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Gestational Diabetes

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Endocrinology and Diabetes

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Abstract

Gestational Diabetes (GDM) is a common complication of pregnancy, reflecting inadequate beta cell compensation in the face of pregnancy-related insulin resistance. The prevalence and severity of GDM reflects the population rate of Type 2 diabetes in young women and is generally increasing with the advance of the global obesity epidemic. This article reviews the diagnosis of GDM, the importance of specific underlying diagnoses and traditional and alternative approaches to therapy. Evidence regarding the benefits of GDM treatment is summarized and perinatal management reviewed.

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References

  1. Hadden DR, Hillebrand B. The first recorded case of diabetic pregnancy (Bennewitz HG, 1824, University of Berlin). Diabetologia. 1989;32(8):625.

    Article  PubMed  CAS  Google Scholar 

  2. Miller HC. The effect of diabetic and prediabetic pregnancies on the fetus and newborn infant. J Pediatr. 1946;29(4):455–61. Epub 1946/10/01.

    Article  PubMed  CAS  Google Scholar 

  3. Carrington ER, Shuman CR, Reardon HS. Evaluation of the prediabetic state during pregnancy. Obstet Gynecol. 1957;9(6):664–9. Epub 1957/06/01.

    Article  PubMed  CAS  Google Scholar 

  4. O'Sullivan JB, Mahan CM. Criteria for the oral glucose tolerance test in pregnancy. Diabetes. 1964;13:278–85. Epub 1964/05/01.

    PubMed  Google Scholar 

  5. Freinkel N. Banting lecture 1980. Diabetes. 1980;29(12):1023–35. Epub 1980/12/01.

    Article  PubMed  CAS  Google Scholar 

  6. Metzger BE, Lowe LP, Dyer AR, Trimble ER, Chaovarindr U, Coustan DR, et al. Hyperglycemia and adverse pregnancy outcomes. N Engl J Med. 2008;358(19):1991–2002.

    Article  PubMed  Google Scholar 

  7. Metzger BE, Gabbe SG, Persson B, Buchanan TA, Catalano PA, Damm P, et al. International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy. Diabetes Care. 2010;33(3):676–82. Epub 2010/03/02.

    Article  PubMed  Google Scholar 

  8. Catalano PM, McIntyre HD, Cruickshank JK, McCance DR, Dyer AR, Metzger BE, et al. The Hyperglycemia and Adverse Pregnancy Outcome Study: associations of GDM and obesity with pregnancy outcomes. Diabetes Care. 2012;35:740–6. Epub 2012/02/24.

    Article  Google Scholar 

  9. Pedersen J, Bojsen-Moller B, Poulsen H. Blood sugar in newborn infants of diabetic mothers. Acta Endocrinol (Copenh). 1954;15(1):33–52.

    CAS  Google Scholar 

  10. Sacks DA, Greenspoon JS, Abu-Fadil S, Henry HM, Wolde-Tsadik G, Yao JF. Toward universal criteria for gestational diabetes: the 75-gram glucose tolerance test in pregnancy. Am J Obstet Gynecol. 1995;172(2 Pt 1):607–14. Epub 1995/02/01.

    Article  PubMed  CAS  Google Scholar 

  11. Omori Y, Jovanovic L. Proposal for the reconsideration of the definition of gestational diabetes. Diabetes Care. 2005;28(10):2592–3.

    Article  PubMed  Google Scholar 

  12. van Leeuwen M, Louwerse MD, Opmeer BC, Limpens J, Serlie MJ, Reitsma JB, et al. Glucose challenge test for detecting gestational diabetes mellitus: a systematic review. BJOG. 2012;119(4):393–401. Epub 2012/01/21.

    Article  PubMed  Google Scholar 

  13. Buchanan TA, Xiang AH. Gestational diabetes mellitus. J Clin Invest. 2005;115(3):485–91. Epub 2005/03/15.

    PubMed  CAS  Google Scholar 

  14. Hattersley AT, Beards F, Ballantyne E, Appleton M, Harvey R, Ellard S. Mutations in the glucokinase gene of the fetus result in reduced birth weight. Nat Genet. 1998;19(3):268–70. Epub 1998/07/14.

    Article  PubMed  CAS  Google Scholar 

  15. Wucher H, Lepercq J, Carette C, Colas C, Dubois-Laforgue D, Gautier JF, et al. Poor prognosis of pregnancy in women with autoimmune type 1 diabetes mellitus masquerading as gestational diabetes. Diabetes Metab. 2011;37(1):47–51. Epub 2010/12/04.

    Article  PubMed  CAS  Google Scholar 

  16. Nilsson C, Ursing D, Torn C, Aberg A, Landin-Olsson M. Presence of GAD antibodies during gestational diabetes mellitus predicts type 1 diabetes. Diabetes Care. 2007;30(8):1968–71. Epub 2007/05/24.

    Article  PubMed  Google Scholar 

  17. Rauh-Hain JA, Rana S, Tamez H, Wang A, Cohen B, Cohen A, et al. Risk for developing gestational diabetes in women with twin pregnancies. J Matern Fetal Neonatal Med. 2009;22(4):293–9. Epub 2009/04/03.

    Article  PubMed  Google Scholar 

  18. Ben-Haroush A, Yogev Y, Hod M. Epidemiology of gestational diabetes mellitus and its association with Type 2 diabetes. Diabet Med. 2004;21(2):103–13. Epub 2004/02/27.

    Article  PubMed  CAS  Google Scholar 

  19. Hernandez TL, Friedman JE, Van Pelt RE, Barbour LA. Patterns of glycemia in normal pregnancy: should the current therapeutic targets be challenged? Diabetes Care. 2011;34(7):1660–8. Epub 2011/06/29.

    Article  PubMed  CAS  Google Scholar 

  20. American Diabetes Association. Standards of medical care in diabetes—2011. Diabetes Care. 2011;34 Suppl 1:S11–61. Epub 2011/01/14.

    Article  Google Scholar 

  21. Hoffman L, Nolan C, Wilson JD, Oats JJ, Simmons D. Gestational diabetes mellitus–management guidelines. The Australasian Diabetes in Pregnancy Society. Med J Aust. 1998;169(2):93–7.

    PubMed  CAS  Google Scholar 

  22. Simmons D, McElduff A, McIntyre HD, Elrishi M. Gestational diabetes mellitus: NICE for the U.S.? A comparison of the American Diabetes Association and the American College of Obstetricians and Gynecologists guidelines with the U.K. National Institute for Health and Clinical Excellence guidelines. Diabetes Care. 2010;33(1):34–7.

    Article  PubMed  CAS  Google Scholar 

  23. Seshiah V, Das AK, Balaji V, Joshi SR, Parikh MN, Gupta S, et al. Gestational diabetes mellitus—guidelines. J Assoc Physicians India. 2006;54:622–8. Epub 2006/09/01.

    PubMed  CAS  Google Scholar 

  24. Canadian Diabetes A, Dietitians of C, Diabete Q, Ordre professionnel des dietetistes du Q. Recommendations for nutrition best practice in the management of gestational diabetes mellitus. Executive summary (1). Can J Diet Pract Res. 2006;67(4):206–8. Epub 2006/12/08.

    Article  Google Scholar 

  25. Canadian Diabetes Association. Canadian Diabetes Association 2008 clinical practice guidelines for the prevention and management of diabetes in Canada. Can J Diabetes. 2008;32:S168–81.

    Google Scholar 

  26. Crowther CA, Hiller JE, Moss JR, McPhee AJ, Jeffries WS, Robinson JS. Effect of treatment of gestational diabetes mellitus on pregnancy outcomes. N Engl J Med. 2005;352(24):2477–86. Epub 2005/06/14.

    Article  PubMed  CAS  Google Scholar 

  27. Landon MB, Spong CY, Thom E, Carpenter MW, Ramin SM, Casey B, et al. A multicenter, randomized trial of treatment for mild gestational diabetes. N Engl J Med. 2009;361(14):1339–48. Epub 2009/10/03.

    Article  PubMed  CAS  Google Scholar 

  28. Reader D, Splett P, Gunderson EP, Diabetes C, Education Dietetic Practice G. Impact of gestational diabetes mellitus nutrition practice guidelines implemented by registered dietitians on pregnancy outcomes. J Am Diet Assoc. 2006;106(9):1426–33. Epub 2006/09/12.

    Article  PubMed  Google Scholar 

  29. Moses RG, Brand-Miller JC. The use of a low glycaemic index diet in pregnancy: an evolving treatment paradigm. Diabetes Res Clin Pract. 2011;91(1):13–4. Epub 2010/11/27.

    Article  PubMed  Google Scholar 

  30. Louie JC, Markovic TP, Perera N, Foote D, Petocz P, Ross GP, et al. A randomized controlled trial investigating the effects of a low-glycemic index diet on pregnancy outcomes in gestational diabetes mellitus. Diabetes Care. 2011;34(11):2341–6. Epub 2011/09/09.

    Article  PubMed  CAS  Google Scholar 

  31. McElduff A, Moses RG. Insulin therapy in pregnancy. Endocrinol Metab Clin North Am. 2012;41(1):161–73. Epub 2012/05/12.

    Article  PubMed  CAS  Google Scholar 

  32. Langer O, Conway DL, Berkus MD, Xenakis EM, Gonzales O. A comparison of glyburide and insulin in women with gestational diabetes mellitus. N Engl J Med. 2000;343(16):1134–8. Epub 2000/10/19.

    Article  PubMed  CAS  Google Scholar 

  33. Dhulkotia JS, Ola B, Fraser R, Farrell T. Oral hypoglycemic agents vs insulin in management of gestational diabetes: a systematic review and metaanalysis. Am J Obstet Gynecol. 2010;203(5):457. e1-9. Epub 2010/08/27.

    Article  PubMed  Google Scholar 

  34. Cheng YW, Chung JH, Block-Kurbisch I, Inturrisi M, Caughey AB. Treatment of gestational diabetes mellitus: glyburide compared to subcutaneous insulin therapy and associated perinatal outcomes. J Matern Fetal Neonatal Med. 2012;25(4):379–84. Epub 2011/06/03.

    Article  PubMed  CAS  Google Scholar 

  35. Rowan JA, Hague WM, Gao W, Battin MR, Moore MP. Metformin versus insulin for the treatment of gestational diabetes. N Engl J Med. 2008;358(19): 2003–15.

    Article  PubMed  CAS  Google Scholar 

  36. Moore LE, Briery CM, Clokey D, Martin RW, Williford NJ, Bofill JA, et al. Metformin and insulin in the management of gestational diabetes mellitus: preliminary results of a comparison. J Reprod Med. 2007;52(11):1011–5. Epub 2007/12/29.

    PubMed  CAS  Google Scholar 

  37. Ijas H, Vaarasmaki M, Morin-Papunen L, Keravuo R, Ebeling T, Saarela T, et al. Metformin should be considered in the treatment of gestational diabetes: a prospective randomised study. BJOG. 2011;118(7):880–5. Epub 2010/11/19.

    Article  PubMed  CAS  Google Scholar 

  38. Jakubowicz DJ, Iuorno MJ, Jakubowicz S, Roberts KA, Nestler JE. Effects of metformin on early pregnancy loss in the polycystic ovary syndrome. J Clin Endocrinol Metab. 2002;87(2):524–9. Epub 2002/02/12.

    Article  PubMed  CAS  Google Scholar 

  39. De Leo V, Musacchio MC, Piomboni P, Di Sabatino A, Morgante G. The administration of metformin during pregnancy reduces polycystic ovary syndrome related gestational complications. Eur J Obstet Gynecol Reprod Biol. 2011;157(1):63–6. Epub 2011/05/03.

    Article  PubMed  Google Scholar 

  40. Glueck CJ, Wang P, Kobayashi S, Phillips H, Sieve-Smith L. Metformin therapy throughout pregnancy reduces the development of gestational diabetes in women with polycystic ovary syndrome. Fertil Steril. 2002;77(3):520–5. Epub 2002/03/02.

    Article  PubMed  CAS  Google Scholar 

  41. Vanky E, Stridsklev S, Heimstad R, Romundstad P, Skogoy K, Kleggetveit O, et al. Metformin versus placebo from first trimester to delivery in polycystic ovary syndrome: a randomized, controlled multicenter study. J Clin Endocrinol Metab. 2010;95(12):E448–55. Epub 2010/10/12.

    Article  PubMed  CAS  Google Scholar 

  42. Silva JC, Fachin DR, Coral ML, Bertini AM. Perinatal impact of the use of metformin and glyburide for the treatment of gestational diabetes mellitus. J Perinat Med. 2012;40(3):225–8. Epub 2012/04/17.

    Article  PubMed  CAS  Google Scholar 

  43. Moore LE, Clokey D, Rappaport VJ, Curet LB. Metformin compared with glyburide in gestational diabetes: a randomized controlled trial. Obstet Gynecol. 2010;115(1):55–9. Epub 2009/12/23.

    Article  PubMed  CAS  Google Scholar 

  44. Silva JC, Pacheco C, Bizato J, de Souza BV, Ribeiro TE, Bertini AM. Metformin compared with glyburide for the management of gestational diabetes. Int J Gynaecol Obstet. 2010;111(1):37–40. Epub 2010/06/15.

    Article  PubMed  CAS  Google Scholar 

  45. Ogunyemi DA, Fong A, Rad S, Fong S, Kjos SL. Attitudes and practices of healthcare providers regarding gestational diabetes: results of a survey conducted at the 2010 meeting of the International Association of Diabetes in Pregnancy Study Group (IADPSG). Diabet Med. 2011;28(8):976–86. Epub 2011/05/04.

    Article  PubMed  CAS  Google Scholar 

  46. Simmons D, Walters BNJ, Rowan JA, McIntyre HD. Metformin therapy and diabetes in pregnancy. Med J Aust. 2004;180(9):462–4.

    PubMed  Google Scholar 

  47. Goh JE, Sadler L, Rowan J. Metformin for gestational diabetes in routine clinical practice. Diabet Med. 2011;28(9):1082–7. Epub 2011/06/18.

    Article  PubMed  CAS  Google Scholar 

  48. Gandhi P, Bustani R, Madhuvrata P, Farrell T. Introduction of metformin for gestational diabetes mellitus in clinical practice: has it had an impact? Eur J Obstet Gynecol Reprod Biol. 2012;160(2):147–50. Epub 2011/12/06.

    Article  PubMed  CAS  Google Scholar 

  49. Cygalova LH, Hofman J, Ceckova M, Staud F. Transplacental pharmacokinetics of glyburide, rhodamine 123, and BODIPY FL prazosin: effect of drug efflux transporters and lipid solubility. J Pharmacol Exp Ther. 2009;331(3):1118–25. Epub 2009/09/26.

    Article  PubMed  CAS  Google Scholar 

  50. Hemauer SJ, Patrikeeva SL, Nanovskaya TN, Hankins GD, Ahmed MS. Role of human placental apical membrane transporters in the efflux of glyburide, rosiglitazone, and metformin. Am J Obstet Gynecol. 2010;202(4):383. e1-7. Epub 2010/03/31.

    Article  PubMed  Google Scholar 

  51. Charles B, Norris R, Xiao X, Hague W. Population pharmacokinetics of metformin in late pregnancy. Ther Drug Monit. 2006;28(1):67–72. Epub 2006/01/19.

    Article  PubMed  CAS  Google Scholar 

  52. Kovo M, Haroutiunian S, Feldman N, Hoffman A, Glezerman M. Determination of metformin transfer across the human placenta using a dually perfused ex vivo placental cotyledon model. Eur J Obstet Gynecol Reprod Biol. 2008;136(1):29–33. Epub 2007/03/14.

    Article  PubMed  CAS  Google Scholar 

  53. Kovo M, Kogman N, Ovadia O, Nakash I, Golan A, Hoffman A. Carrier-mediated transport of metformin across the human placenta determined by using the ex vivo perfusion of the placental cotyledon model. Prenat Diagn. 2008;28(6):544–8. Epub 2008/05/30.

    Article  PubMed  CAS  Google Scholar 

  54. Rowan JA, Rush EC, Obolonkin V, Battin M, Wouldes T, Hague WM. Metformin in gestational diabetes: the offspring follow-up (MiG TOFU): body composition at 2 years of age. Diabetes Care. 2011;34(10):2279–84. Epub 2011/09/29.

    Article  PubMed  CAS  Google Scholar 

  55. Glueck CJ, Salehi M, Sieve L, Wang P. Growth, motor, and social development in breast- and formula-fed infants of metformin-treated women with polycystic ovary syndrome. J Pediatr. 2006;148(5):628–32. Epub 2006/06/02.

    Article  PubMed  CAS  Google Scholar 

  56. Weiss PA, Hofmann HM, Winter RR, Lichtenegger W, Purstner P, Haas J. Diagnosis and treatment of gestational diabetes according to amniotic fluid insulin levels. Arch Gynecol. 1986;239(2):81–91. Epub 1986/01/01.

    Article  PubMed  CAS  Google Scholar 

  57. Schaefer-Graf UM, Kjos SL, Buhling KJ, Henrich W, Brauer M, Heinze T, et al. Amniotic fluid insulin levels and fetal abdominal circumference at time of amniocentesis in pregnancies with diabetes. Diabet Med. 2003;20(5):349–54. Epub 2003/05/20.

    Article  PubMed  CAS  Google Scholar 

  58. Buchanan TA, Kjos SL, Montoro MN, Wu PY, Madrilejo NG, Gonzalez M, et al. Use of fetal ultrasound to select metabolic therapy for pregnancies complicated by mild gestational diabetes. Diabetes Care. 1994;17(4):275–83. Epub 1994/04/01.

    Article  PubMed  CAS  Google Scholar 

  59. Kjos SL, Schaefer-Graf U, Sardesi S, Peters RK, Buley A, Xiang AH, et al. A randomized controlled trial using glycemic plus fetal ultrasound parameters versus glycemic parameters to determine insulin therapy in gestational diabetes with fasting hyperglycemia. Diabetes Care. 2001;24(11):1904–10. Epub 2001/10/27.

    Article  PubMed  CAS  Google Scholar 

  60. Kjos SL, Schaefer-Graf UM. Modified therapy for gestational diabetes using high-risk and low-risk fetal abdominal circumference growth to select strict versus relaxed maternal glycemic targets. Diabetes Care. 2007;30 Suppl 2:S200–5.

    Article  PubMed  Google Scholar 

  61. Schaefer-Graf UM, Kjos SL, Fauzan OH, Buhling KJ, Siebert G, Buhrer C, et al. A randomized trial evaluating a predominantly fetal growth-based strategy to guide management of gestational diabetes in Caucasian women. Diabetes Care. 2004;27(2):297–302. Epub 2004/01/30.

    Article  PubMed  Google Scholar 

  62. Bonomo M, Cetin I, Pisoni MP, Faden D, Mion E, Taricco E, et al. Flexible treatment of gestational diabetes modulated on ultrasound evaluation of intrauterine growth: a controlled randomized clinical trial. Diabet Metab. 2004;30(3):237–44. Epub 2004/06/30.

    Article  CAS  Google Scholar 

  63. Drury MI, Stronge JM, Foley ME, MacDonald DW. Pregnancy in the diabetic patient: timing and mode of delivery. Obstet Gynecol. 1983;62(3):279–82. Epub 1983/09/01.

    Article  PubMed  CAS  Google Scholar 

  64. Rasmussen MJ, Firth R, Foley M, Stronge JM. The timing of delivery in diabetic pregnancy: a 10-year review. Aust N Z J Obstet Gynaecol. 1992;32(4):313–7. Epub 1992/11/01.

    Article  PubMed  CAS  Google Scholar 

  65. Landon MB, Langer O, Gabbe SG, Schick C, Brustman L. Fetal surveillance in pregnancies complicated by insulin-dependent diabetes mellitus. Am J Obstet Gynecol. 1992;167(3):617–21. Epub 1992/09/01.

    Article  PubMed  CAS  Google Scholar 

  66. Gabbe S, Hill L, Schmidt L, Schulkin J. Management of diabetes by obstetrician-gynecologists. Obstet Gynecol. 1998;91(5 Pt 1):643–7. Epub 1998/05/08.

    Article  PubMed  CAS  Google Scholar 

  67. Boulvain M, Stan C, Irion O. Elective delivery in diabetic pregnant women. Cochrane Database Syst Rev. 2001;2, CD001997. Epub 2001/06/19.

    PubMed  Google Scholar 

  68. Kjos SL, Henry OA, Montoro M, Buchanan TA, Mestman JH. Insulin-requiring diabetes in pregnancy: a randomized trial of active induction of labor and expectant management. Am J Obstet Gynecol. 1993;169(3):611–5. Epub 1993/09/01.

    Article  PubMed  CAS  Google Scholar 

  69. Gherman RB, Ouzounian JG, Miller DA, Kwok L, Goodwin TM. Spontaneous vaginal delivery: a risk factor for Erb’s palsy? Am J Obstet Gynecol. 1998;178(3):423–7. Epub 1998/04/16.

    Article  PubMed  CAS  Google Scholar 

  70. Hod M, Bar J, Peled Y, Fried S, Katz I, Itzhak M, et al. Antepartum management protocol. Timing and mode of delivery in gestational diabetes. Diabetes Care. 1998;21 Suppl 2:B113–7. Epub 1998/08/15.

    PubMed  Google Scholar 

  71. Crume TL, Ogden LG, Mayer-Davis EJ, Hamman RF, Norris JM, Bischoff KJ, et al. The impact of neonatal breast-feeding on growth trajectories of youth exposed and unexposed to diabetes in utero: the EPOCH Study. Int J Obes (Lond). 2012;36(4):529–34. doi:10.1038/ijo.2011.254. Epub 2 Jan 31.

    Article  CAS  Google Scholar 

  72. O'Reilly M, Avalos G, Dennedy MC, O'Sullivan EP, Dunne FP. Breast-feeding is associated with reduced postpartum maternal glucose intolerance after gestational diabetes. Ir Med J. 2012;105(5 Suppl):31–6.

    PubMed  Google Scholar 

  73. Gunderson EP, Hedderson MM, Chiang V, Crites Y, Walton D, Azevedo RA, et al. Lactation intensity and postpartum maternal glucose tolerance and insulin resistance in women with recent GDM: the SWIFT cohort. Diabetes Care. 2012;35(1):50–6. Epub 2011 Oct 19.

    Article  PubMed  CAS  Google Scholar 

  74. Oats JJ, McIntyre HD. Revision of guidelines for the management of gestational diabetes mellitus. Med J Aust. 2004;181(6):342. Epub 2004/09/21.

    PubMed  Google Scholar 

  75. Kim C, Newton KM, Knopp RH. Gestational diabetes and the incidence of type 2 diabetes: a systematic review. Diabetes Care. 2002;25(10):1862–8.

    Article  PubMed  Google Scholar 

  76. Bellamy L, Casas JP, Hingorani AD, Williams D. Type 2 diabetes mellitus after gestational diabetes: a systematic review and meta-analysis. Lancet. 2009;373(9677):1773–9.

    Article  PubMed  CAS  Google Scholar 

  77. Bentley-Lewis R. Gestational diabetes mellitus: an opportunity of a lifetime. Lancet. 2009;373(9677): 1738–40.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Obstetric Medicine, Mater Health Services, University of Queensland, Raymond Terrace, South Brisbane, QLD, 4101, Australia

    H. David McIntyre M.B.B.S., M.D., FRACP

  2. Endocrinology, Mater Health Services, University of Queensland, South Brisbane, QLD, 4101, Australia

    Catherine Baskerville M.B.B.S.

  3. Melbourne School of Population and Global Health, University of Melbourne, Carlton, VIC, 3010, Australia

    Jeremy J. N. Oats M.B.B.S., D.M.

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  1. H. David McIntyre M.B.B.S., M.D., FRACP
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  2. Catherine Baskerville M.B.B.S.
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  3. Jeremy J. N. Oats M.B.B.S., D.M.
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Correspondence to H. David McIntyre M.B.B.S., M.D., FRACP .

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Editors and Affiliations

  1. Professor Associado e Livre-Docente, Disciplina de Endocrinologia da Faculdade de Ciências Medicas da Universidade de Pernambuco, Chefe da Divisão de Endocrinologia e Diabetes do Hospital Agamenon, Magalhães-MS/UPE, Recife, Brazil

    Francisco Bandeira

  2. American Thyroid Association Past President, American Association of Clinical Endocrinologists, Professor of Medicine, Mayo Clinic College of Medicine President-Elect, Rochester, Minnesota, USA

    Hossein Gharib

  3. Federal Foundation and School of Medical Sciences, Porto Alegre, Brazil

    Airton Golbert

  4. Department of Medicine, University of Pernambuco School of Medicine, Recife, Brazil

    Luiz Griz

  5. Department of Medicine, University of Maranhao School of Medicine, Sao Luis, Brazil

    Manuel Faria

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McIntyre, H.D., Baskerville, C., Oats, J.J.N. (2014). Gestational Diabetes. In: Bandeira, F., Gharib, H., Golbert, A., Griz, L., Faria, M. (eds) Endocrinology and Diabetes. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8684-8_28

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