Hellenic Endocrine Society - Greek Society of Endocrinologists, Athens, Greece.
Hellenic Society of Maternal-Fetal Medicine, Athens, Greece.
Hormones (Athens). 2020 Dec;19(4):601-607. doi: 10.1007/s42000-020-00193-y. Epub 2020 May 25.
Gestational diabetes mellitus (GDM) is the most common metabolic disease of pregnancy and is associated with several perinatal complications. GDM is defined as diabetes diagnosed in the second or third trimester of pregnancy that was not clearly overt diabetes prior to gestation. In Europe, in 2016, the prevalence of GDM was estimated to be 5.4% (3.8-7.8). It varied depending on maternal age, year of data collection, country, area of Europe, week of gestation at testing, and diagnostic criteria. The Hellenic Endocrine Society and the Hellenic Society of Maternal-Fetal Medicine commissioned an expert group to construct national guidelines on "Diabetes mellitus and pregnancy: Gestational diabetes mellitus." Following a search for the best available evidence and critical appraisal of the results, the writing group generated a series of consensus recommendations regarding screening tests for the general population, monitoring and management, fetal monitoring, management of preterm labor, planning of labor and delivery, puerperium and breastfeeding, and long-term follow-up of GDM.
妊娠期糖尿病（GDM）是最常见的妊娠代谢性疾病，与多种围产期并发症相关。GDM 定义为妊娠 2 或 3 期诊断的糖尿病，在妊娠前并未明确诊断为显性糖尿病。2016 年在欧洲，GDM 的患病率估计为 5.4%（3.8-7.8）。其患病率因孕妇年龄、数据收集年份、国家、欧洲地区、检测时的孕周以及诊断标准而异。希腊内分泌学会和希腊母胎医学学会委托一个专家组制定关于“糖尿病与妊娠：妊娠期糖尿病”的国家指南。在寻找最佳现有证据并对结果进行批判性评估后，写作组就一般人群的筛查试验、监测和管理、胎儿监测、早产管理、分娩计划、产褥期和母乳喂养以及 GDM 的长期随访提出了一系列共识建议。
