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Consensus in Gestational Diabetes MELLITUS: Looking for the Holy Grail

Departments of Pathology and Medical Education, School of Medicine, California University of Science & Medicine, San Bernardino, CA 92408, USA
J. Clin. Med. 2018, 7(6), 123; https://doi.org/10.3390/jcm7060123
Received: 3 May 2018 / Revised: 21 May 2018 / Accepted: 23 May 2018 / Published: 28 May 2018
(This article belongs to the Special Issue Therapeutic Strategies for Diabetes in Pregnancy)
The world’s pre-eminent diabetes, obstetric, endocrine, and health organizations advocate a plethora of diverse algorithms for the screening, diagnosis, management, and follow-up of gestational diabetes mellitus (GDM). Additionally, there are regional recommendations of local health societies. Several of these proposals for GDM are contentious because some of them were developed from unscientific studies, based on expert-opinion, catered to preserve resources, and subjectively modified for convenience. Due to the wide variety of choices available, the approach to GDM can be extremely diverse even within the same hospital. This lack of consensus creates major problems in addressing prevalence, complications, efficacy of treatment, and follow-up of GDM. Moreover, it becomes nearly impossible to compare the numerous studies. Furthermore, the lack of consensus confuses the health care providers of obstetric health who look to the experts for guidance. Therefore, a clear, objective, “evidence-based” global approach, which is simple, easy to follow, and validated by corroborative research, is crucial. We contend that, despite decades of research, a single acceptable global guideline is not yet on the horizon. View Full-Text
Keywords: gestational diabetes mellitus; screening; diagnosis; consensus; controversy gestational diabetes mellitus; screening; diagnosis; consensus; controversy
MDPI and ACS Style

Agarwal, M.M. Consensus in Gestational Diabetes MELLITUS: Looking for the Holy Grail. J. Clin. Med. 2018, 7, 123.

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