ABSTRACT

SCREENING/DIAGNOSIS The term “gestational” before “diabetes” means that the hyperglycemia is first recognized or diagnosed during pregnancy [1]. If hyperglycemia is detected before 20 weeks, pregestational diabetes is probably present. The importance of screening for GDM and treatment to optimize glycemic control to reduce hyperglycemia-associated complications has been established [2-7]. Who, when, and how to screen, and the diagnostic glucose cutoffs to establish the diagnosis of GDM are controversial.