GESTATIONAL DIABETES MELLITUS: CURRENT CHALLENGES AND MODERN INSIGHTS

Khakberdiyeva Vazira Jamshid qizi

Student of the Faculty of General Medicine

Makhmudova Aziza Nugmanovna

Samarkand State Medical University Samarkand, Uzbekistan

Keywords: gestational diabetes mellitus, pregnancy, prevalence, complications, diabetic fetopathy, diagnostic criteria


Abstract

A review of the world literature has shown that gestational diabetes mellitus (GSD) is the most common extragenital pathology of gestation and poses a serious medical and social problem, increasing the frequency of undesirable pregnancy outcomes for both mother and fetus. A significant variability of opinions on the frequency of GSD, its etiology and pathogenesis, screening methods and diagnosis of carbohydrate metabolism disorders during pregnancy has been revealed. Taking into account the diverse scientific data, constantly changing bioecological environmental conditions that dramatically affect the development of pregnancy, it can be noted the need for early detection of GSD, in order to adequately correct glycemia to prevent adverse pregnancy and childbirth. The lack of universal diagnostic criteria, on the one hand, and the clinical course of GSD without obvious manifestation, on the other, subsequently increase the risk of diabetes mellitus, obesity, carbohydrate metabolism disorders and cardiovascular complications in both mother and child. Therefore, this pathology requires the development of uniform standards for the diagnosis and treatment of disorders of carbohydrate metabolism during pregnancy.


References

1. Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Research and Clinical Practice. 2014;103:137-49. Available from http://dx.doi.org/10.1016/j.diabres.2013.11.002.

2. International Diabetes Federation. IDF Diabetes Atlas, 8th ed. Brussels, Belgium: International Diabetes Federation; 2017.

3. Дедов ИИ, Шестакова МВ, Майоров АЮ. Алгоритмы специализированной медицинской помощи больным сахарным диабетом. Москва, РФ: Медицина; 2017. 112 с.