University Hospital Merkur, Zagreb, Croatia.
Department of Obstetrics and Gynecology, School of Medicine University of Zagreb, Zagreb, Croatia.
J Perinat Med. 2020 Oct 25;48(8):757-763. doi: 10.1515/jpm-2020-0254.
Gestational diabetes mellitus (GDM) has become a major public health issue and one of the most discussed topics in contemporary obstetrics. Due to rising prevalence of GDM worldwide impact and importance of this medical condition in good quality antenatal care is growing. GDM is associated with serious adverse perinatal outcomes and unfavorable long-term health consequences for both, mother and her child. Despite a great amount of knowledge accumulated regarding GDM, medical community remains indecisive and still debates the most appropriate diagnostic strategy, screening policy, and treatment options for pregnancies complicated with GDM. These unresolved issues generate controversies, motivate further research and contribute to the growing interest surrounding GDM. In this review we will discuss and try to explain some of them.
妊娠期糖尿病（GDM）已成为一个主要的公共卫生问题，也是当代产科领域讨论最多的话题之一。由于全球 GDM 的患病率不断上升，这种疾病在高质量的产前保健中的重要性也在不断增加。GDM 与严重的围产期不良结局以及母婴双方的不良长期健康后果有关。尽管已经积累了大量关于 GDM 的知识，但医学界仍然犹豫不决，仍在争论最适合诊断策略、筛查政策和 GDM 合并妊娠的治疗选择。这些未解决的问题引发了争议，推动了进一步的研究，并导致了围绕 GDM 的兴趣不断增加。在这篇综述中，我们将讨论并试图解释其中的一些问题。
