Pregnancy as an opportunity to prevent type 2 diabetes mellitus: FIGO Best Practice Advice

Author:

Adam Sumaiya12,McIntyre Harold David3,Tsoi Kit Ying4,Kapur Anil5,Ma Ronald C.46,Dias Stephanie7,Okong Pius8,Hod Moshe910,Poon Liona C.11,Smith Graeme N.12,Bergman Lina131415,Algurjia Esraa1617,O'Brien Patrick18,Medina Virna P.19,Maxwell Cynthia V.20,Regan Lesley21,Rosser Mary L.22,Jacobsson Bo2324,Hanson Mark A.2526,O'Reilly Sharleen L.2728,McAuliffe Fionnuala M.27,

Affiliation:

1. Department of Obstetrics and Gynecology, School of Medicine, Faculty of Health Sciences University of Pretoria Pretoria South Africa

2. Diabetes Research Centre, Faculty of Health Sciences University of Pretoria Pretoria South Africa

3. Mater Health University of Queensland, Mater Health Campus South Brisbane Queensland Australia

4. Department of Medicine and Therapeutics The Chinese University of Hong Kong Hong Kong SAR China

5. World Diabetes Foundation Denmark

6. Hong Kong Institute of Diabetes and Obesity The Chinese University of Hong Kong Hong Kong China

7. Biomedical Research and Innovation Platform (BRIP), South African Medical Research Council Cape Town South Africa

8. Department of Obstetrics and Gynecology St Francis Hospital Nsambya Kampala City Uganda

9. Helen Schneider Hospital for Women Rabin Medical Center Petah Tikva Israel

10. Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel

11. Department of Obstetrics and Gynecology Prince of Wales Hospital, The Chinese University of Hong Kong Hong Kong China

12. Department of Obstetrics and Gynecology, Kingston Health Sciences Centre Queen's University Kingston Ontario Canada

13. Department of Obstetrics and Gynecology, Institute of Clinical Sciences Sahlgrenska Academy, University of Gothenburg Gothenburg Sweden

14. Department of Obstetrics and Gynecology Stellenbosch University Cape Town South Africa

15. Department of Women's and Children's Health Uppsala University Uppsala Sweden

16. The World Association of Trainees in Obstetrics and Gynecology (WATOG) Paris France

17. Elwya Maternity Hospital Baghdad Iraq

18. Institute for Women's Health University College London London UK

19. Department of Obstetrics and Gynecology, Faculty of Health Universidad del Valle, Clínica Imbanaco Quirón Salud, Universidad Libre Cali Colombia

20. Maternal Fetal Medicine Sinai Health and Women's College Hospital University of Toronto Ontario Canada

21. Imperial College London London UK

22. Department of Obstetrics and Gynecology Columbia University Irving Medical Center New York New York USA

23. Department of Obstetrics and Gynecology Sahlgrenska University Hospital/Ostra Gothenburg Sweden

24. Department of Genetics and Bioinformatics, Domain of Health Data and Digitalisation, Institute of Public Health Oslo Norway

25. Institute of Developmental Sciences University Hospital Southampton Southampton UK

26. NIHR Southampton Biomedical Research Centre University of Southampton Southampton UK

27. UCD Perinatal Research Centre, School of Medicine University College Dublin, National Maternity Hospital Dublin Ireland

28. School of Agriculture and Food Science University College Dublin Dublin Ireland

Abstract

AbstractGestational diabetes (GDM) impacts approximately 17 million pregnancies worldwide. Women with a history of GDM have an 8–10‐fold higher risk of developing type 2 diabetes and a 2‐fold higher risk of developing cardiovascular disease (CVD) compared with women without prior GDM. Although it is possible to prevent and/or delay progression of GDM to type 2 diabetes, this is not widely undertaken. Considering the increasing global rates of type 2 diabetes and CVD in women, it is essential to utilize pregnancy as an opportunity to identify women at risk and initiate preventive intervention. This article reviews existing clinical guidelines for postpartum identification and management of women with previous GDM and identifies key recommendations for the prevention and/or delayed progression to type 2 diabetes for global clinical practice.

Publisher

Wiley

Subject

Obstetrics and Gynecology,General Medicine

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