Abstract

POSTPARTUM MANAGEMENT OF GESTATIONAL DIABETES: EVALUATING PHARMACOLOGICAL INTERVENTIONS FOR LONG-TERM TREATMENT EFFICACY

Girish Vinod Bachhav*, Mohit Vilas Pawar, Dewoo Rajendra Patil and Prof. Vaidehi S. Patil

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Abstract

Gestational diabetes mellitus (GDM) is a common metabolic disorder during pregnancy, requiring careful management to mitigate adverse outcomes for both the mother and the newborn. While pharmacological interventions are often employed during pregnancy to control blood glucose levels, the postpartum period represents a critical phase for ongoing management and risk reduction for future diabetes. This research article reviews current literature on pharmacological interventions utilized in the postpartum management of GDM to assess their long-term treatment efficacy. A comprehensive analysis is conducted on studies investigating the effectiveness of insulin therapy, oral hypoglycemic agents, lifestyle modifications, and dietary interventions in postpartum care. Key parameters such as maternal glycemic control, weight management, and the prevention of future diabetes development are evaluated. Additionally, neonatal outcomes including birth weight, neonatal hypoglycemia, and long-term metabolic health are considered. The findings of this study contribute valuable insights into optimal pharmacological strategies for long-term GDM management postpartum, thereby aiding healthcare professionals in decision-making and enhancing maternal and neonatal health outcomes. Gestational diabetes mellitus (GDM) poses a significant health risk during pregnancy, necessitating pharmacological interventions for optimal management. However, postpartum care is equally crucial to prevent long-term complications for both mother and child. This research critically evaluates the efficacy of various pharmacological interventions in postpartum GDM management to ensure sustained treatment efficacy. Through a comprehensive review of existing literature, including studies on insulin therapy, oral hypoglycemic agents, lifestyle modifications, and dietary interventions, this study assesses their impact on maternal glycemic control, weight management, and the reduction of future diabetes risk. Additionally, neonatal outcomes such as birth weight, neonatal hypoglycemia, and long-term metabolic health are examined. The findings provide valuable insights into optimizing pharmacological strategies for long-term GDM management postpartum, empowering healthcare professionals to make informed decisions and improve maternal and neonatal health outcomes.

Keywords: Gestational diabetes mellitus (GDM), Postpartum management, Pharmacological interventions, Long-term treatment efficacy, Insulin therapy, Oral hypoglycemic agents, Lifestyle modifications, Dietary interventions, Maternal glycemic control, Neonatal outcome