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Identification and aggressive management of gestational diabetes mellitus (GDM) is associated with improved maternal and fetal outcomes. Several issues were addressed at the Fifth International Workshop-Conference on GDM, including pathophysiology and epidemiology, therapeutic interventions during pregnancy, effects on offspring, and maternal follow-up. The recommendations are based on the following strategies for maternal screening and follow-up.
Risk assessment should be performed at the first prenatal visit. Blood glucose testing is not routinely required in low-risk patients (who meet all of the following criteria):
Member of an ethnic group (e.g., Caucasian) with a low prevalence of GDM
No known diabetes in first-degree relatives
Age ≤25
No…