Gestational diabetes mellitus: Challenges for different ethnic groups

doi:10.4239/wjd.v6.i8.1024

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World Journal of Diabetes

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1948-9358

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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.

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.