Diabetes mellitus gestacional: A evolução dos critérios diagnósticos
DOI:
https://doi.org/10.33448/rsd-v14i11.50245Palavras-chave:
Pesquisa translacional, Gravide, Glicemia, Diabetes, Diagnóstico.Resumo
Diabetes mellitus (DM) is a disease that generates chronic hyperglycemia and can result in secondary complications. Diagnostic criteria for diabetes are methods for detecting the illness and its clinical management. However, unlike the criteria established for non-pregnant diabetic women, there is no single consensus in the current scenario for the diagnosis of Gestational Diabetes mellitus (GDM) by regulatory agencies. Therefore, a review of articles was carried out with the aim of listing the evolution of diagnostic criteria for GDM, focusing on the influence of large clinical trials on current standards and exploring areas where gaps and divergences between guidelines still exist. This is a bibliographic update on the diagnostic criteria for gestational Diabetes mellitus in women and its evolution in recent decades. To cover the main definitions and approaches, studies published in the PubMed, Embase, Scopus and Scielo databases in Portuguese, Spanish and English were included. The clinical studies selected for descriptive analysis demonstrate that the IADPSG diagnosis, currently recommended by the ADA, is the most effective in the early identification of gestational Diabetes mellitus (GDM) and works as a predictor of maternal-fetal risks.
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