Donald R. Coustan

All articles by Donald R. Coustan

Gestational Diabetes Mellitus

1. What every clinician should know Clinical features and incidence Gestational diabetes mellitus (GDM) is carbohydrate intolerance, less severe than overt diabetes, diagnosed during the second half of pregnancy. During pregnancy, all women develop relative insulin resistance. This is most likely related to placental hormones. Most pregnant women increase their insulin production and maintain euglycemia…

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