It is estimated that in 2021, 16.7% of pregnancies worldwide that resulted in live births were affected by some form of hyperglycaemia.[5]International Diabetes Federation. IDF Diabetes Atlas. 10th ed. Brussels: International Diabetes Federation; 2021.
https://diabetesatlas.org/atlas/tenth-edition
Of these, 80.3% were due to GDM, while the rest were due to diabetes (including type 1 and type 2 diabetes) detected prior to, or during, the pregnancy.[5]International Diabetes Federation. IDF Diabetes Atlas. 10th ed. Brussels: International Diabetes Federation; 2021.
https://diabetesatlas.org/atlas/tenth-edition
GDM prevalence varies significantly between different countries.[5]International Diabetes Federation. IDF Diabetes Atlas. 10th ed. Brussels: International Diabetes Federation; 2021.
https://diabetesatlas.org/atlas/tenth-edition
A trend towards increasing prevalence of GDM has been noted in women in Asian countries and those with indigenous ethnicity (Australia, Canada, New Zealand, US).[6]Pu J, Zhao B, Wang EJ, et al. Racial/ethnic differences in gestational diabetes prevalence and contribution of common risk factors. Paediatr Perinat Epidemiol. 2015 Jul 22;29(5):436-43.
http://www.ncbi.nlm.nih.gov/pubmed/26201385?tool=bestpractice.com
[7]Yuen L, Wong VW. Gestational diabetes mellitus: challenges for different ethnic groups. World J Diabetes. 2015 Jul 25;6(8):1024-32.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4515442
http://www.ncbi.nlm.nih.gov/pubmed/26240699?tool=bestpractice.com
[8]Chamberlain C, McNamara B, Williams ED, et al. Diabetes in pregnancy among indigenous women in Australia, Canada, New Zealand and the United States. Diabetes Metab Res Rev. 2013 May;29(4):241-56.
https://onlinelibrary.wiley.com/doi/full/10.1002/dmrr.2389
http://www.ncbi.nlm.nih.gov/pubmed/23315909?tool=bestpractice.com
[9]Nguyen CL, Pham NM, Binns CW, et al. Prevalence of gestational diabetes mellitus in eastern and southeastern Asia: a systematic review and meta-analysis. J Diabetes Res. 2018 Feb 20;2018:6536974.
https://www.hindawi.com/journals/jdr/2018/6536974
http://www.ncbi.nlm.nih.gov/pubmed/29675432?tool=bestpractice.com
[10]Gao C, Sun X, Lu L, et al. Prevalence of gestational diabetes mellitus in mainland China: a systematic review and meta-analysis. J Diabetes Investig. 2018 May 27;10(1):154-62.
https://onlinelibrary.wiley.com/doi/full/10.1111/jdi.12854
http://www.ncbi.nlm.nih.gov/pubmed/29683557?tool=bestpractice.com
In the UK, the prevalence of GDM was 20.6% in 2021.[5]International Diabetes Federation. IDF Diabetes Atlas. 10th ed. Brussels: International Diabetes Federation; 2021.
https://diabetesatlas.org/atlas/tenth-edition
Prevalence seems to depend on factors such as ethnic origin and varies from region to region.[4]National Institute for Health and Care Excellence. Diabetes in pregnancy: management from preconception to the postnatal period. Dec 2020 [internet publication].
https://www.nice.org.uk/guidance/ng3
During 2007 to 2014, the overall prevalence of GDM in the US was 8.9%.[11]Gao F, Luo H, Jones K, et al. Gestational diabetes and health behaviors among women: National Health and Nutrition Examination Survey, 2007-2014. Prev Chronic Dis. 2018 Oct 25;15:E131.
https://www.cdc.gov/pcd/issues/2018/18_0094.htm
http://www.ncbi.nlm.nih.gov/pubmed/30367717?tool=bestpractice.com
In one US study, GDM prevalence in an ethnically diverse California population varied from approximately 4.5% in non-Hispanic white and African-American women to 10.2% in Asian women.[12]Hedderson M, Ehrlich S, Sridhar S, et al. Racial/ethnic disparities in the prevalence of gestational diabetes mellitus by BMI. Diabetes Care. 2012 May 22;35(7):1492-8.
https://care.diabetesjournals.org/content/35/7/1492.long
http://www.ncbi.nlm.nih.gov/pubmed/22619080?tool=bestpractice.com
Notably, the prevalence of GDM was higher among Asian-American women even at low BMIs.[12]Hedderson M, Ehrlich S, Sridhar S, et al. Racial/ethnic disparities in the prevalence of gestational diabetes mellitus by BMI. Diabetes Care. 2012 May 22;35(7):1492-8.
https://care.diabetesjournals.org/content/35/7/1492.long
http://www.ncbi.nlm.nih.gov/pubmed/22619080?tool=bestpractice.com
Information about risk factors for GDM is limited in published large data sets. However, increasing obesity, decreased physical activity, and advancing maternal age are potential contributing factors.[13]Ferrara A. Increasing prevalence of gestational diabetes mellitus: a public health perspective. Diabetes Care. 2007 Jul;30 Suppl 2:S141-6.
https://care.diabetesjournals.org/content/30/Supplement_2/S141.full
http://www.ncbi.nlm.nih.gov/pubmed/17596462?tool=bestpractice.com
[14]Muche AA, Olayemi OO, Gete YK. Prevalence and determinants of gestational diabetes mellitus in Africa based on the updated international diagnostic criteria: a systematic review and meta-analysis. Arch Public Health. 2019;77:36.
https://www.doi.org/10.1186/s13690-019-0362-0
http://www.ncbi.nlm.nih.gov/pubmed/31402976?tool=bestpractice.com