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CC BY-NC-ND 4.0 · Journal of Social Health and Diabetes 2021; 9(01): e1-e7
DOI: 10.1055/s-0041-1736086
Review Article

Advantages of Screening for Glucose Tolerance in the Sequential Weeks of Gestation

Veeraswamy Seshiah
1   Dr. V. Balaji Diabetes Care Center and Dr. V. Seshiah Research Institute, Chennai, Tamil Nadu, India
,
Vijayam Balaji
1   Dr. V. Balaji Diabetes Care Center and Dr. V. Seshiah Research Institute, Chennai, Tamil Nadu, India
,
Anjalakshi Chandrasekar
2   Madha Medical College, Kancheepuram, Tamil Nadu, India
,
Ashok Kumar Das
3   Pondicherry Institute of Medical Science, Pondicherry, India
,
Samar Banerjee
4   Vivekananda Institute of Medical Science, Kolkata, India
,
A. Paneerselvam
5   Aruna Diabetes Centre, Chennai, Tamil Nadu, India
,
Rajesh Jain
6   Jain Hospital, Kanpur, Uttar Pradesh, India
,
N. Bhavatharani
7   SRC Diabetes Centre, Erode, Tamil Nadu, India
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Abstract

Prelife exposure relates to development during the time preceding the first appearance of life, a time course from “conception to confinement.” From single cell zygote to finally formed fetus at confinement, a remarkable change occurs due to maternal fuels and hormonal influence on the fetal development. The crucial period in the fetal development is the first trimester. Early exposure to aberrant maternal metabolism in the embryonic developmental stage would result in congenital malformation and fetal wastage. Maintaining maternal glucose at the recommended level of fasting 80 to 90 mg and 2 hours postprandial plasma glucose 110 to 120 mg/dL during preconceptional period and throughout pregnancy is the assurance for the healthy offspring with ideal birth weight of 2.5 to 3.5 kg and prevention of noncommunicable diseases in the future.

Keywords

gestational diabetes mellitus - glucose tolerance - screening


Publication History

Article published online:
31 December 2021

© 2021. Novo Nordisk Education Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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