J Pak Med Assoc. 2017 Apr;67(4):641-644.
The Berlin Declaration is a landmark call to action, which encourages policy makers to take early action to halt the type 2 diabetes epidemic. It emphasizes the need for prevention, early detection, early control, and early access to the right interventions. We believe these four pillars of early action in type 2 diabetes are as relevant to gestational diabetes mellitus (GDM) and action in the latter will impact on the former. Therefore this statement, authored by 21 experts from 14 countries calls for early action in GDM. We highlight the relative invisibility of GDM, and underscore the significance of GDM prevention and management in the fight against diabetes. We also provide evidence for the feasibility in applying each Berlin Declaration pillar to GDM, and highlight the trans generational benefits this will have in containing the diabetes epidemic.
《柏林宣言》是一项具有里程碑意义的行动呼吁,鼓励政策制定者尽早采取行动,遏制2型糖尿病的流行。它强调了预防、早期发现、早期控制以及尽早获得正确干预措施的必要性。我们认为,2型糖尿病早期行动的这四大支柱与妊娠期糖尿病(GDM)同样相关,而针对后者采取的行动将对前者产生影响。因此,这份由来自14个国家的21位专家撰写的声明呼吁尽早对妊娠期糖尿病采取行动。我们强调了妊娠期糖尿病相对不为人知的情况,并强调了妊娠期糖尿病预防和管理在抗击糖尿病斗争中的重要性。我们还提供了将《柏林宣言》的每一项支柱应用于妊娠期糖尿病的可行性证据,并强调这将在遏制糖尿病流行方面产生跨代益处。