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PRACTICE GUIDELINES
Year : 2017  |  Volume : 15  |  Issue : 3  |  Page : 216-221

Gestational diabetes mellitus: Practice guidelines


1 Department of Obstetrics and Gynaecology, Christian Medical College, Vellore, Tamil Nadu, India
2 Department of Endocrinology, Diabetes and Metabolism, Christian Medical College, Vellore, Tamil Nadu, India

Correspondence Address:
Jiji Elizabeth Mathews
Department of Obstetrics and Gynaecology, Christian Medical College, Vellore - 632 004, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/cmi.cmi_64_17

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Gestational diabetes melliturs is defined as carbohydrate intolerance of varying severity, detected for the first time in pregnancy. Since the Indian population is at moderate to high risk, screening is recommended for all pregnant women. Peri-conceptional glycemic control is the hallmark of optimal management of pregestational diabetes. 80% of the women with gestational diabetes can be treated with MNT and only 20% need additional therapy. Of the women requiring additional therapy, only 25% need insulin therapy. Oral hypoglycemic agents have been shown to be comparable with insulin in treating women with moderate gestational diabetes and can be safely used.


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