- Episode Written By : Kyla Freeman PGY3
- Content Reviewer : Dr. Charley Boyd, FP working Obstetrics
- Hosts : Kyla Freeman, Patricia Massel
- Artwork : Aikansha Chawla
In today’s episode we review the basics of gestational diabetes screening and management. We also briefly discuss the newborn hypoglycemia screening protocol for infants born to gestational parents with diabetes and first steps of management.
Helpful Resources and Links
- Diabetes Canada Healthcare Provider Tool for Screening for GDM https://guidelines.diabetes.ca/health-care-provider-tools/gdm
- AHS Healthy Eating with Gestational Diabetes https://www.albertahealthservices.ca/assets/info/nutrition/if-nfs-healthy-eating-gestational-diabetes.pdf
- My Health Alberta Patient Education on GDM (with some translated resources) https://myhealth.alberta.ca/Health/Pages/conditions.aspx?hwid=hw197466
- SOGC GDM Webpage. Includes a table for Screening Test Cut Offs. https://www.pregnancyinfo.ca/your-pregnancy/routine-tests/glucose-testing/
- Winnipeg Breastfeeding Centre, Gestational Diabetes and Breastfeeding http://wpgbreastfeedingcentre.com/wbc-blog/gestational-diabetes-and-breastfeeding
- Diabetes Canada. Diabetes and Pregnancy https://guidelines.diabetes.ca/cpg/chapter36
- Canadian Pediatric Society Algorithm for Management of Neonatal Hypoglycemia https://cps.ca/uploads/documents/Management_of_Hypoglycemia_algorithm_FINAL-EN.pdf
References
- ACOG Practice Bulletin No. 190: Gestational Diabetes Mellitus. Obstet Gynecol. 2018 Feb;131(2):e49-e64. doi: 10.1097/AOG.0000000000002501. PMID: 29370047.
- Alberta Health Services. Healthy Eating with Gestational Diabetes. 2016. Retrieved December 13, 2022 from https://www.albertahealthservices.ca/assets/info/nutrition/if-nfs-healthy-eating-gestational-diabetes.pdf
- Berger H, Gagnon R, Serner M. SOGC Clinical Practice Guideline : Guideline No. 393-Diabetes in Pregnancy. JCOG. 2019;41(12):1814-1825. https://doi.org/10.1016/j.jogc.2019.03.008
- Caughey AB. Gestational diabetes mellitus : Obstetric issues and management. Eds. Werner EF, Barss VA. UpToDate. 2023. https://www.uptodate.com/contents/gestational-diabetes-mellitus-obstetric-issues-and-management?search=gestational%20diabetes%20post-partum%20care&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1#H9
- Chapter 7 Fluid & Glucose Management. In: Boulton JE, Coughlin K, O;Flaherty D, Solimano A. Acute Care of At-Risk Newborns, 2nd edition. Vancouver, BC. AcORN Neonatal Society. 2021:7-1 – 7-32.
- Diabetes Canada Clinical Practice Guidelines Expert Committee. Diabetes Canada 2018 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada. Can J Diabetes. 2018;42(Suppl 1):S1-S325. https://guidelines.diabetes.ca/cpg/chapter36
- Diabetes Canada Clinical Practice Guidelines Expert Committee. Diabetes Canada 2018 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada. Can J Diabetes. 2018;42(Suppl 1):S1-S325. https://guidelines.diabetes.ca/cpg/chapter4
- Government of Alberta. My Health Alberta : Gestational Diabetes : Dealing with Low Blood Sugar. 2023. https://myhealth.alberta.ca/Health/Pages/conditions.aspx?hwid=aa111456&lang=en-ca#tp16404
- Gunderson EP, Lewis CE, Lin Y, Sorel M, Gross M, Sidney S, Jacobs DR, etc. Lactation duration and progression to diabetes in women across the childbearing years. JAMA Intern Med. 2018. 178(3): 323-337. doi: 10.1001/jamainternmed.2017.7978
- Narvey MR, Marks SD, Canadian Pediatric Society Fetus and Newbon Committee. The screening and management of newborns at risk for low blood glucose. Paediatr Child Health. 2019. 24(8):536-544. https://cps.ca/en/documents/position/newborns-at-risk-for-low-blood-glucose
- Plows JF, Stanley JL, Baker PN, Reynolds CL, Vickers MH. The pathophysiology of gestational diabetes mellitus. Int J Mol Sci. 2018. 19(11):3342. doi: 10.3390/ijms19113342
- Powe CE. Pregestational (preexisting) and gestational diabetes: Intrapartum and postpartum glucose management. Eds. Nathan DM, Werner EF, Barss VA. 2023. https://www.uptodate.com/contents/pregestational-preexisting-and-gestational-diabetes-intrapartum-and-postpartum-glucose-management?search=gestational%20diabetes%20post-partum%20care&topicRef=4800&source=see_link
- Thompson D, Berger H, Feig D, Gagnon R, Kader T, Keely E, Kozak S, Ryan E, Sermer M, Vinokuroff C. Clinical Practice Guidelines Diabetes and Pregnancy. Canadian Journal of Diabetes. 2013. (S168-S183). https://guidelines.diabetes.ca/app_themes/cdacpg/resources/cpg_2013_full_en.pdf
- Tsakiridis I, Giouleka S, Mamopoulos A, Kourtis A, Athanasiadis A, Filopoulou D, Dagklis T. Diagnosis and Management of Gestational Diabetes Mellitus: An Overview of National and International Guidelines. Obstet Gynecol Surv. 2021 Jun;76(6):367-381. doi: 10.1097/OGX.0000000000000899. PMID: 34192341.