Department of Medicine, DIMED University of Padova, Via Giustiniani n 2, Padova, Italy.
Department of Medicine, DIMED University of Padova, Via Giustiniani n 2, Padova, Italy.
Diabetes Res Clin Pract. 2018 Nov;145:178-183. doi: 10.1016/j.diabres.2018.02.035. Epub 2018 Mar 6.
The prevalence of gestational diabetes in the developed world is increased and parallels that of obesity. Apart from the maternal and fetal complications occurring during pregnancy, GDM is characterized by a high subsequent risk of type 2 diabetes, metabolic syndrome, and cardiovascular disease. In this paper, we outline the different factors to consider in assessing the future risk of diabetes developing in women with a history of GDM. Looking at the modifiable risk factors, it is worth noting that promoting a healthy diet and lifestyle before (physical activity), during and after pregnancy (breast feeding) in women of fertile age are fundamental to the success of efforts to reduce the burden of diabetes in these young people.
在发达国家，妊娠糖尿病的患病率不断增加，且与肥胖症的流行程度相平行。除了在怀孕期间发生的母婴并发症外，GDM 的特征还在于随后发生 2 型糖尿病、代谢综合征和心血管疾病的风险很高。在本文中，我们概述了评估有 GDM 病史的女性未来发生糖尿病风险时需要考虑的不同因素。从可改变的危险因素来看，值得注意的是，在育龄妇女怀孕前（体力活动）、怀孕期间和怀孕后（母乳喂养）促进健康饮食和生活方式，对于减少这些年轻人的糖尿病负担的努力的成功至关重要。
