Gestational Diabetes: Continued Controversies

Gestational diabetes mellitus (GDM) affects approximately 300,000 women annually. The proposed International Association of Diabetes and Pregnancy Study Groups (IADPSG) diagnostic criteria would increase this number significantly. Mark B. Landon, M.D., discusses appropriate fetal surveillance in GDM patients and how to integrate the use of dietary therapy, exercise, the indications for insulin and oral hypoglycemic agents and strategies for monitoring maternal glucose control.

Target Audience

Obstetricians, Gynecologists, General Surgeons, General Practitioners, Family Physicians, Pediatricians, Oncologists, Physician Assistants, Nurse Practitioners, Nurse Midwives and all other interested healthcare professionals.
 

Learning Objectives

  • Describe the metabolic changes in pregnancy that produce a “diabetogenic stress” and insulin resistance.
  • Identify the short- and long-term morbidities for the woman with GDM and her infant.
  • Construct an algorithm to detect GDM using methods currently recommended for screening and diagnosis.
  • Integrate the use of dietary therapy, exercise, the indications for insulin and oral hypoglycemic agents and strategies for monitoring maternal glucose control.
Additional information
Bibliography: 
  • Metzger, B. E., Contreras, M., Sacks, D. A., Watson, W., Dooley, S. L., Foderaro, M., ... & Fox, S. (2008). Hyperglycemia and adverse pregnancy outcomes. New England Journal of Medicine, 358(19), 1991-2002.
  • Mellitus, G. D. (2018). ACOG Practice Bulletin.
  • Landon, M. B., Spong, C. Y., Thom, E., Carpenter, M. W., Ramin, S. M., Casey, B., ... & Sciscione, A. (2009). A multicenter, randomized trial of treatment for mild gestational diabetes. New England Journal of Medicine, 361(14), 1339-1348.
Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
Course opens: 
02/01/2019
Course expires: 
02/01/2022

Mark B. Landon, M.D.
Richard L. Meiling Professor and Chair
Department of Obstetrics and Gynecology
The Ohio State University Wexner Medical Center
Columbus, Ohio

Mark B. Landon, M.D., indicated that neither he nor his spouse/partner has relevant financial relationships with commercial interest companies, and he will not include off-label or unapproved product usage in his presentation or discussion.

Symposium Director
Jason S. James, M.D., FACOG, indicated that he is an employee/owner of Cord Blood Registry and is on the speakers bureau for Hologic, AMAG Pharmaceuticals and Duchesnay USA.

Planning Committee
James Esserman, M.D., Maria Victoria Lopez-Beecham, M.D., Dibe Martin, M.D., Rene Paez, M.D., and Larry S. Spiegelman, M.D., indicated that neither they nor their spouse/partner has relevant financial relationships with commercial interest companies.

Non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
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