PMID- 36750271 OWN - NLM STAT- MEDLINE DCOM- 20230602 LR - 20230610 IS - 2233-6087 (Electronic) IS - 2233-6079 (Print) IS - 2233-6079 (Linking) VI - 47 IP - 3 DP - 2023 May TI - Gestational Diabetes Mellitus and Its Implications across the Life Span. PG - 333-344 LID - 10.4093/dmj.2022.0348 [doi] AB - Gestational diabetes mellitus (GDM) has historically been perceived as a medical complication of pregnancy that also serves as a harbinger of maternal risk of developing type 2 diabetes mellitus (T2DM) in the future. In recent decades, a growing body of evidence has detailed additional lifelong implications that extend beyond T2DM, including an elevated risk of ultimately developing cardiovascular disease. Furthermore, the risk factors that mediate this lifetime cardiovascular risk are evident not only after delivery but are present even before the pregnancy in which GDM is first diagnosed. The concept thus emerging from these data is that the diagnosis of GDM enables the identification of women who are already on an enhanced track of cardiometabolic risk that starts early in life. Studies of the offspring of pregnancies complicated by diabetes now suggest that the earliest underpinnings of this cardiometabolic risk profile may be determined in utero and may first manifest clinically in childhood. Accordingly, from this perspective, GDM is now seen as a chronic metabolic disorder that holds implications across the life span of both mother and child. FAU - Wicklow, Brandy AU - Wicklow B AD - Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, MB, Canada. AD - Children's Hospital Research Institute of Manitoba, Winnipeg, MB, Canada. FAU - Retnakaran, Ravi AU - Retnakaran R AD - Leadership Sinai Centre for Diabetes, Mount Sinai Hospital, Toronto, ON, Canada. AD - Division of Endocrinology, University of Toronto, Toronto, ON, Canada. AD - Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, ON, Canada. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20230208 PL - Korea (South) TA - Diabetes Metab J JT - Diabetes & metabolism journal JID - 101556588 SB - IM MH - Pregnancy MH - Child MH - Humans MH - Female MH - *Diabetes, Gestational/epidemiology/diagnosis MH - *Diabetes Mellitus, Type 2/epidemiology/etiology MH - Longevity MH - Risk Factors MH - *Cardiovascular Diseases/etiology/complications PMC - PMC10244196 OTO - NOTNLM OT - Cardiovascular diseases OT - Child OT - Diabetes, gestational OT - Life change events COIS- CONFLICTS OF INTEREST No potential conflict of interest relevant to this article was reported. EDAT- 2023/02/08 06:00 MHDA- 2023/06/02 06:42 PMCR- 2023/05/01 CRDT- 2023/02/07 20:45 PHST- 2022/10/07 00:00 [received] PHST- 2022/11/13 00:00 [accepted] PHST- 2023/06/02 06:42 [medline] PHST- 2023/02/08 06:00 [pubmed] PHST- 2023/02/07 20:45 [entrez] PHST- 2023/05/01 00:00 [pmc-release] AID - dmj.2022.0348 [pii] AID - dmj-2022-0348 [pii] AID - 10.4093/dmj.2022.0348 [doi] PST - ppublish SO - Diabetes Metab J. 2023 May;47(3):333-344. doi: 10.4093/dmj.2022.0348. Epub 2023 Feb 8.