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Gestational diabetes historical perspective

Introduction

Overview

Overview

Diabetes mellitus is an ancient term first found in the Egyptian Eberes papyrus around 1500 BC. Hyperglycemia in pregnancy was first described by Bennewitz, a German physician in 1824. In 1950, the term ‘GDM’ was accepted.

Historical Perspective

Historical Perspective

  • Diabetes mellitus was first described in the Egyptian Eberes papyrus around 1500 BC.[1]
  • Hyperglycemia in pregnancy was first described by Bennewitz, a German physician in 1824.[1]
  • Before the discovery of insulin in 1922, infertility was well recognized in women with diabetes.
  • In 1856, the presence of physiological glycosuria in pregnancy and lactation was first described.
  • Brocard in 1898, demonstrated for the first time that pregnant women were less tolerant to sugar compared to non-pregnant women; he found the presence of glycosuria 2 hours after the ingestion of 50 g of glucose in 50% of pregnant women compared to 11% found in non-pregnant women.
  • Skipper in 1933, published a vast review of the literature on the use of insulin in pregnancy and found a dramatic improvement in maternal mortality, and a modest impact on fetal and neonatal outcomes and survival.
  • In the 1950s, many risk factors for the development of abnormalities in carbohydrate metabolism during pregnancy were defined and the term gestational diabetes mellitus (GDM) became accepted.[2][3][4]
  • John B. O’Sullivan, Wilkerson and Remein in 1957, proposed offering a 3-hour oral glucose tolerance test (OGTT) for patients presenting with risk factors for diabetes such as a family history of diabetes, gestational glycosuria and overdeveloped infants at birth.[3]
  • For women without known risk factors, they proposed determining a 1-hour blood glucose value after the ingestion of a 50 g glucose load. A value of 130 mg or more was considered abnormal and a 3-hour OGTT should be performed afterwards.[3]
References

References

  1. ↑ 1.0 1.1 Negrato CA, Gomes MB (2013). “Historical facts of screening and diagnosing diabetes in pregnancy”. Diabetol Metab Syndr. 5 (1): 22. doi:10.1186/1758-5996-5-22. PMCΒ 3644500. PMIDΒ 23634949.
  2. ↑ MOSS JM, MULHOLLAND HB (1951). “Diabetes and pregnancy: with special reference to the prediabetic state”. Ann. Intern. Med. 34 (3): 678–91. PMIDΒ 14811291.
  3. ↑ 3.0 3.1 3.2 WILKERSON HL, REMEIN QR (1957). “Studies of abnormal carbohydrate metabolism in pregnancy; the significance of impaired glucose tolerance”. Diabetes. 6 (4): 324–9. PMIDΒ 13447761.
  4. ↑ CARRINGTON ER, SHUMAN CR, REARDON HS (1957). “Evaluation of the prediabetic state during pregnancy”. Obstet Gynecol. 9 (6): 664–9. PMIDΒ 13431126.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]