Why we need to stop being so glucocentric

Rather than arguing about the latest diagnostic criteria for gestational diabetes mellitus (GDM), physicians should focus on good management of obesity in pregnancy, Australian specialists say.

The authors, including an endocrinologist and an obstetrician from Sydney’s Westmead Hospital, retrospectively analysed 6175 pregnancies, to see what would have happened if controversial new GDM criteria had been in place, and to examine the impact of obesity.

The adoption in 2013 of the International Association of Diabetes and Pregnancy Study Groups’ GDM criteria - replacing the 1998