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Gestational diabetes mellitus (GDM) affects approximately 6% of pregnancies in the United States, and it is increasing in prevalence. Pregnant women without known diabetes mellitus should be screened for GDM after 24 weeks of gestation. Treatment of GDM results in a statistically significant decrease in the incidence of preeclampsia, shoulder dystocia, and macrosomia. Initial management includes glucose monitoring and lifestyle modifications.
All pregnant women for example are at risk for gestational diabetes and will be tested for it during the second trimester but Dr. Swaim says some will need to be tested now, âWell there are certain women who we will test in the first trimester. The recommendations are to test all women between 24 and 28 weeks.