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妊娠期高血糖诊断策略的观点——应对中国的障碍和挑战。

Perspectives on diagnostic strategies for hyperglycemia in pregnancy - dealing with the barriers and challenges in China.

机构信息

Department of Obstetrics and Gynecology, Peking University First Hospital, Beijing 100034, China.

Department of Obstetrics and Gynecology, Peking University First Hospital, Beijing 100034, China.

出版信息

Diabetes Res Clin Pract. 2018 Nov;145:84-87. doi: 10.1016/j.diabres.2018.04.005. Epub 2018 Apr 19.

Abstract

Hyperglycemia is one of the most common medical conditions women encounter during pregnancy. Hyperglycemia in pregnancy (HIP) is an issue of increasing concern to both obstetricians and administrators and it brings health issues for both mothers and offspring, not only early complications, but also long-term effects. HIP may either have been pre-gestational diabetes mellitus (pGDM), or gestational diabetes mellitus (GDM). After two-child policy fully carried out in China, the incidence of HIP would be increased further. There are many important issues such as the high prevalence of DM misdiagnosis, the diagnostic criteria of GDM, the strategies of GDM management in China need to deal with. We would focus on the barriers and challenges of diagnostic strategies for hyperglycemia in pregnancy in China.

摘要

高血糖是女性在怀孕期间最常见的医学问题之一。妊娠合并高血糖(HIP)是妇产科医生和管理人员越来越关注的问题,它不仅会给母亲和后代带来早期并发症,还会带来长期影响。HIP 可能是孕前糖尿病(pGDM),也可能是妊娠期糖尿病(GDM)。在中国全面实施二孩政策后,HIP 的发病率还会进一步上升。中国需要应对许多重要问题,如糖尿病误诊率高、GDM 的诊断标准、GDM 管理策略等。我们将重点关注中国妊娠合并高血糖诊断策略的障碍和挑战。

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