IMPROVING THE MANAGEMENT TACTICS OF GESTATIONAL DIABETES MELLITUS

Gestational diabetes mellitus (GDM) is a disorder of carbohydrate metabolism first detected during pregnancy, which increases the risk of serious perinatal complications for both mother and fetus. In recent years, the increasing prevalence of GDM requires improvement of management strategies. This article analyzes early screening of GDM, individual risk assessment, modern methods of glycemic control (continuous glucose monitoring), rational diet therapy, physical activity, criteria for insulin therapy and metformin use, as well as principles of a multidisciplinary approach. The results show that an individualized management strategy, strict glycemic control, and continuous medical monitoring of pregnant women significantly reduce perinatal complications. Continued metabolic monitoring in the postpartum period is important in reducing the risk of developing type 2 diabetes. The proposed improved management model enhances clinical effectiveness.