Szilágyi A, Feledi E, Csaba I, Pejtsik B
Orv Hetil. 1989 Apr 16;130(16):839-42.
Oral glucose tolerance testing was performed according to WHO criteria among pregnant women with historical risk factors for gestational diabetes (a previous baby weighing 4000 g or more, a previous unexplained intrauterine death) in Baranya county. Oral glucose tolerance test was carried out for the first time between gestational ages of 16-20 weeks, and it was repeated monthly in cases of normal curve. Patients with impaired glucose tolerance or diabetes were cared, dietary of prophylactic insulin treatment was introduced. 152 patients were involved in the screening program. 26 patients had gestational diabetes or impaired glucose tolerance. The glucose tolerance test curve was "stretched" in 81 patients. Early screening and management of pregnant women with maternal historical risk factors is emphasised from the view of diminishing complications, especially the frequency of macrosomia.
在巴兰尼亚县，对有妊娠期糖尿病历史风险因素（前一个婴儿体重4000克或以上、原因不明的前次宫内死亡）的孕妇，根据世界卫生组织标准进行口服葡萄糖耐量试验。口服葡萄糖耐量试验在孕16 - 20周时首次进行，曲线正常的情况下每月重复进行。对糖耐量受损或糖尿病患者进行护理，并采用预防性胰岛素治疗饮食。152名患者参与了筛查项目。26名患者患有妊娠期糖尿病或糖耐量受损。81名患者的葡萄糖耐量试验曲线呈“拉长”状。从减少并发症尤其是巨大儿发生率的角度出发，强调对有孕产妇历史风险因素的孕妇进行早期筛查和管理。
