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Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...

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Updated: Jun 19, 2026

Multidisciplinary Approach to Obesity Management: A Case Report

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

Obesity and gestational diabetes.

T Sathyapalan¹, D Mellor, S L Atkin

¹Department of Diabetes, Endocrinology and Metabolism, Hull York Medical School, Hull, UK.

Seminars in Fetal & Neonatal Medicine

|October 31, 2009

Summary

Obesity significantly worsens complications for women with gestational diabetes mellitus (GDM). Effective glycaemic control and postpartum follow-up are crucial for managing risks in pregnant individuals with GDM and obesity.

Area of Science:

Obstetrics and Gynecology
Endocrinology
Public Health

Background:

Global rise in obesity and gestational diabetes mellitus (GDM) prevalence.
GDM affects approximately 7% of pregnancies, characterized by impaired glucose tolerance.
Obesity exacerbates maternal and fetal complications in GDM pregnancies.

Purpose of the Study:

To discuss the impact of obesity on women with GDM.
To review treatment strategies for GDM in obese pregnant individuals.
To highlight the importance of long-term risk modification and postpartum care.

Main Methods:

Literature review and synthesis of existing research.
Analysis of the relationship between obesity, GDM, and pregnancy outcomes.

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Discussion of current and potential therapeutic interventions.

Main Results:

Obesity is a significant risk factor for adverse outcomes in GDM.
Good glycaemic control can mitigate some GDM-related complications.
Comprehensive management strategies are needed for affected women.

Conclusions:

Obesity poses substantial risks in GDM pregnancies.
Effective management requires integrated approaches including glycemic control, treatment options, and long-term follow-up.
Postpartum care is essential for modifying long-term health risks.