Lin Pei-Chao, Hung Chich-Hsiu, Huang Ruei-Dian, Chan Te-Fu
School of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
Materials Office, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan.
Jpn J Nurs Sci. 2016 Jan;13(1):3-9. doi: 10.1111/jjns.12077. Epub 2015 Apr 10.
The aims of this study were to determine the blood glucose screening rate of Taiwanese post-partum women with gestational diabetes (GDM) and to identify the predictors of type 2 diabetes among Taiwanese women with GDM.
The medical records of 130 women with GDM, who were delivered at a hospital in southern Taiwan between 1997 and 2010, were retrospectively reviewed. The GDM diagnosis was performed according to the National Diabetes Data Group and Expert Committee Criteria. The 2010 American Diabetes Association diabetes diagnosis criteria were used to determine whether post-partum women subsequently developed type 2 diabetes.
In total, 71 records (54.6%) included blood glucose testing after childbirth between the first month and the ninth year, and 29 records (22.3%) documented subsequent type 2 diabetes. In a multiple logistic regression analysis, the patients' pre-pregnancy body mass indices and insulin use during pregnancy were independently associated with subsequent type 2 diabetes.
In this study, documentation during pregnancy, which could have provided beneficial insights, was limited. Healthcare professionals should develop a program to improve the post-partum follow-up of women diagnosed with GDM.
本研究旨在确定台湾妊娠期糖尿病（GDM）产后女性的血糖筛查率，并找出台湾GDM女性中2型糖尿病的预测因素。
回顾性分析了1997年至2010年间在台湾南部一家医院分娩的130例GDM女性的病历。GDM诊断依据美国国家糖尿病数据组和专家委员会标准进行。采用2010年美国糖尿病协会糖尿病诊断标准来确定产后女性是否随后发展为2型糖尿病。
总共71份记录（54.6%）包括产后第一个月至第九年期间的血糖检测，29份记录（22.3%）记录了随后的2型糖尿病情况。在多因素逻辑回归分析中，患者孕前体重指数和孕期胰岛素使用情况与随后的2型糖尿病独立相关。
在本研究中，孕期本可提供有益见解的记录有限。医疗保健专业人员应制定一个项目，以改善对诊断为GDM的女性的产后随访。
