Franck M, Philips J-C, Emonts P, Radermecker R P
Service de Diabétologie, Nutrition et Maladies métaboliques, CHU de Liège, Université de Liège.
Service de Gynécologie-Obstétrique, CHU de Liège, site NDB et CHR Citadelle, Liège, Belgique.
Rev Med Liege. 2017 Jun;72(6):295-300.
The prevalence of gestational diabetes increases as a result of universal screening, but also because of more stringent diagnostic criteria due to decreased set points. This diabetes can lead to severe complications for the offspring and / or for the mother. The management of a patient suffering from gestational diabetes is based on healthy diet and lifestyle advices. Iterative control of capillary glycemia is the usual way to monitor daily blood glucose. Continuous blood glucose measurement (CGM) provides reliable and comprehensive data over several days. Observing and interpreting the continuously recorded glucose concentration values should help to better understand the kinetics of glucose and to personalize the treatment. This preliminary study reports the results of 12 women with gestational diabetes and describes fluctuations of blood glucose levels all day long, particularly in the postprandial period. The CGM analysis shows that the maximum concentration of postprandial glucose is reached approximately 70 minutes after the morning and midday meals and 110 minutes after the evening meal.
由于普遍筛查，以及诊断标准因设定值降低而更加严格，妊娠期糖尿病的患病率有所上升。这种糖尿病会给后代和/或母亲带来严重并发症。妊娠期糖尿病患者的管理基于健康饮食和生活方式建议。反复监测毛细血管血糖是日常血糖监测的常用方法。连续血糖监测（CGM）可在数天内提供可靠且全面的数据。观察和解读连续记录的血糖浓度值应有助于更好地了解血糖动态并实现个性化治疗。这项初步研究报告了12例妊娠期糖尿病女性的结果，并描述了全天血糖水平的波动情况，尤其是餐后血糖波动。CGM分析表明，早餐和午餐后约70分钟、晚餐后110分钟达到餐后血糖的最高浓度。
