FOGSI EEBR 2025: Ethical Evidence-Based Recommendations: Hyperglycemia in Pregnancy

Written in association with the Federation of Obstetric and Gynaecological Societies of India (FOGSI), and with contributions from a multitude of recognised experts led by FOGSI (2025-2026) president Sunita Tandulwadkar; the Ethical Evidence-based Recommendations (EEBR) series provides clinicians with the latest updates and advances in the field, with each book focusing on a different subspecialty.Hyperglycaemia (high blood sugar) occurs when the level of sugar in the blood is too high. Gestational diabetes is high blood sugar that develops during pregnancy and usually disappears after birth. It can happen at any stage of pregnancy, but is more common in the second or third trimester. It occurs when a woman’s body cannot produce enough insulin, the hormone which controls blood sugar levels. The condition can cause problems for both mother and baby, but the risks can be reduced if it is detected early and well managed.  This book addresses all aspects of hyperglycaemia in pregnancy (HIP), beginning with essential definitions, classification, and epidemiology, clarifying the scope and significance of HIP and providing practitioners with a clear understanding of its prevalence and implications for maternal and foetal health. Recognising the importance of effective management, the text also examines pre-conceptional optimisation, an often overlooked, but vital step to ensure a healthier pregnancy by stabilising blood sugar levels prior to conception.Other titles in the series include:Antenatal Fetal SurveillanceEndometriosisFibroidsGenetics in Obstetrics and GynecologyHypertensive Disorders of PregnancyInduction of LaborPolycystic Ovary SyndromePostpartum HemorrhagePreterm Labor

Sunita Tandulwadkar MD (Obs and Gynae) FICS (Gynae-Endoscopy) FICOG President FOGSI (2025-2026)Gynaecological Endoscopist and ART & IVF Specialist; Head, Department of Obstetrics and Gynaecology; Chief, IVF & Endoscopy Centre, Ruby Hall Clinic, Pune; Founder and Medical Director, Solo Clinic IVF - A Centre for Excellence in Infertility and Endoscopy, Pune; Founder and Medical Director, Solo Stem Cells - A Stem Cell Research and Application Centre, Pune; Founder and Director, Alive Regenerative Wellness, Pune, Maharashtra, IndiaCharmila Ayyavoo MD DGO DFP FICOG PGDCRDirector and Consultant, Department of Obstetrics and Gynaecology, Aditi Hospital, Tiruchirappalli; Dhanalakshmi Srinivasan Medical College, Tiruchirappalli, Tamil Nadu, IndiaHema Divakar MD FRCOGSenior Consultant and Medical Director, Department of Obstetrics and Gynaecology, Divakars Speciality Hospital, Bengaluru, Karnataka, IndiaParag Biniwale MD FICOGChief Consultant and Director, Department of Obstetrics and Gynaecology, Biniwale Clinic, Pune, Maharashtra, India; Chairman, ICOG 2025Pooja Lodha DNB (Obs and Gynae) Fellow Foetal Medicine FOGSI-FMF UK CertifiedLead Consultant, Department of Foetal Medicine, Ruby Hall Clinic and Bharati Vidyapeeth University and Hospital, Pune; Director, Kangaroo Cradle, Foetal Care Centre, Pune, Maharashtra, India