Early onset gestational diabetes mellitus: A case report and importance of early screening.
case_report · Level V
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- Record sourced from PubMed, PMID 31198754.
- Also identified by DOI 10.4103/jfmpc.jfmpc_290_19 and PMC identifier 6559089.
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Abstract
Gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance with onset or first recognition during pregnancy. Screening for GDM is usually done at 24-28 weeks of gestation. In this case, we report a 31-year-old woman who developed gestational diabetes at 6 weeks in two successive pregnancies. She was in the perceived high-risk group to develop gestational diabetes. The first pregnancy terminated in spontaneous abortion at 10 weeks. In the second pregnancy, institution of insulin therapy at diagnosis was associated with a successful outcome. This case highlights the need of screening for gestational diabetes at the first antenatal visit in the high-risk group.