ABSTRACT
The Ministry of Health (MOH) of China established the same new criteria on July 1, 2011. There is still some controversy about the new gestational diabetes mellitus (GDM) diagnostic criteria. The treatment of GDM is effective in reducing macrosomia, preeclampsia, and shoulder dystocia. Medical nutrition therapy is the preferred treatment for GDM, wherein the majority of GDM patients control their blood glucose, thus making the doctor's guidance particularly important to patients. Most doctors considered that the endocrinologists should be responsible for the follow-up of GDM patients, which reminds us that follow-up requires collaboration of both obstetricians and endocrinologists. The pregnancy managements were unbalanced in different areas in China; thus we should make an appropriate management strategy based on local conditions. In China, a day-care outpatient clinic has been launched, where patients with GDM spend whole day and receive basic information on GDM, medical nutritional therapy, exercise advice, and self-monitoring of blood glucose, guided by professional nurses, clinical nutritionists, and physicians.
