ENDOCRINOLOGY IN THE TIME OF COVID-19: Diagnosis and management of gestational diabetes mellitus

Research output: Contribution to journalArticlepeer-review

Authors

  • Shamil D Cooray
  • Nithya Sukumar
  • Mohammed S B Huda
  • Roland Devlieger
  • Katrien Benhalima
  • Fionnuala McAuliffe
  • Ponnusamy Saravanan
  • Helena J Teede

Colleges, School and Institutes

External organisations

  • The Alfred Hospital and Monash University
  • University of Warwick
  • St Bartholomew's and Royal London Hospitals
  • University Hospitals Leuven
  • University Hospital Gasthuisberg
  • University College Dublin

Abstract

The COVID-19 pandemic has required rapid transformation and adaptation of healthcare services. Women with gestational diabetes mellitus (GDM) are one of the largest high-risk groups accessing antenatal care. In reformulating the care offered to those with GDM, there is a need to balance the sometimes competing requirement of lowering the risk of direct viral transmission against the potential adverse impact of service changes. We suggest pragmatic options for screening of GDM in a pandemic setting based on blood tests, and risk calculators applied to underlying risk factors. Alternative models for antenatal care provision for women with GDM, including targeting high-risk groups, early lifestyle interventions and remote monitoring are provided. Testing options and their timing for postpartum screening in women who had GDM are also considered. Our suggestions are only applicable in a pandemic scenario, and usual guidelines and care pathways should be re-implemented as soon as possible and appropriate.

Details

Original languageEnglish
Pages (from-to)G49-G56
JournalEuropean Journal of Endocrinology
Volume183
Issue number2
Publication statusPublished - 1 Aug 2020

Keywords

  • Adult, Betacoronavirus, COVID-19, Coronavirus Infections/prevention & control, Diabetes, Gestational/diagnosis, Endocrinology/methods, Female, Humans, Obstetrics/methods, Pandemics/prevention & control, Pneumonia, Viral/prevention & control, Practice Guidelines as Topic, Pregnancy, Pregnancy Complications, Infectious/prevention & control, Prenatal Care/methods, SARS-CoV-2

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