1887
Volume 2015, Issue 1
  • EISSN: 2223-0440

Abstract

The burden of gestational diabetes mellitus (GDM) has notably been on the increase in many countries. This observed trend feeds into the growing problem of obesity and type 2 diabetes, especially in regions with higher background prevalence of diabetes such as the Gulf Cooperation Countries (GCC). Despite the emerging body of evidence indicating adverse maternal and perinatal risks related to GDM, significant variations exist globally regarding the key components of GDM care, particularly, screening, diagnosis and long term follow up. This article appraises these key aspects of GDM across the GCC region against the backdrop of new global insights into the diagnosis and management of GDM. The options for minimising variations in screening and diagnosis and new opportunities for streamlining care across the Gulf region are explored. This proposition has the potential for driving an enabling environment for sharing best practices as well as engaging in collaborative research across the GCC.

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2015-05-20
2024-11-07
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References

  1. Buchanan TA, Xiang A, Kjos SL, Watanabe R. What is gestational Diabetes? Diabetes Care. 2007; 30::S105S111.
    [Google Scholar]
  2. Benhalima K, VanCrombrugge P, Hanssens M, Devlieger R, Verhaeghe J, Mathieu C. Gestational Diabetes: Overview of the new consensus screening strategy and diagnostic criteria. Acta Clinica Belgia. 2012;:674.
    [Google Scholar]
  3. HAPO Study cooperative Research Group . Metzger BE, lowe LP, Dyer AR, Trimble ER, Chaovarindr U, et al. Hyperglycaemia and adverse pregnancy outcomes. N Engl J Med. 2008; 358::19912002.
    [Google Scholar]
  4. Jiwani A, Marseille E, Lohse N, Damm P, Hod M, Kahn JG, et al.  Gestational Diabetes mellitus: results from a survey of country prevalence and practices. J Matern Fetal Neonatal Med. 2012; 25::600610.
    [Google Scholar]
  5. Schneider S, Bock C, Wetzel M, Maul H, Loerbroks A. The prevalence of gestational diabetes in advanced economies. J Perinatol Med.. 2012; 40::511520.
    [Google Scholar]
  6. Okunoye GO, Davies S, Issa B. Diabesity in Pregnancy: Management Dilemmas. Diabesity in Practice. 2014; 3::98106.
    [Google Scholar]
  7. Al-Nohair S. Obesity in Gulf countries. Int J Health Sci. 2014; 8::7983.
    [Google Scholar]
  8. Barakat MN, Youssef RM, Al-Lawati JA. Pregnancy outcomes of diabetic women: charting Oman's progress towards the goal of the Saint Vincent Declaration. Ann Saudi Med. 2010; 30:4:265270.
    [Google Scholar]
  9. Agarwal MM, Dhatt GS, Puunnose J, Koster G. Gestational Diabetes: dilemma caused by multiple international diagnostic criteria. Diabet Med. 2005; 22::17311736.
    [Google Scholar]
  10. Bener A, Saleh NM, Al-Hamaq . Prevalence of gestational diabetes and associated maternal and neonatal complications in a fast-developing community: global comparisons. Int J Women's Health. 2011; 3::367373.
    [Google Scholar]
  11. Rajab KE, Issa AA, Hasan ZA, Rajab E, Jaradat AA. Incidence of gestational diabetes mellitus in Bahrain from 2002–2012. Int J Gynaecol Obstet. 2012; 117::7477.
    [Google Scholar]
  12. Ardawi MSM, Nasrat HA, Jamal HS, Al-Saqaaf HM, Mustafa BE. Screening for gestational diabetes mellitus in pregnant females. Saudi Med J. 2000; 21::155160.
    [Google Scholar]
  13. Gasim T. Gestational Diabetes mellitus: maternal and perinatal outcomes in 220 Saudi women. Oman Med J. 2012; 27::140144.
    [Google Scholar]
  14. Petrovic O. How should we screen for gestational diabetes? Curr Opin Obstet Gynaecol. 2014; 26::5460.
    [Google Scholar]
  15. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2014 Jan; 37:Suppl 1:S8190. doi: 10.2337/dc14-S081.
    [Google Scholar]
  16. Al-Azemi N, Diejomaoh M, Angelaki E, Mohammed A. Clinical presentation and management of diabetes mellitus in pregnancy. Int J Women's Health. 2014; 6::110.
    [Google Scholar]
  17. International Association of Diabetes and pregnancy study groups consensus panel. International Association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycaemia in pregnancy. Diabetes Care. 2010; 33::676682.
    [Google Scholar]
  18. Agarwal MM, Dhatt GS, Othman Y. Gestational diabetes in a tertiary care hospital: implications of applying the IADPSG criteria. Arch Gynaecol Obstet. 2012; 286::373378.
    [Google Scholar]
  19. Rowan JA, Hague WM, Gao W, Battin MR, Moore MP, MiG Trial Investigators . Metformin versus insulin for the treatment of gestational diabetes. N Engl J Med. 2008; 358::20032015.
    [Google Scholar]
  20. Kim C, Newton KM, Knopp RH. Gestational diabetes and the incidence of type 2 diabetes: a systematic review. Diab Care. 2002; 25::18621868.
    [Google Scholar]
  21. Chang Y, Chen X, Cui H, Zhang Z, Cheng L. Follow-up of postpartum women with gestational diabetes mellitus (GDM). Diabetes Res Clin Pract. 2014; 106:2:236240.
    [Google Scholar]
  22. Agarwal MM, Punnose J, Dhatt GS. Gestational Diabetes: implications of variation in post-partum follow up criteria. Eur J Obstet Gynaecol Rep Biol. 2004; 113::149153.
    [Google Scholar]
  23. World Health Organisation. Definitions, diagnosis and classification of diabetes and its complications. Diagnosis and classification of diabetes mellitus. Report of a WHO Consultation. Geneva: WHO 1999.
    [Google Scholar]
  24. American Diabetes Association. Gestational Diabetes mellitus. Diabetes Care. 2004; 27::S88S90.
    [Google Scholar]
  25. American College of Obstetrics and Gynaecology (ACOG). Gestational Diabetes Mellitus. Practice Bulletin. 2013; 137.
    [Google Scholar]
  26. Petherick ES, Tuffnell D, Wright J. Experiences and outcomes of maternal Ramadan fasting during pregnancy: results from a sub-cohort of the Born in Bradford birth cohort study. BMC Pregnancy Childbirth. 2014 Sep; 26:14:335. doi: 10.1186/1471-2393-14-335.
    [Google Scholar]
  27. Davidson JC. Muslims, Ramadan and diabetes mellitus. Br Med J. 1979; 2:6203:15111512.
    [Google Scholar]
  28. Rouhani MH, Azadbakht L. Is Ramadan fasting related to health outcomes? A review on the related evidence. J Res Med Sci. 2014; 19:10:987992.
    [Google Scholar]
  29. Alwasel SH, Harrath A, Aljarallah JS, Abotalib Z, Osmond C, Al Omar SY, Khaled I, Barker DJ. Intergenerational effects of in utero exposure to Ramadan in Tunisia. Am J Hum Biol. 2013; 25:3:341343.
    [Google Scholar]
  30. Cross JH, Eminson J, Wharton BA. Ramadan and birth weight at full term in Asian Moslem in Birmingham. Arch Dis Child. 1990; 65::10531056.
    [Google Scholar]
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  • Article Type: Research Article
Keyword(s): gestational diabetesGulf regionobesitypregnancy and type 2 diabetes
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