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Gestational Diabete

th (20) Women with gestational diabetes mellitus (GDM) are more likely to have a history of depression, according to a study published in the March/April issue of the Journal of Obstetric, Gynecologic, & Neonatal Nursing.

Mary Byrn, Ph.D., R.N., and Sue Penckofer, Ph.D., R.N., from Loyola University Chicago, examined whether women with GDM had more symptoms of depression than women without GDM. Participants included 65 pregnant women with GDM and 70 without GDM, all between 24 and 40 weeks of gestation. Symptoms of depression were assessed in pregnant women attending routine prenatal care visits.

For >30 years, insulin has been the drug of choice for the medical treatment of gestational diabetes mellitus. However, the use of oral hypoglycaemic agents has increased during the past 1–2 decades, so a recent comparison of treatment with glibenclamide, metformin or insulin in women with gestational diabetes mellitus is highly relevant.

“Results suggest that symptoms of depression are common during the antepartum period, thus assessment and education regarding this disorder are important,” the authors write. “In addition, a history of depression may be a risk factor for the development of GDM.”