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妊娠期糖尿病——现代管理与治疗方法(综述)

Gestational diabetes - modern management and therapeutic approach (Review).

作者信息

Sandu Camelia, Bica Cristina, Salmen Teodor, Stoica Roxana, Bohiltea Roxana, Gherghiceanu Florentina, Pacu Irina, Stefan Simona, Serafinceanu Cristian, Stoian Anca Pantea

机构信息

National Institute of Diabetes, Nutrition and Metabolic Diseases 'Prof. N.C. Paulescu', 020475 Bucharest, Romania.

Department of Diabetes, Nutrition and Metabolic Diseases, 'Carol Davila' University of Medicine and Pharmacy, 050474 Bucharest, Romania.

出版信息

Exp Ther Med. 2021 Jan;21(1):81. doi: 10.3892/etm.2020.9512. Epub 2020 Nov 26.

DOI:10.3892/etm.2020.9512
PMID:33363592
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7725034/
Abstract

Gestational diabetes mellitus is an important healthcare problem with serious implications both to the mother and to the foetus. The necessity of clear screening criteria for the pregnant woman and also identifying from an early stage the risk groups can be beneficial instruments for better management of gestational diabetes. The present report identify the main screening criteria for patients at risk for gestational diabetes and the therapeutic-nutritional therapy for women that have gestational diabetes. The different diagnostic criteria, as well as the new instruments through which these criteria can be applied, are still heterogeneous, and it is necessary to unify and promote them. The prevalence of gestational diabetes has significantly increased in recent years, and this has led to an increase in the direct and indirect costs of healthcare. Establishing the optimal time and initiating the correct treatment is critical to achieving glycemic control and to minimize the impact on fetal development and perinatal complications.

摘要

妊娠糖尿病是一个重要的医疗保健问题,对母亲和胎儿都有严重影响。为孕妇制定明确的筛查标准以及从早期识别风险群体,可能是更好管理妊娠糖尿病的有益手段。本报告确定了妊娠糖尿病高危患者的主要筛查标准以及患有妊娠糖尿病女性的治疗性营养疗法。不同的诊断标准以及应用这些标准的新手段仍然参差不齐,有必要进行统一和推广。近年来,妊娠糖尿病的患病率显著上升,这导致了医疗保健直接和间接成本的增加。确定最佳时间并开始正确治疗对于实现血糖控制以及尽量减少对胎儿发育和围产期并发症的影响至关重要。

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本文引用的文献

1
Temporal trend of diabetes in pregnant women and its association with birth outcomes, 2011 to 2017.2011 年至 2017 年孕妇糖尿病的时间趋势及其与分娩结局的关系。
J Diabetes Complications. 2020 Apr;34(4):107550. doi: 10.1016/j.jdiacomp.2020.107550. Epub 2020 Jan 24.
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Epidemiology of Diabetes in Pregnancy Among First Nations and Non-First Nations Women in Saskatchewan, 1980‒2013. Part 2: Predictors and Early Complications; Results From the DIP: ORRIIGENSS Project.糖尿病在妊娠中的流行病学:萨斯喀彻温省原住民和非原住民妇女,1980-2013 年。第 2 部分:预测因素和早期并发症;来自 DIP:ORRIIGENSS 项目的结果。
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Visceral Adipose Tissue Depth in Early Pregnancy and Gestational Diabetes Mellitus - a Cohort Study.早孕期内脏脂肪厚度与妊娠期糖尿病的关系:一项队列研究。
Sci Rep. 2020 Feb 6;10(1):2032. doi: 10.1038/s41598-020-59065-5.
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14. Management of Diabetes in Pregnancy: .14. 妊娠糖尿病的管理:
Diabetes Care. 2020 Jan;43(Suppl 1):S183-S192. doi: 10.2337/dc20-S014.
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Hyperglycemia and Adverse Pregnancy Outcome Follow-up Study (HAPO FUS): Maternal Glycemia and Childhood Glucose Metabolism.高血糖与不良妊娠结局随访研究(HAPO FUS):母体血糖与儿童葡萄糖代谢。
Diabetes Care. 2019 Mar;42(3):381-392. doi: 10.2337/dc18-2021. Epub 2019 Jan 7.
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Defensive caesarean section: A reality and a recommended health care improvement for Romanian obstetrics.预防性剖宫产:罗马尼亚产科的现实与推荐的医疗保健改进。
J Eval Clin Pract. 2019 Feb;25(1):111-116. doi: 10.1111/jep.13025. Epub 2018 Sep 4.
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Consensus in Gestational Diabetes MELLITUS: Looking for the Holy Grail.妊娠期糖尿病的共识:寻找圣杯
J Clin Med. 2018 May 28;7(6):123. doi: 10.3390/jcm7060123.
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ACOG Practice Bulletin No. 190: Gestational Diabetes Mellitus.美国妇产科医师学会临床实践通告第 190 号:妊娠期糖尿病。
Obstet Gynecol. 2018 Feb;131(2):e49-e64. doi: 10.1097/AOG.0000000000002501.
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Application of One-Step IADPSG Versus Two-Step Diagnostic Criteria for Gestational Diabetes in the Real World: Impact on Health Services, Clinical Care, and Outcomes.一步法国际糖尿病与妊娠研究组(IADPSG)标准与两步法诊断标准在妊娠期糖尿病实际应用中的比较:对卫生服务、临床护理及结局的影响
Curr Diab Rep. 2017 Aug 10;17(10):85. doi: 10.1007/s11892-017-0922-z.
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Maternal Subcutaneous and Visceral Adipose Ultrasound Thickness in Women with Gestational Diabetes Mellitus at 24-28 Weeks' Gestation.孕24 - 28周妊娠期糖尿病女性的母体皮下及内脏脂肪超声厚度
Fetal Diagn Ther. 2018;43(2):143-147. doi: 10.1159/000475988. Epub 2017 Jun 17.