Early markers of gestational diabetes mellitus: what we know and which way forward?
| Autor: | Vedrana Ivić, Andrijana Muller, Lada Zibar, Jasenka Wagner, Jelena Omazić, Barbara Viljetić, Mirta Kadivnik |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Blood Glucose
medicine.medical_specialty endocrine system diseases diagnosis medicine.medical_treatment Clinical Biochemistry Review Disease gestational diabetes pregnancy biomarkers Insulin resistance Pregnancy Diabetes mellitus Humans Insulin Medicine Oral glucose tolerance C-Peptide business.industry Obstetrics Biochemistry (medical) nutritional and metabolic diseases medicine.disease female genital diseases and pregnancy complications Gestational diabetes Diabetes Gestational Homeostatic model assessment Female Insulin Resistance business Biomarkers |
| Zdroj: | Biochemia Medica Volume 31 Issue 3 |
| ISSN: | 1330-0962 1846-7482 |
| Popis: | Women’s metabolism during pregnancy undergoes numerous changes that can lead to gestational diabetes mellitus (GDM). The cause and pathogenesis of GDM, a heterogeneous disease, are not completely clear, but GDM is increasing in prevalence and is associated with the modern lifestyle. Most diagnoses of GDM are made via the guidelines from the International Association of Diabetes and Pregnancy Study Groups (IADSPG), which involve an oral glucose tolerance test (OGTT) between 24 and 28 weeks of pregnancy. Diagnosis in this stage of pregnancy can lead to short- and long-term implications for the mother and child. Therefore, there is an urgent need for earlier GDM markers in order to enable prevention and earlier treatment. Routine GDM biomarkers (plasma glucose, insulin, C-peptide, homeostatic model assessment of insulin resistance, and sex hormone-binding globulin) can differentiate between healthy pregnant women and those with GDM but are not suitable for early GDM diagnosis. In this article, we present an overview of the potential early biomarkers for GDM that have been investigated recently. We also present our view of future developments in the laboratory diagnosis of GDM. |
| Databáze: | OpenAIRE |
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