Mpondo Bonaventura C T, Ernest Alex, Dee Hannah E
School of Medicine and Dentistry, College of Health Sciences, University of Dodoma, Dodoma, Tanzania ; Department of Internal Medicine, College of Health Sciences, Dodoma, Tanzania.
School of Medicine and Dentistry, College of Health Sciences, University of Dodoma, Dodoma, Tanzania ; Department of Obstetrics and Gynaecology, College of Health Sciences, PO Box 395, Dodoma, Tanzania.
J Diabetes Metab Disord. 2015 May 12;14:42. doi: 10.1186/s40200-015-0169-7. eCollection 2015.
Gestational diabetes mellitus (GDM) is a well-characterized disease affecting a significant population of pregnant women worldwide. It has been widely linked to undue weight gain associated with factors such as diet, obesity, family history, and ethnicity. Poorly controlled GDM results in maternal and fetal morbidity and mortality. Improved outcomes therefore rely on early diagnosis and tight glycaemic control. While straightforward protocols exist for screening and management of diabetes mellitus in the general population, management of GDM remains controversial with conflicting guidelines and treatment protocols. This review highlights the diagnostic and management options for GDM in light of recent advances in care.
妊娠期糖尿病（GDM）是一种特征明确的疾病，影响着全球大量孕妇。它与饮食、肥胖、家族史和种族等因素导致的体重过度增加密切相关。GDM控制不佳会导致母婴发病和死亡。因此，改善结局依赖于早期诊断和严格的血糖控制。虽然普通人群中糖尿病的筛查和管理有直接的方案，但GDM的管理仍存在争议，指南和治疗方案相互冲突。本综述根据近期护理进展重点介绍了GDM的诊断和管理选择。
