Gestational Diabetes Mellitus


Book Description

This book on gestational diabetes does not claim to cover all aspects of this complex and ever-evolving medical condition. It is an attempt by the group of authors to provide an overview, highlight important features, and bring to light certain recent advances in the diagnosis, screening, and understanding of gestational diabetes mellitus. As the book provides an overview of the condition, we are sure that reading it would provide medical undergraduates and postgraduates a quick revision for their exams. The current concepts section of the book may inspire more exploration into this area.It has been a pleasure to work with experts, both senior and junior, for this endeavor but we are particularly grateful to the publisher IntechOpen who have shown commitment and perseverance in completing this work. This new book deserves to be a success and we are sure it will be.




Gestational Diabetes Mellitus


Book Description

The incidence of gestational diabetes mellitus (GDM) is increasing, and this pathological condition is strongly associated with some serious adverse pregnancy outcomes and important miscellaneous long-term complications. Therefore, it is important that GDM is timely recognized and adequately managed. Although much knowledge has been acquired regarding the prevention, diagnosis, implications, and management of GDM, the exact mechanisms of its genesis are still under investigation. This book provides a comprehensive overview of recent advances in gestational diabetes mellitus. It includes three major sections directing the reader’s attention to the etiology, management, and consequences of the disorder.




Recent Advances in Gestational Diabetes Mellitus


Book Description

Gestational diabetes mellitus is one of the most common pregnancy-related complications. Gestational diabetes mellitus poses a significant threat to maternal health and offspring development, including shoulder dystocia, preterm birth, maternal hypertension and ischemic heart disease, constituting a major public health crisis. Given the serious adverse outcomes of gestational diabetes mellitus, there is an urgent need to further explore new prediction tools of early pregnancy. The exact reasons for the development of gestational diabetes mellitus remain inconclusive. Pathological mechanisms underlying gestational diabetes mellitus have been mainly attributed to β cell impairment. However, the underlying mechanisms of gestational diabetes mellitus have not been elucidated. In identifying risk factors and biomarkers in early pregnancy can provide more basis for clinical diagnosis of gestational diabetes mellitus in the future.







Gestational Diabetes


Book Description

In developed countries the incidence of gestational diabetes lies between 1 and 8%. With the general decrease of perinatal mortality and morbidity, the complications arising from gestational diabetes have become more striking and significant. Moreover, impaired maternal carbohydrate metabolism may lead to non genetic fuel mediated disposition to diabetes in the offspring. The renewed topicality has greatly stimulated research in this field. This book provides both a general survey and the current thinking on special questions of gestational diabetes. It also deals with related topics such as epidemiology, prognosis, follow-up, contraception, etc. The book is addressed to obstetricians and other physicians engaged in prenatal care as well as to internists and neonatologists.




Controversies in Diabetes and Pregnancy


Book Description

As I read this unique volume on diabetes and pregnancy edited by Lois Jovanovic, I was struck by two themes that run throughout these collected chapters. First, this volume provides an excellent assessment of past problems, present management, and future challenges presented by dia betes in pregnancy. Orury's unique, longitudinal experience with diabetes iIi pregnancy provides the reader with an important overview, as does Coetzee's discussion of gestational diabetes. Current problems-deter mining the etiology and prevention of congenital malformations in infants of diabetic mothers (10M), assessment of antepartum fetal condition, management of pregnant patients with diabetic retinopathy, recognition of thyroid dysfunction in the pregnant diabetic woman, and understanding the multitude of metabolic sequelae observed in the 10M-are thoroughly reviewed. Finally, important considerations for future treatment and ther apy such as the adaptation of the fetal pancreas to the disordered intra uterine environment often seen in maternal diabetes, the use of fetal pan creatic tissue for transplantation, the application of exercise in the management of the pregnant woman with diabetes, and the long-term con sequences for the 10M provide an exciting glimpse into the future. The second important theme that emerges is the critical role the problem of diabetes in pregnancy has played in our understanding of maternal and fetal physiology. Clinical observations supported by basic research have emphasized the role of fetal fuels in teratogenesis.




Gestational Diabetes During and After Pregnancy


Book Description

Gestational Diabetes Mellitus is becoming an increasingly prevalent disease as obesity and other chronic diseases are on the rise. It requires careful and informed clinical management as the care received during pregnancy affects not only perinatal health but the risk of developing type 2 diabetes even decades into the future, in both the mother and the child.From epidemiology and pathophysiology to diagnosis and management, covering recent breakthroughs in research and up-to-date developments in clinical practice, Gestational Diabetes During and After Pregnancy offers the reader a comprehensive and current look at Gestational Diabetes. Anyone involved in the research, public health or clinical aspects of Gestational Diabetes will find this volume a valuable aid in consolidating all recent developments regarding this disease.




Carbohydrate Metabolism in Pregnancy and the Newborn · IV


Book Description

Traditions are dangerous; doubly so in science. Traditions are unchanging; science is about change. This was the 4th International Colloquium on Carbohydrate Metabolism in Pregnancy and the Newborn to be held in Aberdeen, and by now the form is set. How much its content has changed is a matter of nice judgement and not under the control of the organizers. It is not within their power to bring news of revolution, if there has been no revolution. Certainly many of the speakers had kent faces from previous Aberdeen meetings, but so they would be at any meeting on diabetes anywhere in the world. The written proceedings of scientific conferences have purposes other than to record changes: sometimes they need to state a consensus. The 3rd Colloquium came to an agreement about the importance of prepregnancy recognition and control of abnormalities of carbohydrate metabolism. The 4th set out to examine what results it had achieved. Much of this book is taken up with follow-up studies of the applications of similar regimes in different parts of the world. Since the first Aberdeen meeting in 1973, progress in the manage ment of diabetic pregnancy has been slow and steady, but the change in the city and the society where the meetings took place has been fast.




Diabetes and Hypertension


Book Description

Diabetes and hypertension have evolved as two of the modern day epidemics affecting millions of people around the world. These two common co-morbidities lead to substantial increase in cardiovascular disease, the major cause of morbidity and mortality of adults around the world. In Diabetes and Hypertension: Evaluation and Management, a panel of renowned experts address a range of critical topics -- from basic concepts in evaluation and management of diabetes and hypertension, such as dietary interventions, to evaluation and management of secondary hypertension in clinical practice. Other chapters focus on high cardiovascular risk populations such as those with coronary heart disease, chronic kidney disease and minority patients. In addition, evolving concepts and new developments in the field are presented in other chapters, such as prevention of type 2 diabetes and the epidemic of sleep apnea and its implication for diabetes and hypertension evaluation and management. An important title covering two of the most troubling disorders of our time, Diabetes and Hypertension: Evaluation and Management will provide the busy practitioner with cutting edge knowledge in the field as well as practical information that can translate into better care provided to the high-risk population of diabetics and hypertensive patients.