Higher Level of Care
All women with GDM should receive nutritional counseling, by a registered dietitian when possible, consistent with the recommendations by the American Diabetes Association, and in some difficult cases, the patient may be referred to an endocrinologist (Black, 2013).
Women with a history of GDM are at high risk of subsequently developing diabetes. These patients should be screened six to 12 weeks postpartum for persistently abnormal glucose metabolism and should undergo screening for diabetes every three years after that (Black, 2013).
Hartline, L. Dryden, D. Guthrie, A., Muise, M. Vandermeer, B., and Donovan, L. (2013). Benefits and harms of treating gestational diabetes mellitus. Annals of Internal Medicine.
Moyer VA (2014). U.S. Preventive Services Task Force. Screening for gestational diabetes mellitus: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. ;160(6):414–420.
Black MH, Sacks DA, Xiang AH, Lawrence JM. (2013). The relative contribution of prepregnancy overweight and obesity, gestational weight gain, and IADPSG-defined gestational diabetes mellitus to fetal overgrowth. Diabetes Care.36(1):56–62