PMID- 30063409
OWN - NLM
STAT- MEDLINE
DCOM- 20191030
LR  - 20191030
IS  - 1744-8417 (Electronic)
IS  - 1744-6651 (Linking)
VI  - 14
IP  - 1
DP  - 2019 Jan
TI  - Gestational diabetes risk factors and long-term consequences for both mother and 
      offspring: a literature review.
PG  - 63-74
LID - 10.1080/17446651.2018.1476135 [doi]
AB  - INTRODUCTION: Established risk factors for gestational diabetes mellitus (GDM) 
      include ethnicity, obesity, and family history of diabetes. Untreated GDM 
      patients have higher rates of maternal and perinatal morbidity. GDM is an 
      independent risk factor for future longer-term risk of type 2 diabetes mellitus 
      (T2DM), metabolic syndrome, cardiovascular morbidity, malignancies, ophthalmic, 
      psychiatric, and renal disease in the mother. Offspring risk long-term adverse 
      health outcomes, including T2DM, subsequent obesity, impacted neurodevelopmental 
      outcome, increased neuropsychiatric morbidity, and ophthalmic disease. AREAS 
      COVERED: We critically review data from retrospective, prospective, and 
      meta-analysis studies pertaining to established GDM risk factors, complications 
      during pregnancy and birth (both mother and offspring), and long-term 
      consequences (both mother and offspring). EXPERT COMMENTARY: Many of the adverse 
      consequences of GDM might be avoided with proper management and treatment. 
      Patients belonging to high-risk ethnic groups, and/or with body mass 
      index >/= 25 kg/m(2), and/or known history of diabetes in first-degree relatives 
      may benefit from universal screening and diagnostic criteria proposed by the 
      International Association of Diabetes and Pregnancy Study Group (IADPSG). The 
      IADPSG one-step method has several advantages, including simplicity of execution, 
      greater patient-friendliness, and higher diagnostic accuracy. Additionally, 
      evidence suggests that the recent increased popularity of bariatric surgery will 
      help to decrease GDM rates over next 5 years. Similarly, metformin may be useful 
      for treating and preventing obstetrical complications in confirmed GDM patients.
FAU - Farahvar, Salar
AU  - Farahvar S
AD  - a Department of Obstetrics and Gynecology, Faculty of Health, Sciences, Soroka 
      University Medical Center, Ben-Gurion , University of the Negev , Beer Sheva , 
      Israel.
FAU - Walfisch, Asnat
AU  - Walfisch A
AUID- ORCID: 0000-0002-0201-9691
AD  - a Department of Obstetrics and Gynecology, Faculty of Health, Sciences, Soroka 
      University Medical Center, Ben-Gurion , University of the Negev , Beer Sheva , 
      Israel.
FAU - Sheiner, Eyal
AU  - Sheiner E
AUID- ORCID: 0000-0002-0454-6874
AD  - a Department of Obstetrics and Gynecology, Faculty of Health, Sciences, Soroka 
      University Medical Center, Ben-Gurion , University of the Negev , Beer Sheva , 
      Israel.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20180605
PL  - England
TA  - Expert Rev Endocrinol Metab
JT  - Expert review of endocrinology & metabolism
JID - 101278293
RN  - 9100L32L2N (Metformin)
SB  - IM
MH  - Bariatric Surgery
MH  - Body Mass Index
MH  - Diabetes, Gestational/ethnology/*etiology/therapy
MH  - Disease Management
MH  - Evidence-Based Medicine
MH  - Female
MH  - Humans
MH  - Meta-Analysis as Topic
MH  - Metformin/therapeutic use
MH  - Pregnancy
MH  - Prospective Studies
MH  - Retrospective Studies
MH  - Risk Assessment/*ethnology/*methods
OTO - NOTNLM
OT  - Gestational diabetes mellitus
OT  - bariatric surgery
OT  - maternal complications
OT  - metformin
OT  - offspring complications
OT  - risk factors
OT  - screening
EDAT- 2018/08/01 06:00
MHDA- 2019/10/31 06:00
CRDT- 2018/08/01 06:00
PHST- 2018/08/01 06:00 [pubmed]
PHST- 2019/10/31 06:00 [medline]
PHST- 2018/08/01 06:00 [entrez]
AID - 10.1080/17446651.2018.1476135 [doi]
PST - ppublish
SO  - Expert Rev Endocrinol Metab. 2019 Jan;14(1):63-74. doi: 
      10.1080/17446651.2018.1476135. Epub 2018 Jun 5.