Gestational Diabetes in Primary Care

Paul Hicks, MD

In This Article


The objective of this article is to familiarize the primary care physician with issues in the the diagnosis and management of GDM, including some of its complications. There are many women, however, for whom expert consultation and guidelines for direction are warranted. These include women with pregestational diabetes, especially if they have concurrent end-organ damage or widely fluctuating insulin needs, and women with GDM whose glucose levels are difficult to control despite education and aggressive insulin therapy. Most women with GDM, however, have a relatively uncomplicated course. Further, these women are often highly motivated to control their diabetes in the interest of the health of their child. With frequent follow-up, careful patient education, and specialist consultation if indicated, physicians and their patients with gestational diabetes can expect a healthy pregnancy outcome.


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