Castorino Kristin, Jovanovič Lois
*Sansum Diabetes Research Institute ‡Department of Bimolecular Science and Engineering, University of California Santa Barbara, Santa Barbara †Keck School of Medicine, University of Southern California, Los Angeles, California.
Clin Obstet Gynecol. 2013 Dec;56(4):853-9. doi: 10.1097/GRF.0b013e3182a8e0bb.
Women with gestational diabetes mellitus require a continuum of care before, during, and after pregnancy for optimal management of hyperglycemia. Postpartum education and lifestyle modification should begin during pregnancy, and should continue during the postpartum period. Women should receive education on the long-term risk of type 2 diabetes mellitus, and should be encouraged to breastfeed, engage in regular physical activity, and select a highly effective contraceptive method in preparation for subsequent pregnancy. Postpartum women with gestational diabetes mellitus should be empowered to take ownership of their own health, including knowledge of health indicators such as weight, waist circumference hemoglobin A1C levels, and fasting and postprandial blood glucose levels.
患有妊娠期糖尿病的女性在孕前、孕期和产后都需要持续的护理，以实现高血糖的最佳管理。产后教育和生活方式的改变应在孕期开始，并在产后持续进行。女性应接受关于2型糖尿病长期风险的教育，并应鼓励她们进行母乳喂养、定期进行体育活动，并选择一种高效的避孕方法，为后续怀孕做好准备。患有妊娠期糖尿病的产后女性应被赋予掌控自身健康的权力，包括了解体重、腰围、糖化血红蛋白水平以及空腹和餐后血糖水平等健康指标。
