Introduction

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Gestational diabetes mellitus (GDM) is defined as 'glucose intolerance with onset or first recognition during pregnancy' [1] and it is ordinarily detected in the last half of gestation in parallel with increasing severity of insulin resistance. In contrast to those whose glucose metabolism remains normal, the (3 cells of women who develop GDM fail to fully compensate with adequate insulin secretion. In the midst of the global increases in obesity, metabolic conditions and type-2 diabetes, it is expected that GDM would also be seen more frequently. However, universal screening for GDM is not routinely practiced in many parts of the world, and diagnostic tests and criteria are not

Table 1. Increasing

incidence of

gestational

diabetes in

northern

California

(1991-2000)

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