Review
Endocrinology & Metabolism
Lore Raets, Anne Ingelbrecht, Katrien Benhalima
Summary: The incidence of T2DM among women of reproductive age is increasing, and it poses similar risks for pregnancy complications as type 1 diabetes in pregnant women. To minimize adverse outcomes during pregnancy and for the newborn, a comprehensive approach is recommended. This review provides the latest evidence on preconception care, management of diabetes-related complications, lifestyle counseling, recommendations for gestational weight gain, pharmacologic treatment, and early postpartum management of T2DM.
FRONTIERS IN ENDOCRINOLOGY
(2023)
Review
Health Care Sciences & Services
Claudia Eberle, Maxine Loehnert, Stefanie Stichling
Summary: A systematic review was conducted to assess the clinical effectiveness of technologies for diabetes in pregnancy, indicating positive effects on glycemic control in all types of diabetes. Technologies also showed positive trends in pregnancy-related, birth-related, and neonatal outcomes, showing the potential to improve the management of diabetes during pregnancy.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Cell Biology
Yanyan Jiang, Fusong Jiang, Ming Li, Qingkai Wu, Chenming Xu, Rong Zhang, Mingqiang Song, Yanzhong Wang, Ying Wang, Yating Chen, Juan Zhang, Xiaoxu Ge, Qihan Zhu, Langen Zhuang, Di Yang, Ming Lu, Feng Wang, Meisheng Jiang, Xipeng Liu, Yanjun Liu, Limei Liu
Summary: This study analyzed the cases of GCK-MODY complicating pregnancies in Chinese GDM patients, identifying 15 individuals with GCK-MODY and investigating the pathogenesis, pregnancy outcomes, and management of these patients.
MOLECULAR AND CELLULAR BIOCHEMISTRY
(2022)
Article
Medicine, General & Internal
Fei Dai, Hemaavathi Mani, Syaza Razali Nurul, Kok Hian Tan
Summary: This study aimed to estimate the relative risk of postpartum dysglycaemia in women with gestational diabetes mellitus using mutually exclusive categories, and establish a risk-stratification method. The results revealed that mutually exclusive categories could be used to categorize patients into low-risk, intermediate-risk, and high-risk groups, aiding in early management.
Article
Medicine, General & Internal
Xiaocui Li, Xinru Liu, Yan Zuo, Jiejun Gao, Yan Liu, Wei Zheng
Summary: The incidence of GDM in PCOS patients is high, with age, body mass index, insulin resistance index, testosterone, and other factors being independent risk factors for GDM. There are significant differences in complications between the GDM group and the no-GDM group.
Editorial Material
Clinical Neurology
Sara C. LaHue, Stephanie Paolini, Janet F. R. Waters, Mary A. O'Neal
Summary: Women's Neurology is a growing field that focuses on neurologic disorders in women throughout their lifetime, considering the impact of hormonal and reproductive changes. A survey of US neurology residency program directors revealed a critical need for additional education in this area. This study discusses the gaps in education, clinical benefits, and provides practical recommendations for training programs in women's neurology using innovative fellowship programs.
Article
Obstetrics & Gynecology
Feng Fu, Ping Yan, Shuping You, Xinmin Mao, Tingting Qiao, Li Fu, Yanni Wang, Yali Dai, Palida Maimaiti
Summary: This study found that anxiety in GDM patients is common, and is positively correlated with vulnerable personality while negatively correlated with self-efficacy and social support. Factors such as education level, monthly income, abnormal pregnancy, cesarean section history, and first pregnancy are independent influencing factors for anxiety in GDM patients. Early care and interventions are crucial for these high-risk patients.
BMC PREGNANCY AND CHILDBIRTH
(2021)
Article
Endocrinology & Metabolism
Summary: The American Diabetes Association provides standards of medical care for diabetes, which includes clinical practice recommendations and guidelines for diabetes care. These guidelines are regularly updated by a committee of multidisciplinary experts.
Article
Medicine, General & Internal
Rachel D'Amico, Djhenne Dalmacy, Jenifer A. Akinduro, Madison Hyer, Stephen Thung, Shengyi Mao, Naleef Fareed, Seuli Bose-Brill
Summary: Gestational diabetes (GD) affects pregnancy and increases the risk of type 2 diabetes. The study aimed to explore how often individuals with GD access primary care and type 2 diabetes screening.
Article
Nutrition & Dietetics
Angelo Sabag, Lauren Houston, Elizabeth P. Neale, Hannah E. Christie, Lauren A. Roach, Joanna Russell, Colin H. Cortie, Marijka Batterham, Barbara J. Meyer, Monique E. Francois
Summary: This study investigated how women with gestational diabetes mellitus (GDM) manage their condition and identified the primary supports and barriers to lifestyle intervention participation. The results showed that most women manage their blood glucose levels through diet and face significant barriers such as lack of time and childcare commitments.
Article
Obstetrics & Gynecology
Tooba Z. Anwer, Ricardo Aguayo, Anna M. Modest, Ai-Ris Y. Collier
Summary: The study found that maternal hyperglycemia before delivery only increased the risk of neonatal hypoglycemia in GDM patients on medication, while this association was not seen in diet-controlled GDM patients and different types of pregestational diabetes patients. Other interventions are needed to reduce neonatal hypoglycemia.
JOURNAL OF PERINATOLOGY
(2021)
Article
Pediatrics
DonnaMaria E. Cortezzo, Leandra K. Tolusso, Daniel T. Swarr
Summary: Factors associated with prenatal, perinatal, and postnatal outcomes for fetuses and infants with trisomy 13 (T13) and trisomy 18 (T18) were identified in a retrospective cohort study. Male fetal sex and hydrops were related to spontaneous loss, and survival varied significantly. Medical care use also showed high variability.
JOURNAL OF PEDIATRICS
(2022)
Article
Obstetrics & Gynecology
R. Smith, M. Michalopoulou, H. Reid, S. Payne Riches, Y. N. Wango, Y. Kenworthy, C. Roman, M. Santos, J. E. Hirst, L. Mackillop
Summary: This study used the Behavior Change Wheel theoretical approach to design a smartphone application called Stay-Active, to support women attending an NHS GDM clinic in increasing and maintaining physical activity. The application incorporates four key intervention functions and delivers ten behavior change techniques, including goal setting, credible source, self-monitoring, and action planning.
BMC PREGNANCY AND CHILDBIRTH
(2022)
Article
Endocrinology & Metabolism
Summary: The American Diabetes Association's Standards of Medical Care in Diabetes provides guidance and assessment tools for diabetes care, updated annually by a professional practice committee. Readers can provide comments on the standards at the professional website.
Article
Medicine, General & Internal
Kymberleigh A. Pagel, Hoyin Chu, Rashika Ramola, Rafael F. Guerrero, Judith H. Chung, Samuel Parry, Uma M. Reddy, Robert M. Silver, Jonathan G. Steller, Lynn M. Yee, Ronald J. Wapner, Matthew W. Hahn, Sriraam Natarajan, David M. Haas, Predrag Radivojac
Summary: This cohort study found that the addition of polygenic risk scores (PRS) was associated with the stratified risk of gestational diabetes (GD) diagnosis among high-risk patient subgroups, suggesting the benefits of targeted PRS ascertainment to encourage early intervention.
