Gestational diabetes mellitus and COVID-19:The epidemic during the pandemic  

作　　者：Yamely Mendez Linda A Alpuing Radilla Luis Eduardo Delgadillo Chabolla Alejandra Castillo Cruz Johanan Luna Salim Surani 

机构地区：[1]Department of Obstetrics and Gynecology,Baylor College of Medicine,Houston,TX 77030,United States [2]Department of Medicine,Xochicalco University,Mexicali 21376,BC,Mexico [3]Department of Medicine,Mt.Olympus Medical Research,Sugarland,TX 77479,United States [4]Department of Medicine&Pharmacology,Texas A&M University,College Station,TX 77843,United States

出　　处：《World Journal of Diabetes》2023年第8期1178-1193,共16页世界糖尿病杂志（英文版）（电子版）

摘　　要：During the global coronavirus disease 2019(COVID-19)pandemic,people worldwide have experienced an unprecedented rise in psychological distress and anxiety.In addition to this challenging situation,the prevalence of diabetes mellitus(DM),a hidden epidemic,has been steadily increasing in recent years.Lower-middle-income countries have faced significant barriers in providing accessible prenatal care and promoting a healthy diet for pregnant women,and the pandemic has made these challenges even more difficult to overcome.Pregnant women are at a higher risk of developing complications such as hypertension,preeclampsia,and gestational diabetes,all of which can have adverse implications for both maternal and fetal health.The occurrence of gestational diabetes has been on the rise,and it is possible that the pandemic has worsened its prevalence.Although data is limited,studies conducted in Italy and Canada suggest that the pandemic has had an impact on gestational diabetes rates,especially among women in their first trimester of pregnancy.The significant disruptions to daily routines caused by the pandemic,such as limited exercise options,indicate a possible link between COVID-19 and an increased likelihood of experiencing higher levels of weight gain during pregnancy.Notably,individuals in the United States with singleton pregnancies are at a significantly higher risk of excessive gestational weight gain,making this association particularly important to consider.Although comprehensive data is currently lacking,it is important for clinical researchers to explore the possibility of establishing correlations between the stress experienced during the pandemic,its consequences such as gestational gain weight,and the increasing incidence of gestational DM.This knowledge would contribute to better preventive measures and support for pregnant individuals during challenging times.

关 键 词：Pregnancy Gestational diabetes Stress Social determinants PANDEMIC COVID-19 Diabetes type 1 Diabetes type 2 INSULIN Diabetes mellitus treatment 

分 类 号：R714.256[医药卫生—妇产科学] R563.1[医药卫生—临床医学] R181.3