Gestational diabetes classification: Difference between revisions

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==Overview==
Gestational diabetes refers to hyperglycemia during the second or third [[trimester]] of pregnancy.
==Classification==
==Classification==
There are 2 types of gestational diabetes (diabetes which began during pregnancy):
[[Gestational diabetes]] was referred to as any type of [[hyperglycemia]] that was not recognized or present prior to [[pregnancy]]. This definition is no longer used because of the increased number of [[Female|females]] with [[Diabetes mellitus type 2|type 2 diabetes]] and obesity who became pregnant without awareness of their [[pre-pregnancy]] [[glycemic]] status.<ref name="pmid26696680">{{cite journal |vauthors= |title=Standards of Medical Care in Diabetes-2016: Summary of Revisions |journal=Diabetes Care |volume=39 Suppl 1 |issue= |pages=S4–5 |year=2016 |pmid=26696680 |doi=10.2337/dc16-S003 |url=}}</ref>
* Type A1: diet modification is sufficient to control glucose levels
 
* Type A2: insulin or other medications are required
===ADA classification===
Additionally, it is useful to classify different forms of diabetes during pregnancy which existed prior to pregnancy:
The [[American Diabetes Association]] (ADA) classifies GDM as diabetes diagnosed in the second or third [[trimester]] of pregnancy, that is not clearly either type 1 or type 2 diabetes.<ref name="pmid26696680">{{cite journal |vauthors= |title=Standards of Medical Care in Diabetes-2016: Summary of Revisions |journal=Diabetes Care |volume=39 Suppl 1 |issue= |pages=S4–5 |year=2016 |pmid=26696680 |doi=10.2337/dc16-S003 |url=}}</ref>
* Type B: onset at age 20 or older or with duration of less than 10 years
 
* Type C: onset at age 10-19 or duration of 1-19 years
===White's classification===
* Type D: onset before age 10 or duration greater than 20 years
White classified diabetes in [[pregnancy]] in to two groups:<ref name="pmid19015764">{{cite journal |vauthors=Gilmartin AB, Ural SH, Repke JT |title=Gestational diabetes mellitus |journal=Rev Obstet Gynecol |volume=1 |issue=3 |pages=129–34 |year=2008 |pmid=19015764 |pmc=2582643 |doi= |url=}}</ref>
* Type F: [[diabetic nephropathy]]
 
* Type R: [[diabetic retinopathy]]
*Type A1: Controlled by [[diet]] and [[exercise]]
* Type H: diabetes with [[ischemic heart disease]]
*Type A2: Requires [[insulin]] for [[treatment]]
* Type T: diabetes requiring [[kidney transplant]]
 
 
 


==References==
==References==
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{{Reflist|2}}
 
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[[Category:Disease]]
 
[[Category:Obstetrics]]
[[Category:Obstetrics]]
[[Category:Endocrinology]]
[[Category:Endocrinology]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Primary care]]
[[Category:Needs overview]]

Latest revision as of 17:06, 27 January 2021

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]


Overview

Gestational diabetes refers to hyperglycemia during the second or third trimester of pregnancy.

Classification

Gestational diabetes was referred to as any type of hyperglycemia that was not recognized or present prior to pregnancy. This definition is no longer used because of the increased number of females with type 2 diabetes and obesity who became pregnant without awareness of their pre-pregnancy glycemic status.[1]

ADA classification

The American Diabetes Association (ADA) classifies GDM as diabetes diagnosed in the second or third trimester of pregnancy, that is not clearly either type 1 or type 2 diabetes.[1]

White's classification

White classified diabetes in pregnancy in to two groups:[2]



References

  1. 1.0 1.1 "Standards of Medical Care in Diabetes-2016: Summary of Revisions". Diabetes Care. 39 Suppl 1: S4–5. 2016. doi:10.2337/dc16-S003. PMID 26696680.
  2. Gilmartin AB, Ural SH, Repke JT (2008). "Gestational diabetes mellitus". Rev Obstet Gynecol. 1 (3): 129–34. PMC 2582643. PMID 19015764.

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