Skip to main content
Log in

Gestational Diabetes Mellitus: Its Epidemiology and Implication beyond Pregnancy

  • Reproductive and Perinatal Epidemiology (EF Schisterman and E Yeung, Section Editors)
  • Published:
Current Epidemiology Reports Aims and scope Submit manuscript

Abstract

Gestational diabetes mellitus (GDM), defined as glucose intolerance with onset or first recognition during pregnancy, is the most common pregnancy complication worldwide. Recent data have shown a substantial rise in the prevalence of GDM among women of various ethnic/racial backgrounds and in different geographic regions. The purpose of the current review is to summarize recent studies about GDM diagnosis, prevalence, and long-term impact on women’s later life and their offspring’s health, and to provide an updated review to guide future research. Currently, available evidence indicates that GDM presents a significant risk factor for development of type II diabetes (T2D) and cardiovascular disease in women. Children whose mothers had diabetes during pregnancy are at increased risk of having obesity and T2D at a young age. Future research will be needed to address how to determine whether better glucose control during pregnancy would prevent long-term consequences for both women and their children.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Metzger BE, Buchanan TA, Coustan DR, et al. Summary and recommendations of the Fifth International Workshop-Conference on Gestational Diabetes Mellitus. Diabetes Care. 2007;30 Suppl 2:S251–60.

    Article  CAS  PubMed  Google Scholar 

  2. Ben-Haroush A, Yogev Y, Hod M. Epidemiology of gestational diabetes mellitus and its association with type 2 diabetes. Diabet Med. 2004;21:103–13.

    Article  CAS  PubMed  Google Scholar 

  3. Zhang C, Ning Y. Effect of dietary and lifestyle factors on the risk of gestational diabetes: review of epidemiologic evidence. Am J Clin Nutr. 2011;94:1975S–9S.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Ferrara A, Kahn HS, Quesenberry CP, Riley C, Hedderson MM. An increase in the incidence of gestational diabetes mellitus: Northern California, 1991–2000. Obstet Gynecol. 2004;103:526–33.

    Article  PubMed  Google Scholar 

  5. Dabelea D, Snell-Bergeon JK, Hartsfield CL, Bischoff K, Hamman R, McDuffie R. Increasing prevalence of gestational diabetes mellitus (GDM) over time and by birth cohort: Kaiser Permanente of Colorado GDM Screening Program. Diabetes Care. 2005;28:579–84.

    Article  PubMed  Google Scholar 

  6. Zhang F, Dong L, Zhang CP, et al. Increasing prevalence of gestational diabetes mellitus in Chinese women from 1999 to 2008. Diabet Med. 2011;28:652–7.

    Article  CAS  PubMed  Google Scholar 

  7. Wang Y, Chen L, Xiao K, et al. Increasing incidence of gestational diabetes mellitus in Louisiana, 1997–2009. J Womens Health (Larchmt). 2012;21:319–25.

    Article  CAS  Google Scholar 

  8. Leng J, Shao P, Zhang C, et al. Prevalence of gestational diabetes mellitus and its risk factors in Chinese pregnant women: a prospective population-based study in Tianjin. China PLoS One. 2015;10, e0121029.

    Article  PubMed  CAS  Google Scholar 

  9. Classification and diagnosis of diabetes mellitus and other categories of glucose intolerance. National Diabetes Data Group. Diabetes 1979;28:1039–57.

  10. Carpenter MW, Coustan DR. Criteria for screening tests for gestational diabetes. Am J Obstet Gynecol. 1982;144:768–73.

    CAS  PubMed  Google Scholar 

  11. WHO. Report of a WHO study group. WHO Technical Report Series 1985;727:106.

  12. WHO. Definition, Diagnosis and Classification of Diabetes Mellitus and its Complications. Report of a WHO Consultation. Geneva: World Health Organization; 1999.

  13. Lind T, Phillips PR. Influence of pregnancy on the 75-g OGTT. A prospective multicenter study. The Diabetic Pregnancy Study Group of the European Association for the Study of Diabetes. Diabetes. 1991;40 Suppl 2:8–13.

    Article  PubMed  Google Scholar 

  14. American Diabetes A. Gestational diabetes mellitus. Diabetes Care 2004;27 Suppl 1:S88–90.

  15. American Diabetes A. Standards of medical care in diabetes--2011. Diabetes Care 2011;34 Suppl 1:S11–61.

  16. American Diabetes A. Standards of medical care in diabetes--2014. Diabetes Care 2014;37 Suppl 1:S14–80. This paper is the most recent statement from ADA and inlcudes the current ADA recommendation for the diagnosis of GDM.

  17. International Association of D, Pregnancy Study Groups Consensus P, Metzger BE, et al. International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy. Diabetes Care 2010;33:676–82. This paper is one of the most important international pannel discussion on recommendation for the diagnosis of GDM.

  18. Vandorsten JP, Dodson WC, Espeland MA, et al. NIH consensus development conference: diagnosing gestational diabetes mellitus. NIH Consens State Sci Statements. 2013;29:1–31.

    PubMed  Google Scholar 

  19. Agarwal M, Dhatt G, Punnose J, Koster G. Gestational diabetes: dilemma caused by multiple international diagnostic criteria. Diabet Med. 2005;22:1731–6.

    Article  CAS  PubMed  Google Scholar 

  20. Murgia C, Berria R, Minerba L, et al. Gestational diabetes mellitus in Sardinia. Diabetes Care. 2006;29:1713.

    Article  PubMed  Google Scholar 

  21. Thorpe L, Berger D, Ellis J, et al. Trends and racial/ethnic disparities in gestational diabetes among pregnant women in New York City, 1990–2001. Am J Public Health. 2005;95:1536.

    Article  PubMed  PubMed Central  Google Scholar 

  22. DeSisto CL, Kim SY, Sharma AJ. Prevalence estimates of gestational diabetes mellitus in the United States, Pregnancy Risk Assessment Monitoring System (PRAMS), 2007-2010. Prev Chronic Dis. 2014;11:E104. This is the most recent national data on GDM prevalence use PRAMS across 4 years period.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Bardenheier BH, Imperatore G, Gilboa SM, et al. Trends in Gestational Diabetes Among Hospital Deliveries in 19 U.S. States, 2000-2010. Am J Prev Med. 2015;49:12–9.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Chu S, Abe K, Hall L, Kim S, Njoroge T, Qin C. Gestational diabetes mellitus: All Asians are not alike. Prev Med. 2009;49:265–8.

    Article  PubMed  Google Scholar 

  25. Murphy N, Bulkow L, Schraer C, Lanier A. Prevalence of diabetes mellitus in pregnancy among Yup'ik Eskimos, 1987-1988. Diabetes Care. 1993;16:315.

    Article  CAS  PubMed  Google Scholar 

  26. Group HSCR, Metzger BE, Lowe LP, et al. Hyperglycemia and adverse pregnancy outcomes. N Engl J Med. 2008;358:1991–2002.

    Article  Google Scholar 

  27. Bellamy L, Casas JP, Hingorani AD, Williams D. Type 2 diabetes mellitus after gestational diabetes: a systematic review and meta-analysis. Lancet. 2009;373:1773–9. This is a high quality systematic review and meta-analysis on the risk of development of type 2 diabetes in women with GDM as compared to women without GDM.

    Article  CAS  PubMed  Google Scholar 

  28. Kim C, Newton KM, Knopp RH. Gestational diabetes and the incidence of type 2 diabetes: a systematic review. Diabetes Care. 2002;25:1862–8.

    Article  PubMed  Google Scholar 

  29. Feig DS, Zinman B, Wang X, Hux JE. Risk of development of diabetes mellitus after diagnosis of gestational diabetes. CMAJ. 2008;179:229–34.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Lee AJ, Hiscock RJ, Wein P, Walker SP, Permezel M. Gestational diabetes mellitus: clinical predictors and long-term risk of developing type 2 diabetes: a retrospective cohort study using survival analysis. Diabetes Care. 2007;30:878–83.

    Article  CAS  PubMed  Google Scholar 

  31. Meyers-Seifer CH, Vohr BR. Lipid levels in former gestational diabetic mothers. Diabetes Care. 1996;19:1351–6.

    Article  CAS  PubMed  Google Scholar 

  32. Osei K, Gaillard TR, Schuster DP. History of gestational diabetes leads to distinct metabolic alterations in nondiabetic African-American women with a parental history of type 2 diabetes. Diabetes Care. 1998;21:1250–7.

    Article  CAS  PubMed  Google Scholar 

  33. Ko GT, Chan JC, Tsang LW, Li CY, Cockram CS. Glucose intolerance and other cardiovascular risk factors in Chinese women with a history of gestational diabetes mellitus. Aust N Z J Obstet Gynaecol. 1999;39:478–83.

    Article  CAS  PubMed  Google Scholar 

  34. Hannemann MM, Liddell WG, Shore AC, Clark PM, Tooke JE. Vascular function in women with previous gestational diabetes mellitus. J Vasc Res. 2002;39:311–9.

    Article  PubMed  Google Scholar 

  35. Verma A, Boney CM, Tucker R, Vohr BR. Insulin resistance syndrome in women with prior history of gestational diabetes mellitus. J Clin Endocrinol Metab. 2002;87:3227–35.

    Article  CAS  PubMed  Google Scholar 

  36. Di Benedetto A, Russo GT, Corrado F, et al. Inflammatory markers in women with a recent history of gestational diabetes mellitus. J Endocrinol Invest. 2005;28:34–8.

    Article  PubMed  Google Scholar 

  37. Heitritter SM, Solomon CG, Mitchell GF, Skali-Ounis N, Seely EW. Subclinical inflammation and vascular dysfunction in women with previous gestational diabetes mellitus. J Clin Endocrinol Metab. 2005;90:3983–8.

    Article  CAS  PubMed  Google Scholar 

  38. Di Cianni G, Lencioni C, Volpe L, et al. C-reactive protein and metabolic syndrome in women with previous gestational diabetes. Diabetes Metab Res Rev. 2007;23:135–40.

    Article  PubMed  CAS  Google Scholar 

  39. Tobias DK, Hu FB, Forman JP, Chavarro J, Zhang C. Increased risk of hypertension after gestational diabetes mellitus: findings from a large prospective cohort study. Diabetes Care. 2011;34:1582–4.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Kautzky-Willer A, Fasching P, Jilma B, Waldhausl W, Wagner OF. Persistent elevation and metabolic dependence of circulating E-selectin after delivery in women with gestational diabetes mellitus. J Clin Endocrinol Metab. 1997;82:4117–21.

    Article  CAS  PubMed  Google Scholar 

  41. Lawrence NJ, Kousta E, Penny A, et al. Elevation of soluble E-selectin levels following gestational diabetes is restricted to women with persistent abnormalities of glucose regulation. Clin Endocrinol (Oxf). 2002;56:335–40.

    Article  CAS  Google Scholar 

  42. Bo S, Valpreda S, Menato G, et al. Should we consider gestational diabetes a vascular risk factor? Atherosclerosis. 2007;194:e72–9.

    Article  CAS  PubMed  Google Scholar 

  43. Ferraz TB, Motta RS, Ferraz CL, Capibaribe DM, Forti AC, Chacra AR. C-reactive protein and features of metabolic syndrome in Brazilian women with previous gestational diabetes. Diabetes Res Clin Pract. 2007;78:23–9.

    Article  CAS  PubMed  Google Scholar 

  44. Carr DB, Utzschneider KM, Hull RL, et al. Gestational diabetes mellitus increases the risk of cardiovascular disease in women with a family history of type 2 diabetes. Diabetes Care. 2006;29:2078–83.

    Article  PubMed  Google Scholar 

  45. Shah BR, Retnakaran R, Booth GL. Increased risk of cardiovascular disease in young women following gestational diabetes mellitus. Diabetes Care. 2008;31:1668–9.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Gunderson EP, Chiang V, Pletcher MJ, et al. History of gestational diabetes mellitus and future risk of atherosclerosis in mid-life: the Coronary Artery Risk Development in Young Adults study. J Am Heart Assoc. 2014;3:e000490.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Dabelea D. The predisposition to obesity and diabetes in offspring of diabetic mothers. Diabetes Care. 2007;30 Suppl 2:S169–74.

    Article  PubMed  Google Scholar 

  48. Silverman BL, Rizzo T, Green OC, et al. Long-term prospective evaluation of offspring of diabetic mothers. Diabetes. 1991;40 Suppl 2:121–5.

    Article  PubMed  Google Scholar 

  49. Bunt JC, Tataranni PA, Salbe AD. Intrauterine exposure to diabetes is a determinant of hemoglobin A(1)c and systolic blood pressure in pima Indian children. J Clin Endocrinol Metab. 2005;90:3225–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  50. Tam WH, Ma RC, Yang X, et al. Glucose intolerance and cardiometabolic risk in children exposed to maternal gestational diabetes mellitus in utero. Pediatrics. 2008;122:1229–34.

    Article  PubMed  Google Scholar 

  51. Wright CS, Rifas-Shiman SL, Rich-Edwards JW, Taveras EM, Gillman MW, Oken E. Intrauterine exposure to gestational diabetes, child adiposity, and blood pressure. Am J Hypertens. 2009;22:215–20.

    Article  PubMed  PubMed Central  Google Scholar 

  52. Xiang AH, Wang X, Martinez MP, et al. Association of maternal diabetes with autism in offspring. JAMA. 2015;313:1425–34.

    Article  CAS  PubMed  Google Scholar 

  53. Pettitt DJ, Baird HR, Aleck KA, Bennett PH, Knowler WC. Excessive obesity in offspring of Pima Indian women with diabetes during pregnancy. N Engl J Med. 1983;308:242–5.

    Article  CAS  PubMed  Google Scholar 

  54. Pettitt DJ, Nelson RG, Saad MF, Bennett PH, Knowler WC. Diabetes and obesity in the offspring of Pima Indian women with diabetes during pregnancy. Diabetes Care. 1993;16:310–4.

    Article  CAS  PubMed  Google Scholar 

  55. Pettitt DJ, Knowler WC. Long-term effects of the intrauterine environment, birth weight, and breast-feeding in Pima Indians. Diabetes Care. 1998;21 Suppl 2:B138–41.

    PubMed  Google Scholar 

  56. Philipps LH, Santhakumaran S, Gale C, et al. The diabetic pregnancy and offspring BMI in childhood: a systematic review and meta-analysis. Diabetologia. 2011;54:1957–66.

    Article  CAS  PubMed  Google Scholar 

  57. Catalano PM, Thomas A, Huston-Presley L, Amini SB. Increased fetal adiposity: a very sensitive marker of abnormal in utero development. Am J Obstet Gynecol. 2003;189:1698–704.

    Article  PubMed  Google Scholar 

  58. Silverman BL, Metzger BE, Cho NH, Loeb CA. Impaired glucose tolerance in adolescent offspring of diabetic mothers. Relationship to fetal hyperinsulinism. Diabetes Care. 1995;18:611–7.

    Article  CAS  PubMed  Google Scholar 

  59. Dabelea D, Hanson RL, Lindsay RS, et al. Intrauterine exposure to diabetes conveys risks for type 2 diabetes and obesity: a study of discordant sibships. Diabetes. 2000;49:2208–11.

    Article  CAS  PubMed  Google Scholar 

  60. Gautier JF, Wilson C, Weyer C, et al. Low acute insulin secretory responses in adult offspring of people with early onset type 2 diabetes. Diabetes. 2001;50:1828–33.

    Article  CAS  PubMed  Google Scholar 

  61. Plagemann A, Harder T, Kohlhoff R, Rohde W, Dorner G. Glucose tolerance and insulin secretion in children of mothers with pregestational IDDM or gestational diabetes. Diabetologia. 1997;40:1094–100.

    Article  CAS  PubMed  Google Scholar 

  62. Plagemann A, Harder T, Kohlhoff R, Rohde W, Dorner G. Overweight and obesity in infants of mothers with long-term insulin-dependent diabetes or gestational diabetes. Int J Obes Relat Metab Disord. 1997;21:451–6.

    Article  CAS  PubMed  Google Scholar 

  63. Lawlor DA, Lichtenstein P, Langstrom N. Association of maternal diabetes mellitus in pregnancy with offspring adiposity into early adulthood: sibling study in a prospective cohort of 280,866 men from 248,293 families. Circulation. 2011;123:258–65. This study is one of the few studies which applied the family design and sibiling comparision in the analyses. It provides the important edidence for the understadning the relative contribution of intraunterine environment vs. family environment and genetic factors on the risk of offspring obesity and diabetes.

    Article  PubMed  PubMed Central  Google Scholar 

  64. Pirkola J, Pouta A, Bloigu A, et al. Risks of overweight and abdominal obesity at age 16 years associated with prenatal exposures to maternal prepregnancy overweight and gestational diabetes mellitus. Diabetes Care. 2010;33:1115–21.

    Article  PubMed  PubMed Central  Google Scholar 

  65. Lawlor DA, Fraser A, Lindsay RS, et al. Association of existing diabetes, gestational diabetes and glycosuria in pregnancy with macrosomia and offspring body mass index, waist and fat mass in later childhood: findings from a prospective pregnancy cohort. Diabetologia. 2010;53:89–97.

    Article  CAS  PubMed  Google Scholar 

  66. Kim SY, England JL, Sharma JA, Njoroge T. Gestational diabetes mellitus and risk of childhood overweight and obesity in offspring: a systematic review. Exp Diabetes Res. 2011;2011:541308.

    Article  PubMed  PubMed Central  Google Scholar 

  67. Hillier TA, Pedula KL, Schmidt MM, Mullen JA, Charles MA, Pettitt DJ. Childhood obesity and metabolic imprinting: the ongoing effects of maternal hyperglycemia. Diabetes Care. 2007;30:2287–92.

    Article  PubMed  Google Scholar 

  68. Dabelea D, Mayer-Davis EJ, Lamichhane AP, et al. Association of intrauterine exposure to maternal diabetes and obesity with type 2 diabetes in youth: the SEARCH Case-Control Study. Diabetes Care. 2008;31:1422–6.

    Article  PubMed  PubMed Central  Google Scholar 

  69. Parker M, Rifas-Shiman SL, Belfort MB, et al. Gestational glucose tolerance and cord blood leptin levels predict slower weight gain in early infancy. J Pediatr. 2011;158:227–33.

    Article  PubMed  PubMed Central  Google Scholar 

  70. Crume TL, Ogden L, Daniels S, Hamman RF, Norris JM, Dabelea D. The impact of in utero exposure to diabetes on childhood body mass index growth trajectories: the EPOCH study. J Pediatr. 2011;158:941–6.

    Article  PubMed  PubMed Central  Google Scholar 

  71. Seyoum B, Kiros K, Haileselase T, Leole A. Prevalence of gestational diabetes mellitus in rural pregnant mothers in northern Ethiopia. Diabetes Res Clin Pract. 1999;46:247–51.

    Article  CAS  PubMed  Google Scholar 

  72. Schmidt M, Matos M, Reichelt A, Forti A, de Lima L, Duncan B. Prevalence of gestational diabetes mellitusñdo the new WHO criteria make a difference? Diabet Med. 2000;17:376–80.

    Article  CAS  PubMed  Google Scholar 

  73. Aljohani N, Rempel B, Ludwig S, et al. Gestational diabetes in Manitoba during a twenty-year period. Clin Invest Med. 2008;31, E131.

    CAS  PubMed  Google Scholar 

  74. Menacker F, Martin J. Expanded health data from the new birth certificate, 2005. National vital statistics reports: from the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System 2008;56:1.

  75. Jensen D, Molsted-Pedersen L, Beck-Nielsen H, Westergaard J, Ovesen P, Damm P. Screening for gestational diabetes mellitus by a model based on risk indicators: a prospective study. Am J Obstet Gynecol. 2003;189:1383–8.

    Article  PubMed  Google Scholar 

  76. Pöyhönen-Alho M, Teramo K, Kaaja R, Hiilesmaa V. 50 gram oral glucose challenge test combined with risk factor-based screening for gestational diabetes. Eur J Obstet Gynecol Reprod Biol. 2005;121:34–7.

    Article  PubMed  CAS  Google Scholar 

  77. Griffin M, Coffey M, Johnson H, et al. Universal vs. risk factor-based screening for gestational diabetes mellitus: detection rates, gestation at diagnosis and outcome. Diabet Med. 2000;17:26–32.

    Article  CAS  PubMed  Google Scholar 

  78. Di Cianni G, Volpe L, Lencioni C, et al. Prevalence and risk factors for gestational diabetes assessed by universal screening. Diabetes Res Clin Prac. 2003;62:131–7.

    Article  Google Scholar 

  79. Weijers R, Bekedam D, Oosting H. The prevalence of type 2 diabetes and gestational diabetes mellitus in an inner city multi-ethnic population. Eur J Epidemiol. 1998;14:693–9.

    Article  CAS  PubMed  Google Scholar 

  80. Aberg A, Jˆnsson E, Eskilsson I, Landin-Olsson M, Frid A. Predictive factors of developing diabetes mellitus in women with gestational diabetes. Acta Obstet Gynecol Scand. 2002;81:11–6.

    Article  PubMed  Google Scholar 

  81. ÖStlund I, Hanson U. Repeated random blood glucose measurements as universal screening test for gestational diabetes mellitus. Acta Obstet Gynecol Scand. 2004;83:46–51.

    Article  PubMed  Google Scholar 

  82. Noussitou P, Monbaron D, Vial Y, Gaillard R, Ruiz J. Gestational diabetes mellitus and the risk of metabolic syndrome: a population-based study in Lausanne, Switzerland. Diabetes Metab. 2005;31:361–9.

    Article  CAS  PubMed  Google Scholar 

  83. Tanir H, Sener T, Gurer Kaya M H, Kaya M. A ten-year gestational diabetes mellitus cohort at a university clinic of the mid-Anatolian region of Turkey. Clin Exp Obstet Gynecol. 2005;32:241–4.

    CAS  PubMed  Google Scholar 

  84. Erem C, Cihanyurdu N, Deger O, Karahan C, Can G, Telatar M. Screening for gestational diabetes mellitus in northeastern Turkey (Trabzon City). Eur J Epidemiol. 2003;18:39–43.

    Article  PubMed  Google Scholar 

  85. Dornhorst A, Paterson C, Nicholls J, et al. High prevalence of gestational diabetes in women from ethnic minority groups. Diabet Med. 1992;9:820–5.

    Article  CAS  PubMed  Google Scholar 

  86. Al Mahroos S, Nagalla D, Yousif W, Sanad H. A population-based screening for gestational diabetes mellitus in non-diabetic women in Bahrain. Ann Saudi Med. 2005;25:129.

    PubMed  Google Scholar 

  87. Hossein-Nezhad A, Maghbooli Z, Vassigh A, Larijani B. Prevalence of gestational diabetes mellitus and pregnancy outcomes in Iranian women. Taiwan J Obstet Gynecol. 2007;46:236–41.

    Article  PubMed  Google Scholar 

  88. Al-Shawaf T, Ariel A, MOGIIRABY S. Gestational diabetes and impaired glucose tolerance of pregnancy in Riyadh. BJOG Int J Obstet Gynaecol. 1988;95:84–90.

    Article  CAS  Google Scholar 

  89. Lee C, Wang Z, Duthie S, et al. A multicentre study to investigate the prevalence of abnormal carbohydrate metabolism in Chinese pregnant women. Asia Oceania J Obstet Gynaecol. 1996;22:401–7.

    CAS  Google Scholar 

  90. Ko G, Tam W, Chan J, Rogers M. Prevalence of gestational diabetes mellitus in Hong Kong based on the 1998 WHO criteria. Diabet Med. 2002;19:80.

    Article  CAS  PubMed  Google Scholar 

  91. Zargar A, Sheikh M, Bashir M, et al. Prevalence of gestational diabetes mellitus in Kashmiri women from the Indian subcontinent. Diabetes Res Clin Prac. 2004;66:139–45.

    Article  Google Scholar 

  92. Maegawa Y, Sugiyama T, Kusaka H, Mitao M, Toyoda N. Screening tests for gestational diabetes in Japan in the 1st and 2nd trimester of pregnancy. Diabetes Res Clin Pract. 2003;62:47–54.

    Article  PubMed  Google Scholar 

  93. Peng Chiong T, Liza Ping L, Siti Zawiah O. Screening for gestational diabetes at antenatal booking in a Malaysian university hospital: The role of risk factors and threshold value for the 50-g glucose challenge test. Aust N Z J Obstet Gynaecol. 2007;47:191–7.

    Article  Google Scholar 

  94. Chandna A, Zuberi L, Munim S. Threshold values for the glucose challenge test in pregnancy. Int J Gynaecol Obstet. 2006;94:119–20.

    Article  CAS  PubMed  Google Scholar 

  95. Siribaddana S, Deshabandu R, Rajapakse D, Silva K, Fernando D. The prevalence of gestational diabetes in a Sri Lankan antenatal clinic. Ceylon Med J. 1998;43:88.

    CAS  PubMed  Google Scholar 

  96. Boriboonhirunsarn D. Sunsaneevithayakul P, Nuchangrid M. Incidence of gestational diabetes mellitus diagnosed before 20 weeks of gestation. J Med Assoc Thai Chotmaihet Thangphaet. 2004;87:1017.

    PubMed  Google Scholar 

  97. Yue D, Molyneaux L, Ross G, Constantino M, Child A, Turtle J. Why does ethnicity affect prevalence of gestational diabetes? The underwater volcano theory. Diabet Med. 1996;13:748–52.

    Article  CAS  PubMed  Google Scholar 

  98. Stone C, McLachlan K, Halliday J, Wein P, Tippett C. Gestational diabetes in Victoria in 1996: incidence, risk factors and outcomes. Diabetes Care. 1998;21:B33–42.

    Google Scholar 

  99. Yapa M, Simmons D. Screening for gestational diabetes mellitus in a multiethnic population in New Zealand. Diabetes Res Clin Prac. 2000;48:217–23.

    Article  CAS  Google Scholar 

  100. Green J, Pawson I, Schumacher L, Perry J, Kretchmer N. Glucose tolerance in pregnancy: ethnic variation and influence of body habitus. Am J Obstet Gynecol. 1990;163:86.

    Article  CAS  PubMed  Google Scholar 

  101. Berkowitz G, Lapinski R, Wein R, Lee D. Race/ethnicity and other risk factors for gestational diabetes. Am J Epidemiol. 1992;135:965.

    CAS  PubMed  Google Scholar 

  102. Shen J, Tymkow C, MacMullen N. Disparities in maternal outcomes among four ethnic populations. Ethn Dis. 2005;15:492–7.

    PubMed  Google Scholar 

  103. Williams E, Kimpo L. A population-based cohort study of the relation between maternal birthweight and risk of gestational diabetes mellitus in four racial/ethnic groups. Paediatr Perinat Epidemiol. 1999;13:452–65.

    Article  CAS  PubMed  Google Scholar 

  104. Kieffer E, Carman W, Gillespie B, Nolan G, Worley S, Guzman J. Obesity and gestational diabetes among African-American women and Latinas in Detroit: implications for disparities in women's health. J Am Med Womens Assoc. 2001;56:181–7.

    CAS  PubMed  Google Scholar 

  105. Rosenberg T, Garbers S, Lipkind H, Chiasson M. Maternal obesity and diabetes as risk factors for adverse pregnancy outcomes: differences among 4 racial/ethnic groups. Am J Public Health. 2005;95:1545.

    Article  PubMed  PubMed Central  Google Scholar 

  106. Esakoff T, Cheng Y, Caughey A. Screening for gestational diabetes: Different cut-offs for different ethnicities? Am J Obstet Gynecol. 2005;193:1040–4.

    Article  PubMed  Google Scholar 

  107. Savitz D, Janevic T, Engel S, Kaufman J, Herring A. Ethnicity and gestational diabetes in New York City, 1995-2003. BJOG Int J Obstet Gynaecol. 2008;115:969–78.

    Article  CAS  Google Scholar 

  108. Getahun D, Nath C, Ananth C, Chavez M, Smulian J. Gestational diabetes in the United States: temporal trends 1989 through 2004. Am J Obstet Gynecol. 2008;198:525.

    Article  PubMed  Google Scholar 

  109. Lawrence J, Contreras R, Chen W, Sacks D. Trends in the prevalence of pre-existing diabetes and gestational diabetes mellitus among a racially/ethnically diverse population of pregnant women, 1999–2005. Diabetes Care 2008.

  110. Baraban E, McCoy L, Simon P. Increasing prevalence of gestational diabetes and pregnancy-related hypertension in Los Angeles County, California, 1991ñ2003. Prev Chronic Dis. 2008;5:A77.

    PubMed  PubMed Central  Google Scholar 

  111. Jung B. Gestational Diabetes Mellitus Surveillance in Connecticut Issue Brief Connecticut Department of Health. 2008.

    Google Scholar 

  112. Cho P. Prevalence of Diabetes During Pregnancy in Georgia. Georgia Epidemiol Report. 2008;24.

  113. Pedula K, Hillier T, Schmidt M, Mullen J, Charles M, Pettitt D. Ethnic differences in gestational oral glucose screening in a large US population. Ethn Dis. 2009;19:414.

    PubMed  Google Scholar 

  114. Dooley S, Metzger B, Cho N. Gestational diabetes mellitus. Influence of race on disease prevalence and perinatal outcome in a US population. Diabetes. 1991;40:25–9.

    Article  PubMed  Google Scholar 

  115. Indiana Facts at a Glance. Indiana State Department of Health 2009.

  116. Hall T. Diabetes: The Burden in Montana. Montana Diabetes Project 2008.

  117. Rettig B. The Burden of Diabetes in Nebraska. Neb Diabetes Prev Control Program. 2003.

  118. Page M. The Burden of Diabetes in the Sooner State. Oklahoma State Dep Health. 2003.

  119. Lockwood C. Oregon Progress Report on Diabetes. Oregon Diabetes Coalition. 2008.

  120. The Burden of Diabetes in Pennsylvania. Pennsylvania Department of Health 2007.

  121. Ramadhani T, Canfield M, Waller D, Case A. Medical records vs. interview responses: A comparative analysis of selected variables for linked birth defect cases. Birth Defects Res A Clin Mol Teratol. 2004;70:592–6.

    Article  CAS  PubMed  Google Scholar 

  122. Barnard P. Bloebaum L. Utah Department of Health: An Overview of Gestational Diabetes in Utah; 2003.

    Google Scholar 

  123. Wise B. Taylor H. West Virgina Diabetes Control Program: The Burden of Diabetes in West Virginia; 2002.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Liwei Chen.

Ethics declarations

Conflict of Interest

Liwei Chen, Rachel Mayo, and Adaire Chatry declare that they have no conflict of interest.

Gang Hu declares grant support from the National Institute of Diabetes and Digestive and Kidney Diseases.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Funding/Support

Dr. Chen is supported by grant from the National Institute of Child Health and Human Development under Award Number R01HD082311. Dr. Hu is supported by grant from the National Institute of Diabetes and Digestive and Kidney Diseases under Award Number R01DK100790.

Additional information

This article is part of the Topical Collection on Reproductive and Perinatal Epidemiology

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chen, L., Mayo, R., Chatry, A. et al. Gestational Diabetes Mellitus: Its Epidemiology and Implication beyond Pregnancy. Curr Epidemiol Rep 3, 1–11 (2016). https://doi.org/10.1007/s40471-016-0063-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40471-016-0063-y

Keywords

Navigation