Gestational diabetes mellitus: management during and after pregnancy - a systematic literature review

Authors

  • Claudia Banowati Subarto Universitas 'Aisyiyah Yogyakarta, Indonesia https://orcid.org/0000-0002-1475-6859
  • Mohammad Hakimi Universitas Gadjah Mada, Indonesia
  • Yuli Isnaeni Universitas 'Aisyiyah Yogyakarta, Indonesia

DOI:

https://doi.org/10.31101/jhtam.1370

Keywords:

Gestational diabetes, Risk factors, Intervention, Management, Post-partum

Abstract

Introduction: Gestational Diabetes Mellitus (GDM) is one of the most common complications of pregnancy. Women with gestational diabetes have a higher risk of serious health outcomes for mother and baby such as preeclampsia, premature birth and the long term development of type 2 diabetes. This study was conducted to present a review of available research in several countries about GDM management during and after pregnancy. Method: Several databases including PubMed, ScienceDirect and EBSco were searched for relevant articles published between January 2009 and January 2019. Result: Of the 1186 initial articles identified, this study analyzed 7 relevant articles that met the inclusion criteria. This study showed that management for GDM includes medical nutrition therapy, exercise, monitoring of blood glucose, and insulin therapy if blood glucose is not achieved with that treatment. Exclusive breast feeding for at least three months has been shown reducing the risk of childhood obesity of children, particularly in those born to obese and mothers with GDM Conclusion: There is a need to increase awareness of long-term consequences on gestational diabetes, both in patients and in healthcare professionals. Counseling is needed for dietary intervention and physical activity for all postpartum women with a history of GDM to stay healthy or to improve future health

Author Biography

Claudia Banowati Subarto, Universitas 'Aisyiyah Yogyakarta

Student of Magister Midwifery in Universitas 'Aisyiyah Yogyakarta

References

ACOG Committee Opinion No. 650: Physical Activity and Exercise During Pregnancy and the Postpartum Period, 2015. . Obstet. Gynecol. 126, e135-142. https://doi.org/10.1097/AOG.0000000000001214

Alfadhli, E.M., 2015. Gestational diabetes mellitus. Saudi Med. J. 36, 399–406. https://doi.org/10.15537/smj.2015.4.10307

Araujo Júnior, E., Peixoto, A.B., Zamarian, A.C.P., Elito Júnior, J., Tonni, G., 2017. Macrosomia. Best Pract. Res. Clin. Obstet. Gynaecol. 38, 83–96. https://doi.org/10.1016/j.bpobgyn.2016.08.003

Association, A.D., 2019a. 14. Management of Diabetes in Pregnancy: Standards of Medical Care in Diabetes—2019. Diabetes Care 42, S165–S172. https://doi.org/10.2337/dc19-S014

Association, A.D., 2019b. 14. Management of Diabetes in Pregnancy: Standards of Medical Care in Diabetes—2019. Diabetes Care 42, S165–S172. https://doi.org/10.2337/dc19-S014

Association, A.D., 2018. 13. Management of Diabetes in Pregnancy: Standards of Medical Care in Diabetes—2018. Diabetes Care 41, S137–S143. https://doi.org/10.2337/dc18-S013

Au, C.P.Y., Raynes-Greenow, C.H., Turner, R.M., Carberry, A.E., Jeffery, H.E., 2016. Antenatal management of gestational diabetes mellitus can improve neonatal outcomes. Midwifery 34, 66–71. https://doi.org/10.1016/j.midw.2016.01.001

Behboudi-Gandevani, S., Amiri, M., Bidhendi Yarandi, R., Ramezani Tehrani, F., 2019. The impact of diagnostic criteria for gestational diabetes on its prevalence: a systematic review and meta-analysis. Diabetol. Metab. Syndr. 11, 11. https://doi.org/10.1186/s13098-019-0406-1

Blumer, I., Hadar, E., Hadden, D.R., JovanoviÄ, L., Mestman, J.H., Murad, M.H., Yogev, Y., 2013. Diabetes and pregnancy: an endocrine society clinical practice guideline. J. Clin. Endocrinol. Metab. 98, 4227–4249. https://doi.org/10.1210/jc.2013-2465

Brown, J., Alwan, N.A., West, J., Brown, S., McKinlay, C.J., Farrar, D., Crowther, C.A., 2017. Lifestyle interventions for the treatment of women with gestational diabetes. Cochrane Database Syst. Rev. 5, CD011970. https://doi.org/10.1002/14651858.CD011970.pub2

Buchanan, T.A., Xiang, A.H., Page, K.A., 2012. Gestational diabetes mellitus: risks and management during and after pregnancy. Nat. Rev. Endocrinol. 8, 639–649. https://doi.org/10.1038/nrendo.2012.96

Committee on Obstetric Practice, 2015. The American College of Obstetricians and Gynecologists Committee Opinion no. 630. Screening for perinatal depression. Obstet. Gynecol. 125, 1268–1271. https://doi.org/10.1097/01.AOG.0000465192.34779.dc

Committee on Practice Bulletins—Obstetrics, 2018. ACOG Practice Bulletin No. 190: Gestational Diabetes Mellitus. Obstet. Gynecol. 131, e49–e64. https://doi.org/10.1097/AOG.0000000000002501

Cyrus, J., n.d. Research Guides: How to Conduct a Literature Review (Health Sciences): Developing a Research Question [WWW Document]. URL https://guides.library.vcu.edu/health-sciences-lit-review/question (accessed 3.11.20).

Domanski, G., Lange, A.E., Ittermann, T., Allenberg, H., Spoo, R.A., Zygmunt, M., Heckmann, M., 2018. Evaluation of neonatal and maternal morbidity in mothers with gestational diabetes: a population-based study. BMC Pregnancy Childbirth 18, 367. https://doi.org/10.1186/s12884-018-2005-9

Elvebakk, T., Mostad, I.L., Mørkved, S., Salvesen, K.Å., Stafne, S.N., 2018. Dietary Intakes and Dietary Quality during Pregnancy in Women with and without Gestational Diabetes Mellitus-A Norwegian Longitudinal Study. Nutrients 10. https://doi.org/10.3390/nu10111811

Esposito, K., Kastorini, C.-M., Panagiotakos, D.B., Giugliano, D., 2010. Prevention of type 2 diabetes by dietary patterns: a systematic review of prospective studies and meta-analysis. Metab. Syndr. Relat. Disord. 8, 471–476. https://doi.org/10.1089/met.2010.0009

George, A.D., Gay, M.C.L., Wlodek, M.E., Geddes, D.T., 2019. Breastfeeding a small for gestational age infant, complicated by maternal gestational diabetes: a case report. BMC Pregnancy Childbirth 19, 210. https://doi.org/10.1186/s12884-019-2366-8

Hayashi, A., Oguchi, H., Kozawa, Y., Ban, Y., Shinoda, J., Suganuma, N., 2018. Daily walking is effective for the management of pregnant women with gestational diabetes mellitus. J. Obstet. Gynaecol. Res. 44, 1731–1738. https://doi.org/10.1111/jog.13698

Johns, E.C., Denison, F.C., Norman, J.E., Reynolds, R.M., 2018. Gestational Diabetes Mellitus: Mechanisms, Treatment, and Complications. Trends Endocrinol. Metab. TEM 29, 743–754. https://doi.org/10.1016/j.tem.2018.09.004

Kc, K., Shakya, S., Zhang, H., 2015a. Gestational diabetes mellitus and macrosomia: a literature review. Ann. Nutr. Metab. 66 Suppl 2, 14–20. https://doi.org/10.1159/000371628

Kc, K., Shakya, S., Zhang, H., 2015b. Gestational diabetes mellitus and macrosomia: a literature review. Ann. Nutr. Metab. 66 Suppl 2, 14–20. https://doi.org/10.1159/000371628

Ko, J.Y., Dietz, P.M., Conrey, E.J., Rodgers, L., Shellhaas, C., Farr, S.L., Robbins, C.L., 2013. Gestational diabetes mellitus and postpartum care practices of nurse-midwives. J. Midwifery Womens Health 58, 33–40. https://doi.org/10.1111/j.1542-2011.2012.00261.x

Lee, K.W., Ching, S.M., Ramachandran, V., Yee, A., Hoo, F.K., Chia, Y.C., Wan Sulaiman, W.A., Suppiah, S., Mohamed, M.H., Veettil, S.K., 2018. Prevalence and risk factors of gestational diabetes mellitus in Asia: a systematic review and meta-analysis. BMC Pregnancy Childbirth 18, 494. https://doi.org/10.1186/s12884-018-2131-4

Munn, Z., Moola, S., Riitano, D., Lisy, K., 2014. The development of a critical appraisal tool for use in systematic reviews addressing questions of prevalence. Int. J. Health Policy Manag. 3, 123–128. https://doi.org/10.15171/ijhpm.2014.71

Mwanri, A.W., Kinabo, J., Ramaiya, K., Feskens, E.J.M., 2015. Gestational diabetes mellitus in sub-Saharan Africa: systematic review and metaregression on prevalence and risk factors. Trop. Med. Int. Health 20, 983–1002. https://doi.org/10.1111/tmi.12521

Nguyen, C.L., Pham, N.M., Binns, C.W., Duong, D.V., Lee, A.H., 2018. Prevalence of Gestational Diabetes Mellitus in Eastern and Southeastern Asia: A Systematic Review and Meta-Analysis. J. Diabetes Res. 2018, 6536974. https://doi.org/10.1155/2018/6536974

Pati, D., Lorusso, L.N., 2018. How to Write a Systematic Review of the Literature. HERD 11, 15–30. https://doi.org/10.1177/1937586717747384

Persson, M., Hörnsten, A., Winkvist, A., Mogren, I., 2012. ’Dealing with ambiguity’- the role of obstetricians in gestational diabetes mellitus. Acta Obstet. Gynecol. Scand. 91, 439–446. https://doi.org/10.1111/j.1600-0412.2011.01240.x

Persson, M., Winkvist, A., Mogren, I., 2015. Lifestyle and health status in a sample of Swedish women four years after pregnancy: a comparison of women with a history of normal pregnancy and women with a history of gestational diabetes mellitus. BMC Pregnancy Childbirth 15, 57. https://doi.org/10.1186/s12884-015-0487-2

Rayanagoudar, G., Moore, M., Zamora, J., Hanson, P., Huda, M.S.B., Hitman, G.A., Thangaratinam, S., 2015. Postpartum care of women with gestational diabetes: survey of healthcare professionals. Eur. J. Obstet. Gynecol. Reprod. Biol. 194, 236–240. https://doi.org/10.1016/j.ejogrb.2015.09.019

Schübert, H., Müller, U.A., Kramer, G., Müller, N., Heller, T., Kloos, C., Kuniss, N., 2019. Snacking is Common in People with Diabetes Type 1 and Type 2 with Insulin Therapy and Is Not Associated With Metabolic Control or Quality of Life. Exp. Clin. Endocrinol. Diabetes Off. J. Ger. Soc. Endocrinol. Ger. Diabetes Assoc. 127, 461–467. https://doi.org/10.1055/a-0631-8813

Shepherd, E., Gomersall, J.C., Tieu, J., Han, S., Crowther, C.A., Middleton, P., 2017. Combined diet and exercise interventions for preventing gestational diabetes mellitus. Cochrane Database Syst. Rev. 11, CD010443. https://doi.org/10.1002/14651858.CD010443.pub3

Sklempe Kokic, I., Ivanisevic, M., Biolo, G., Simunic, B., Kokic, T., Pisot, R., 2018. Combination of a structured aerobic and resistance exercise improves glycaemic control in pregnant women diagnosed with gestational diabetes mellitus. A randomised controlled trial. Women Birth J. Aust. Coll. Midwives 31, e232–e238. https://doi.org/10.1016/j.wombi.2017.10.004

Subiabre, M., Silva, L., Toledo, F., Paublo, M., López, M.A., Boric, M.P., Sobrevia, L., 2018. Insulin therapy and its consequences for the mother, foetus, and newborn in gestational diabetes mellitus. Biochim. Biophys. Acta Mol. Basis Dis. 1864, 2949–2956. https://doi.org/10.1016/j.bbadis.2018.06.005

Tong, T.Y.N., Imamura, F., Monsivais, P., Brage, S., Griffin, S.J., Wareham, N.J., Forouhi, N.G., 2018. Dietary cost associated with adherence to the Mediterranean diet, and its variation by socio-economic factors in the UK Fenland Study. Br. J. Nutr. 119, 685–694. https://doi.org/10.1017/S0007114517003993

Utz, B., Assarag, B., Smekens, T., Ennassiri, H., Lekhal, T., El Ansari, N., Fakhir, B., Barkat, A., Essolbi, A., De Brouwere, V., 2018. Detection and initial management of gestational diabetes through primary health care services in Morocco: An effectiveness-implementation trial. PloS One 13, e0209322. https://doi.org/10.1371/journal.pone.0209322

Wang, C., Zhu, W., Wei, Y., Feng, H., Su, R., Yang, H., 2015a. Exercise intervention during pregnancy can be used to manage weight gain and improve pregnancy outcomes in women with gestational diabetes mellitus. BMC Pregnancy Childbirth 15, 255. https://doi.org/10.1186/s12884-015-0682-1

Wang, C., Zhu, W., Wei, Y., Feng, H., Su, R., Yang, H., 2015b. Exercise intervention during pregnancy can be used to manage weight gain and improve pregnancy outcomes in women with gestational diabetes mellitus. BMC Pregnancy Childbirth 15, 255. https://doi.org/10.1186/s12884-015-0682-1

Zhu, Y., Zhang, C., 2016. Prevalence of Gestational Diabetes and Risk of Progression to Type 2 Diabetes: a Global Perspective. Curr. Diab. Rep. 16, 7. https://doi.org/10.1007/s11892-015-0699-x

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Published

2020-11-20

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Subarto, C. B., Hakimi, M., & Isnaeni, Y. (2020). Gestational diabetes mellitus: management during and after pregnancy - a systematic literature review. Journal of Health Technology Assessment in Midwifery, 3(2), 63–72. https://doi.org/10.31101/jhtam.1370

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Vol. 3 No. 2 (2020): November

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