Treatment of Gestational Diabetes

Abstract

Management of gestational diabetes mellitus (GDM) should consider both the maternal, fetal, and neonatal effects of the disease, line of treatment, and physiological changes during pregnancy. Women with GDM are classified into two categories according to their fasting blood glucose levels. Dietary control is mandatory in both classes, and the addition of pharmacological agents in those with fasting and 2-h postprandial plasma glucose levels <95 and 120 mg/dL is controversial (American College of Obstetricians and Gynecologists, 2013). Individualization of the diet in GDM according to women weight and height is recommended by the American Diabetes Association (ADA), and restriction of carbohydrate to a level that maintains normal glucose level is mandatory with individualization of the caloric intake according to women BMI and weight gain during pregnancy.