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妊娠期糖尿病的管理

Management of gestational diabetes.

作者信息

Coustan D R

机构信息

Women & Infants' Hospital of Rhode Island, Providence 02905-2401.

出版信息

Clin Obstet Gynecol. 1991 Sep;34(3):558-64.

PMID:1934707
Abstract

The treatment of gestational diabetes is based on maintaining near-normal maternal glucose levels. To accomplish this goal, dietary counseling is used. circulating glucose is measured regularly, and exogenous insulin is sometimes necessary. Early delivery is not routine. Cesarean section is reserved for obstetric indications, but the presence of fetal macrosomia may be responsible for increasing the overall cesarean section rate in individuals with this disorder. The most important component of the treatment of gestational diabetes is probably the identification of the individual with this condition.

摘要

妊娠期糖尿病的治疗基于维持孕妇血糖水平接近正常。为实现这一目标,会采用饮食咨询。定期测量循环血糖,有时需要使用外源性胰岛素。早期分娩并非常规做法。剖宫产仅用于产科指征,但巨大儿的存在可能导致患有这种疾病的个体剖宫产率总体上升。妊娠期糖尿病治疗中最重要的部分可能是识别出患有这种疾病的个体。

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