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Gestational diabetes mellitus (gdm) represents glucose levels in the high end of the population distribution during pregnancy. gdm carries a small but potentially important risk of adverse perinatal outcomes and a longer - term risk of obesity and glucose intolerance in offspring. mothers with gdm have an excess of hypertensive disorders during pregnancy and a high risk of diabetes mellitus thereafter. Diagnosing and treating gdm can reduce perinatal complications, but only a small fraction of pregnancies benefit. nutritional management is the cornerstone of treatment; insulin, glyburide and metformin can be used to intensify treatment. Fetal measurements compliment maternal glucose measurements in identifying pregnancies that need such intensification.Glucose testing news after pregnancy can stratify the near - term diabetes risk in mothers, Thereafter, annual glucose and HbA1C testing can detect deteriorating glycaemic control, a harbinger of future diabetes, is of type 2. interventions that mitigate obesity or its metabolic effects are most potent in preventing or delaying diabetes. lifestyle modification is the primary approach; use of medications for diabetes concentration in gdm (david. family planning allows optimization of health in subsequent pregnancies. Breastfeeding may reduce obesity in children and is recommended. families should be encouraged to help children adopt lifestyles that reduce the risk of obesity.
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