KEY RISK FACTORS AND DIAGNOSTIC CRITERIA FOR GESTATIONAL DIABETES

Abstract

This article presents the risk factors for the development of gestational diabetes mellitus and the problems of diagnosing this disease. The risk factors for well-known problems of our time are considered: obesity, hypertension and insulin-dependent diabetes. Attention is drawn to an increase in the frequency of rarer causes: iatrogenic gestational diabetes mellitus caused by the use of counterinsular glucocorticosteroids, diabetes after in vitro fertilization (IVF). The controversial issues of the diagnosis of gestational diabetes mellitus are highlighted, the results of the study "Hyperglycemia and adverse pregnancy outcomes" (NARO), which caused the revision of diagnostic criteria for gestational diabetes mellitus, are discussed, and the effectiveness of existing Russian recommendations is analyzed.