McElduff Aidan
Department of Obstetrics and Gynaecology, Royal North Shore Hospital, New South Wales.
Aust Fam Physician. 2003 Mar;32(3):113-7.
Gestational diabetes (GD) is a common problem in pregnancy with potentially serious adverse outcomes for the baby. The diagnosis also identifies women at increased risk of subsequently developing type 2 diabetes.
The uncertainty surrounding the level of glucose intolerance that should be treated as GD is highlighted. Strategies for screening are discussed, and the public health importance of GD as identifying women at increased risk of developing type 2 diabetes is raised and discussed. A simple strategy for the delivery of these interventions to women with a past history of GD is outlined.
Gestational diabetes offers an ideal opportunity to identify one high risk group at risk of developing type 2 diabetes. Type 2 diabetes can be prevented or delayed in high risk groups by attention to weight control, exercise and by modifying other risk factors. This can be effectively and efficiently done through primary care, however, monitoring follow up of women is the challenge.
妊娠期糖尿病（GD）是孕期常见问题，可能给胎儿带来潜在的严重不良后果。该诊断还能识别出随后患2型糖尿病风险增加的女性。
强调了围绕应视为妊娠期糖尿病的葡萄糖不耐受水平的不确定性。讨论了筛查策略，并提出并讨论了妊娠期糖尿病作为识别患2型糖尿病风险增加女性的公共卫生重要性。概述了一种向有妊娠期糖尿病病史女性提供这些干预措施的简单策略。
妊娠期糖尿病为识别患2型糖尿病风险高的一个群体提供了理想机会。通过关注体重控制、运动以及改变其他风险因素，可在高危群体中预防或延缓2型糖尿病。这可通过初级保健有效且高效地完成，然而，对女性的监测随访是一项挑战。
