Hyperglycaemia in pregnancy

Date
2020
Journal Title
Journal ISSN
Volume Title
Publisher
African Sun Media
Abstract
According to the International Diabetes Federation, the burden of diabetes is progressively rising worldwide with an expected doubling of prevalence in most low- and middle-income settings within twenty-five years. The projected surge in diabetes prevalence to epidemic proportions reflects the ongoing so-called epidemiological transition experienced across most of the fastestgrowing economies. The concept of epidemiological transition is characterised by the reduction in infectious disease burden and a quasi-parallel rise in chronic non-communicable disease burden as the result of better health care, reduced fertility, lifestyle changes, increased life expectancy and changing age structure of populations. The specificity of epidemiological transition in most African nations is its accelerated character compared to most Western countries where the transition took place over two to three centuries. As a result, chronic non-communicable diseases frequently occur at a lower age than previously reported, including in women of childbearing age. This chapter reviews key knowledge about the pathophysiology and consequences of hyperglycaemia in pregnancy, and their implication for screening, diagnosis and management strategy in high risk but resource-limited populations, with special emphasis on Africa.
Description
CITATION: Sobgnwi, E. 2020. Hyperglycaemia in pregnancy, in Macnab, A., Daar, A. & Pauw, C. 2020. Health in transition : translating developmental origins of health and disease science to improve future health in Africa. Stellenbosch: SUN PReSS, doi:10.18820/9781928357759/09.
The original publication is available at https://africansunmedia.store.it.si/za
Keywords
Hyperglycaemia, Pregnancy
Citation
Sobgnwi, E. 2020. Hyperglycaemia in pregnancy, in Macnab, A., Daar, A. & Pauw, C. 2020. Health in transition : translating developmental origins of health and disease science to improve future health in Africa. Stellenbosch: SUN PReSS, doi:10.18820/9781928357759/09.