Senat M-V, Deruelle P
Service gynécologie obstétrique, hôpital Bicêtre, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France.
EA 4489, environnement périnatal et croissance, pôle recherche, faculté de médecine Henri-Warembourg, université Lille 2, 59045 Lille cedex, France.
Gynecol Obstet Fertil. 2016 Apr;44(4):244-7. doi: 10.1016/j.gyobfe.2016.01.009. Epub 2016 Mar 2.
While the prevalence of gestational diabetes mellitus (GDM) was estimated between 5 and 10% in 2010, the application of new thresholds recommended by IADPSG and adopted in 2010 by CNGOF seems to significantly increase the number of patients affected by this pathology. A prospective single-center French study estimated in 2014 the prevalence of gestational diabetes at 14% with these criteria, making it one of the most frequent complications during pregnancy. However, to date, there is no published study using these criteria to show a benefit to the health of women and children. If a diagnosis of GDM or type 2 diabetes during pregnancy is definitively an important risk factor for maternal as well as newborn and child complications, it is probably not the case for moderate hyperglycemia discovered during pregnancy.
2010年，妊娠期糖尿病（GDM）的患病率估计在5%至10%之间，而国际糖尿病与妊娠研究组（IADPSG）推荐并于2010年被法国妇产科与生殖医学全国联盟（CNGOF）采用的新阈值的应用，似乎显著增加了受此病症影响的患者数量。2014年，一项前瞻性单中心法国研究采用这些标准估计妊娠期糖尿病的患病率为14%，使其成为孕期最常见的并发症之一。然而，迄今为止，尚无使用这些标准的已发表研究表明对妇女和儿童的健康有益。如果妊娠期确诊为GDM或2型糖尿病绝对是孕产妇以及新生儿和儿童并发症的重要危险因素，那么孕期发现的轻度高血糖可能并非如此。
