Recurrent gestational diabetes mellitus: A narrative review and single-center experience

Aoife M. Egan, Elizabeth Ann L. Enninga, Layan Alrahmani, Amy L. Weaver, Michael P. Sarras, Rodrigo Ruano

Research output: Contribution to journalReview articlepeer-review

Abstract

Gestational diabetes mellitus (GDM) is a frequently observed complication of pregnancy and is associated with an elevated risk of adverse maternal and neonatal outcomes. Many women with GDM will go on to have future pregnancies, and these pregnancies may or may not be affected by GDM. We conducted a literature search, and based on data from key studies retrieved during the search, we describe the epidemiology of GDM recurrence. This includes a summary of the observed clinical risk factors of increasing maternal age, weight, ethnicity, and requirement for insulin in the index pregnancy. We then present our data from Mayo Clinic (January 2013–December 2017) which identifies a GDM recurrence rate of 47.6%, and illustrates the relevance of population-based studies to clinical practice. Lastly, we examine the available evidence on strategies to prevent GDM recurrence, and note that more research is needed to evaluate the effect of interventions before, during and after pregnancy.

Original languageEnglish (US)
Article number569
Pages (from-to)1-11
Number of pages11
JournalJournal of Clinical Medicine
Volume10
Issue number4
DOIs
StatePublished - Feb 2 2021

Keywords

  • GDM
  • Gestational diabetes
  • Glucose intolerance
  • Pregnancy
  • Recurrence

ASJC Scopus subject areas

  • Medicine(all)

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