Gestational diabetes mellitus : what after delivery ?

Abstract

Gestational diabetes mellitus (GDM) occurs in an increasing number of pregnancies. Due to its disappearance after delivery, GDM can be underestimated despite description of many risks for mothers and offsprings later in life. These women are at higher risk for metabolic abnormalities and cardiovascular disease. Overweight/obesity, metabolic disturbances, cardiovascular complications and lower cognitive abilities are more frequent in offsprings. These two populations need an early and adequate prevention of metabolic and cardiovascular disorder from a public health point of view. Lifestyle (healthy diet and exercise) is the best advice to promote in these families. For these women with previous DG, breast-feeding as long as possible and metformin may also be part of the management.