Life-course management of gestational diabetes mellitus: A narrative review

Table 4 Multilevel policy recommendations for the prevention and management of gestational diabetes mellitus

Level	Strategic action
Preconception	Promote weight optimization and screen high-risk women[2]
Antenatal	Implement universal OGTT screening in high-burden regions[14]
Postpartum	Ensure OGTT follow-up, breastfeeding support, and metabolic surveillance[44]
Health system	Harmonize diagnostic criteria and integrate GDM into chronic disease frameworks[6]

This table outlines strategic interventions across each stage of care, reinforcing the importance of aligning clinical guidelines with public health infrastructure to reduce the lifelong burden of gestational diabetes mellitus. GDM: Gestational diabetes mellitus; OGTT: Oral glucose tolerance test.