Gestational diabetes (GD) is a condition characterised by glucose intolerance, with its onset during pregnancy. Around 5% of women who give birth in England and Wales each year have either pre-existing or gestational diabetes. Women diagnosed with GD are over seven times more likely to develop diabetes mellitus (T2DM) than women with a normoglycaemic pregnancy. T2DM increases the risk of cardiovascular, renal, and retinal disease, and is associated with a reduction in life expectancy of 10 years on average. Although GD is a significant factor for the subsequent development of T2DM, primary care management is suboptimal.
This article therefore explores the management of women diagnosed with GD
and discusses how primary care support for these women might be improved.