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• Diabetes mellitus is growing substantially in our nation. Between its natural progression and effects on other body systems, this epidemic is costing us billions of dollars a year.

• Although gestational diabetes typically resolves after pregnancy, women who have had gestational diabetes in the past have a largely increased risk for the development of diabetes mellitus in the future.

• Several things contribute to the development of GDM and DM: decline in β-cell function, lower adiponectin levels and HgbA1C levels in the third trimester.

• Intervening during the critical time after delivery in women with gestational diabetes, will theoretically help prevent the further progression into diabetes mellitus.

• We can do this by directing prevention practices such as a well-balanced diet, exercise, smoking cessation and the encouragement of breastfeeding.

• Current recommendations for the management of these women appears to be too lenient. With a more concentrated strategy by practitioners and the involvement of educators and dieticians, ideally we can ultimately lessen this costly epidemic.


Physician Assistant Studies

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Master of Physician Assistant Studies (MPAS)

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gestational diabetes; diagnosis; complications; risk factors; etiology; pathophysiology; diabetes mellitus; economic burden


Endocrinology, Diabetes, and Metabolism | Female Urogenital Diseases and Pregnancy Complications

The Postnatal Management of Gestational Diabetes