Coelingh Bennink H J
Eur J Obstet Gynecol Reprod Biol. 1977;7(6):359-63. doi: 10.1016/0028-2243(77)90063-6.
The recurrence rate of gestational diabetes in 58 patients who had had the foregoing pregnancy complicated by diabetes was estimated to be 30% if our former criteria for abnormal glucose tolerance were strictly applied and 25% if our new, more stringent criteria were used. The recurrence rate is not influenced by prophylactic administration of pyridoxine. The perinatal morbidity complicating the 'second' pregnancy of former gestational diabetics was not increased in those patients who were not treated again, as compared with those who were. Recurrent gestational diabetes is associated with a degree of overdiagnosis in an attempt to detect all gestational diabetics. It is suggested that recurrent gestational diabetes occurs mainly in prediabetic patients.
58例既往妊娠合并糖尿病患者中，若严格应用我们之前的糖耐量异常标准，估计妊娠糖尿病复发率为30%；若采用我们新的、更严格的标准，复发率为25%。复发率不受预防性给予维生素B6的影响。与再次接受治疗的患者相比，未再次接受治疗的既往妊娠糖尿病患者“第二次”妊娠时的围产期发病率并未增加。复发性妊娠糖尿病在试图检测所有妊娠糖尿病患者的过程中存在一定程度的过度诊断。提示复发性妊娠糖尿病主要发生在糖尿病前期患者中。
