Show Summary Details
Page of

Gestational diabetes 

Gestational diabetes
Chapter:
Gestational diabetes
Author(s):

Murray Enkin

, Marc J. N. C. Keirse

, James Neilson

, Caroline Crowther

, Lelia Duley

, Ellen Hodnett

, and Justus Hofmeyr

DOI:
10.1093/med/9780192631732.003.0011
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 20 August 2019

“Chapter 11 discusses how gestational diabetes evolved from the earlier concept of prediabetes, which held that much of the pathology associated with overt diabetes develops before the appearance of insulin dependency. The glucose-tolerance test became the mainstay of this diagnosis, as it was believed to uncover a defect in glucose homeostasis that could only be demonstrated after a glucose challenge. It was not until 1973 that an attempt was made to link prediabetes (an abnormal glucosetolerance test in the absence of overt disease) to perinatal outcome. Although this link is remarkably tenuous, it gave rise to the concept of gestational diabetes as a disease entity, to be searched for and treated. Caregivers and women became anxious lest ‘gestational diabetes’ develop, and various forms of glucose-challenge screening were introduced and carried out to identify the condition. It also covers the risks of ‘gestational diabetes’, therapy in ‘gestational diabetes’, and the effects of glucose-tolerance testing.”

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.