Gestational diabetes classification: Difference between revisions

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==Overview==
==Overview==
Gestational diabetes refers to hyperglycemia during second or third trimester of pregnancy.<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>
==Classification==
Gestational diabetes was referred to any type of hyperglycemia that was not recognized or was not present prior pregnancy but now it has been changed because of increased number of type 2 diabetes and obese woman that became pregnant and are unaware of their glycemic status.
===ADA classification===
Diagnosis of diabetes 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>
===White's classification===
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 A1: Controlled by diet and exercise
*Type A2: Requires insulin for treatment


==Classification==
There are 2 types of gestational diabetes (diabetes which began during pregnancy):
* Type A1: diet modification is sufficient to control glucose levels
* Type A2: insulin or other medications are required
Additionally, it is useful to classify different forms of diabetes during pregnancy which existed prior to pregnancy:
* 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
* Type D: onset before age 10 or duration greater than 20 years
* Type F: [[diabetic nephropathy]]
* Type R: [[diabetic retinopathy]]
* Type H: diabetes with [[ischemic heart disease]]
* Type T: diabetes requiring [[kidney transplant]]


==References==
==References==

Revision as of 18:12, 21 November 2016

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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 second or third trimester of pregnancy.[1]

Classification

Gestational diabetes was referred to any type of hyperglycemia that was not recognized or was not present prior pregnancy but now it has been changed because of increased number of type 2 diabetes and obese woman that became pregnant and are unaware of their glycemic status.

ADA classification

Diagnosis of diabetes 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]

  • Type A1: Controlled by diet and exercise
  • Type A2: Requires insulin for treatment


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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