Gestational Diabetes Mellitus And Its Metabolic Consequences In The Postpartum Period. Strategies For Identifying The Risk Of Long-Term Type 2 Diabetes And Its Prevention
Azimova Sevara Baxodirovna , Tashkent State Medical University, Department of Normal and Pathological Physiology, Uzbekistan Khalilov Hikmatulla Dilshodovich , Tashkent State Medical University, Department of Normal and Pathological Physiology, Uzbekistan Abdunazarova Mukhlisa Ismatulla qizi , Tashkent State Medical University, 2nd-year Master’s student in Morphology, UzbekistanAbstract
Gestational diabetes mellitus (GDM) is a glucose intolerance of any degree that is first detected during pregnancy and is one of the most common perinatal diseases, affecting 1–25% of pregnant women worldwide. [1] GDM increases the risk not only of short-term complications for the mother and fetus but also of long-term metabolic consequences and is a significant risk factor for the development of type 2 diabetes (T2D). [2] Studies show that women with GDM have a 35–60% risk of developing T2D within 7 years postpartum, which is almost 10 times higher compared to the general population. [3] This review article provides a comprehensive analysis of GDM and its metabolic consequences in the postpartum period, as well as strategies for identifying and preventing the risk of T2D, based on scientific research conducted over the past decade (2015–2025). The article discusses the pathophysiological mechanisms of T2D development in women with GDM, genetic and environmental factors, and various screening methods and their effectiveness. [4] In addition, various preventive strategies, including lifestyle modification, pharmacological interventions, and new approaches, are thoroughly examined. [5] Systematic reviews indicate that lifestyle modification programs, including diet therapy and physical activity, can reduce the risk of developing T2D by 35–40%. [6] Pharmacological interventions, such as metformin, may reduce the risk by up to 50%. [7] The article emphasizes that a personalized approach to postpartum screening and treatment of women with GDM plays an important role in delaying or preventing the development of T2D. [8] In conclusion, it should be noted that GDM is not only a problem of the pregnancy period, but also a condition that poses a serious threat to long-term metabolic health. The implementation of effective screening, monitoring, and preventive programs offers an opportunity to reduce the prevalence of T2D. [9].
Keywords
Gestational diabetes mellitus, type 2 diabetes, postpartum period
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