McIntyre Harold David, Colagiuri Stephen, Roglic Gojka, Hod Moshe
University of Queensland and Mater Health Services, South Brisbane, QLD 4101, Australia.
Boden Institute of Obesity, Nutrition & Exercise, G89 Medical Foundation Building K25, Sydney Medical School, The University of Sydney, NSW 2000, Australia.
Best Pract Res Clin Obstet Gynaecol. 2015 Feb;29(2):194-205. doi: 10.1016/j.bpobgyn.2014.04.022. Epub 2014 Aug 21.
Despite recent attempts at building consensus, an internationally consistent definition of gestational diabetes mellitus (GDM) remains elusive. Within and between countries, there is disagreement between obstetric, medical, and endocrine groups as to the diagnosis and management of GDM. The current article aims to discuss the background to the controversy of GDM diagnosis and to address issues related to the detection and treatment of GDM in low-, middle-, and high-resource settings. The criteria recommended by the International Association of the Diabetes and Pregnancy Study Groups (IADPSG), the American Diabetes Association (ADA), and the World Health Organization (WHO) are endorsed. We also wish to put into perspective the importance of GDM, both during and after pregnancy, in terms of its relationship to overall women's health.
尽管最近人们试图达成共识，但妊娠糖尿病（GDM）的国际统一标准仍然难以确定。在各个国家内部以及国家之间，产科、医学和内分泌学界对于GDM的诊断和管理存在分歧。本文旨在讨论GDM诊断争议的背景，并探讨在低资源、中等资源和高资源环境下与GDM检测和治疗相关的问题。文中认可了国际糖尿病与妊娠研究组协会（IADPSG）、美国糖尿病协会（ADA）和世界卫生组织（WHO）推荐的标准。我们还希望从妊娠期间及产后GDM与女性整体健康的关系角度，正确看待GDM的重要性。
