Gerome Jody M, Bucher Lucy K M, Dogbey Godwin
Ohio University, Heritage College of Osteopathic Medicine, Athens, OH.
OhioHealth O'Bleness Hospital, Athens, OH.
Clin Diabetes. 2017 Apr;35(2):84-89. doi: 10.2337/cd16-0031.
Traditional methods of screening for and diagnosing gestational diabetes mellitus (GDM) have been challenged, leading to the development of new screening guidelines by the International Association of Diabetes and Pregnancy Study Groups (IADPSG). This study is a retrospective comparison of pregnancy outcomes based on the Carpenter and Coustan (CC) and IADPSG screening guidelines. It demonstrates that adoption of IADPSG guidelines increased the rate of GDM diagnosis and resulted in more women with diet-controlled GDM. However, a decrease in adverse pregnancy outcomes was not noted. Interestingly, women diagnosed by IADPSG criteria who had diet-controlled GDM had less maternal weight gain than those screened with the CC criteria who did not have GDM but did have an elevated 1-hour oral glucose tolerance test result.
传统的妊娠期糖尿病（GDM）筛查和诊断方法受到了挑战，这促使国际糖尿病与妊娠研究组协会（IADPSG）制定了新的筛查指南。本研究是基于卡彭特和库斯坦（CC）筛查指南与IADPSG筛查指南对妊娠结局进行的回顾性比较。结果表明，采用IADPSG指南提高了GDM的诊断率，并且使得更多女性的GDM通过饮食控制。然而，并未观察到不良妊娠结局有所减少。有趣的是，按照IADPSG标准诊断为饮食控制型GDM的女性，其孕期体重增加比那些按照CC标准筛查、虽无GDM但1小时口服葡萄糖耐量试验结果升高的女性更少。
