Yuen L, Wong VW. Gestational diabetes mellitus: Challenges for different ethnic groups. World J Diabetes 2015; 6(8): 1024-1032 [PMID: 26240699 DOI: 10.4239/wjd.v6.i8.1024]
Corresponding Author of This Article
Dr. Vincent W Wong, Liverpool Diabetes Collaborative Research Unit, Ingham Institute of Applied Science, 1 Campbell Street, Liverpool NSW 2170, Australia. vincent.wong@sswahs.nsw.gov.au
Research Domain of This Article
Endocrinology & Metabolism
Article-Type of This Article
Review
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Diabetes. Jul 25, 2015; 6(8): 1024-1032 Published online Jul 25, 2015. doi: 10.4239/wjd.v6.i8.1024
Gestational diabetes mellitus: Challenges for different ethnic groups
Lili Yuen, Vincent W Wong
Lili Yuen, Diabetes and Endocrine Service, Liverpool Hospital, Liverpool NSW 1871, Australia
Lili Yuen, Vincent W Wong, Liverpool Diabetes Collaborative Research Unit, Ingham Institute of Applied Science, Liverpool NSW 2170, Australia
Vincent W Wong, South Western Sydney Clinical School, University of New South Wales, Liverpool NSW 2170, Australia
Author contributions: Both authors contributed to this manuscript.
Conflict-of-interest statement: The authors declare no potential conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Vincent W Wong, Liverpool Diabetes Collaborative Research Unit, Ingham Institute of Applied Science, 1 Campbell Street, Liverpool NSW 2170, Australia. vincent.wong@sswahs.nsw.gov.au
Telephone: +61-2-87384577 Fax: +61-2-87384539
Received: August 22, 2014 Peer-review started: August 23, 2014 First decision: February 7, 2015 Revised: April 22, 2015 Accepted: May 5, 2015 Article in press: May 6, 2015 Published online: July 25, 2015 Processing time: 346 Days and 12.1 Hours
Core Tip
Core tip: The prevalence of gestational diabetes mellitus (GDM) is increasing world-wide, and studies have shown that optimal management of GDM improves pregnancy outcomes. This review summarises the differences in prevalence, clinical profile, management and pregnancy outcomes among women from various ethnic backgrounds who have GDM. Ethnicity is an important consideration in women affected by GDM, particularly in an antenatal service based in a Western society. There are particular challenges in individualising and tailoring medical nutritional therapy and insulin therapy. Also women from certain ethnic groups are at a higher risk of increased foetal and maternal morbidity and mortality. Understanding these challenges is important in providing optimal antenatal care for women of diverse ethnic backgrounds.