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Pregnancy as an opportunity to prevent type 2 diabetes mellitus: FIGO Best Practice Advice
journal contributionposted on 2023-05-03, 22:52 authored by S Adam, HD McIntyre, KY Tsoi, A Kapur, RC Ma, S Dias, P Okong, M Hod, LC Poon, GN Smith, L Bergman, E Algurjia, P O'Brien, VP Medina, CV Maxwell, L Regan, ML Rosser, B Jacobsson, MA Hanson, Sharleen O'ReillySharleen O'Reilly, FM McAuliffe
Gestational diabetes (GDM) impacts approximately 17 million pregnancies worldwide. Women with a history of GDM have an 8–10-fold higher risk of developing type 2 diabetes and a 2-fold higher risk of developing cardiovascular disease (CVD) compared with women without prior GDM. Although it is possible to prevent and/or delay progression of GDM to type 2 diabetes, this is not widely undertaken. Considering the increasing global rates of type 2 diabetes and CVD in women, it is essential to utilize pregnancy as an opportunity to identify women at risk and initiate preventive intervention. This article reviews existing clinical guidelines for postpartum identification and management of women with previous GDM and identifies key recommendations for the prevention and/or delayed progression to type 2 diabetes for global clinical practice.
JournalInternational Journal of Gynecology and Obstetrics
Science & TechnologyLife Sciences & BiomedicineObstetrics & Gynecologycardiometabolicdiabetesgestational diabeteshealth systemshyperglycemiapreventionNONCOMMUNICABLE DISEASESINTERNATIONAL FEDERATIONWOMENRISKMETAANALYSISMANAGEMENTLACTATIONINTERVENTIONSGYNECOLOGYDURATIONPregnancyFemaleHumansDiabetes Mellitus, Type 2Diabetes, GestationalPostpartum PeriodCardiovascular DiseasesRisk FactorsFIGO Committee on the Impact of Pregnancy on Long-term Health and the FIGO Division of Maternal and Newborn HealthHeart DiseaseClinical Trials and Supportive ActivitiesCardiovascularPediatricPreventionClinical ResearchPerinatal Period - Conditions Originating in Perinatal PeriodDiabetesReproductive health and childbirthMetabolic and endocrine3 Good Health and Well BeingPaediatrics and Reproductive Medicine not elsewhere classified