstet Gynecol, 2016, 215(3), p. 380.e1–7.
17.   National Institute of Diabetes and Digestive and Kidney Diseases. Diabetes Prevention Program. http://diabetes.niddk.nih.gov/dm/pubs/preventionprogram/.
18.   Nicholson, W., Bolen, S., Witkop, CT., et al. Benefits and risks of oral diabetes agents compared with insulin in women with gestational diabetes: a systematic review. Obstet Gynecol, 2009, 113, p. 193–205.
19.   Perušičová, J., Pelikánová, T., Škrha, J., et al. Doporučený postup péče o nemocné s prediabetem. DMEV, 2012, 15, s. 20–22.
20.   Sekce diabetes a těhotenství ČDS ČLS JEP. http://www.diab.cz/diabetes-a-tehotenstvi.
21.   Štechová, K., a kol. Dítě diabetické matky: komplexní pohled na diabetes a těhotenství. 1. ed. Semily: GEUM, 2014, 228 s.
22.   Tabery, K., Černý, M., Zoban, P., et al. Současný pohled na problematiku neonatální hypoglykémie. Diabetes, metabolismus, endokrinologie a výživa, 2016, 3, s. 111–118.
23.   Taylor, JS., Kacmar, JE., Nothnagle, M., Lawrence, RA. A systematic review of the literature associating breastfeeding with type 2 diabetes and gestational diabetes. J Am Coll Nutr, 2005, 24(5), p. 320–326.
24.   Viana, LV., Gross, JL., Azevedo, MJ. Dietary intervention in patients with gestational diabetes mellitus: a systematic review and meta-analysis of randomized clinical trials on maternal and newborn outcomes. Diabetes Care, 2014, 37(12), p. 3345–3355.
25.   WHO 2013. Diagnostic Criteria and Classification of Hyperglycaemia First Detected in Pregnancy. http://apps.who.int/iris/bitstream/10665/85975/1/WHO_NMH_MND_13.2_eng.pdf.
26.   Zach, J. Hypoglykemie. In: Straňák, Z., Janota, J. Neonatologie. 2. ed. Praha: Mladá fronta, 2015, s. 202–207.