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Detection and Diagnosis of Overt Diabetes During Pregnancy

Thomas Owen

The International Workshop-Conferences on GDM have defined the condition as “any degree of glucose intolerance with onset or first recognition during pregnancy”. The definition has applied whether or not insulin is used for treatment or hyperglycemia persists after pregnancy. The possibility that unrecognized glucose intolerance antedated the pregnancy is not excluded. This facilitates a uniform strategy for detection and classification of GDM but has limitations. As ongoing epidemics of obesity and diabetes result in more type 2 diabetes in young women, the number who are undiagnosed (before pregnancy) is increasing. The need to identify these women and address perinatal risks that may be particular to their greater degree of hyperglycemia is becoming more important. The IADPSG Consensus Panel reviewed the current knowledge base during the IADPSG meeting.