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World J Diabetes. May 15, 2015; 6(4): 648-653
Published online May 15, 2015. doi: 10.4239/wjd.v6.i4.648
Attenuating type 2 diabetes with postpartum interventions following gestational diabetes mellitus
Sudharshani Wasalathanthri
Sudharshani Wasalathanthri, Department of Physiology, Faculty of Medicine, University of Colombo, Colombo 00800, Sri Lanka
Author contributions: Wasalathanthri S solely contributed to this paper.
Conflict-of-interest: None.
Correspondence to: Sudharshani Wasalathanthri, MBBS, PhD, Senior Lecturer, Department of Physiology, Faculty of Medicine, University of Colombo, Kynsey Road, Colombo 00800, Sri Lanka. sudharshaniw@gmail.com
Telephone: +94-727-285281
Received: August 28, 2014
Peer-review started: August 28, 2014
First decision: December 17, 2014
Revised: February 4, 2015
Accepted: February 10, 2015
Article in press: February 12, 2015
Published online: May 15, 2015
Processing time: 260 Days and 5.3 Hours
Core Tip

Core tip: This article reviews and highlights important areas concerning diabetic risk during and after the postpartum period in women with gestational diabetes mellitus. Optimizing the use of glycemic parameters and assessing beta-cell function, particularly in high-risk women, will facilitate early recognition of those on the path to pre-diabetes and diabetes. Lifestyle interventions designed to attenuate the progression should be carefully planned, taking into consideration the unique set of problems in these women. “Out of the box” thinking is necessary to design lifestyle intervention protocols that will have high acceptance by these women.