Gestational diabetes mellitus : to screen or not to screen? : is this really still a question?

Discussion about gestational diabetes mellitus (GDM) is slowly creating traction on the best way forward. Recent evidence has confirmed that there is a continuum of risk for adverse maternal and fetal outcomes as the maternal glucose level rises. There is an increasing number of studies supporting the importance of fuel-mediated teratogenesis, including epigenetic influences, that are leading to intergenerational transmission of type 2 diabetes, features of the metabolic syndrome, and overall amplification of the current diabetes pandemic.