Gestational diabetes mellitus (GDM) is one of the most common medical problems found in pregnancy. Categorizing a woman as having GDM with a glucose tolerance test (GTT) identifies the top 5–10% of a continuum of risk for certain adverse pregnancy outcomes. Women with GDM are themselves very likely to ultimately develop type 2 diabetes. In addition, the offspring of women with GDM have a greater risk of childhood obesity, glucose intolerance, and diabetes in early adulthood. The advantages of treatment on adverse pregnancy outcomes have been clearly identified, but more research is needed to determine whether offspring outcomes can also be altered by interventions during pregnancy.
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