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妊娠期糖尿病的定义、检测与管理。

Definition, detection, and management of gestational diabetes.

作者信息

Gabbe S G

出版信息

Obstet Gynecol. 1986 Jan;67(1):121-5.

PMID:3510012
Abstract

The Second International Workshop-Conference on Gestational Diabetes was held in Chicago, IL on October 25-27, 1984 as an invitational meeting sponsored by the American Diabetes Association with the cooperation of the American College of Obstetricians and Gynecologists, the American Academy of Pediatrics, and the Diabetic Pregnancy Study Group of the European Association for the Study of Diabetes. The meeting was convened to collate existing information about gestational diabetes mellitus and to use state-of-the-art appraisals to achieve consensus about definitions, prognoses, and strategies for success, diagnosis, and intervention. The invited presentations documented that gestational diabetes mellitus is a heterogeneous disorder with varying incidence in various parts of the world. The increased obstetric and perinatal risk of undetected gestational diabetes was supported. The reports clearly established that more than half of the women with gestational diabetes mellitus ultimately develop permanent diabetes. Mounting evidence also suggests the possibility of long-range complications such as increased obesity and diabetes in the offspring. The available experiences with a variety of therapies such as diet and insulin were reviewed. The meeting highlighted the importance of gestational diabetes mellitus as a distinct entity deserving of increased recognition, treatment, long-range follow-up, and research.

摘要

第二届妊娠糖尿病国际研讨会于1984年10月25日至27日在伊利诺伊州芝加哥市举行,是由美国糖尿病协会主办的一次邀请会议,美国妇产科学会、美国儿科学会以及欧洲糖尿病研究协会糖尿病妊娠研究组参与了合作。此次会议旨在整理有关妊娠糖尿病的现有信息,并运用最新评估达成关于定义、预后以及成功诊断与干预策略的共识。受邀报告表明,妊娠糖尿病是一种异质性疾病,在世界不同地区发病率各异。未被发现的妊娠糖尿病增加产科和围产期风险这一观点得到了支持。报告明确指出,超过半数的妊娠糖尿病女性最终会发展为永久性糖尿病。越来越多的证据还表明,后代存在肥胖和糖尿病等远期并发症的可能性。会上回顾了饮食和胰岛素等多种治疗方法的现有经验。会议强调了妊娠糖尿病作为一个独特实体的重要性,值得更多的关注、治疗、长期随访和研究。

相似文献

1
Definition, detection, and management of gestational diabetes.妊娠期糖尿病的定义、检测与管理。
Obstet Gynecol. 1986 Jan;67(1):121-5.
2
American Diabetes Association Workshop-Conference on gestational diabetes: summary and recommendations.美国糖尿病协会妊娠期糖尿病研讨会 - 会议总结与建议
Diabetes Care. 1980 May-Jun;3(3):499-501.
3
[Perinatal morbidity in pregnancies of women with preconceptional and gestational diabetes mellitus in comparison with pregnancies of non-diabetic women. Results of the perinatal registry of Lower Saxony, Germany].[孕前及妊娠期糖尿病女性妊娠的围产期发病率与非糖尿病女性妊娠的比较。德国下萨克森州围产期登记结果]
Z Geburtshilfe Neonatol. 2006 Dec;210(6):200-7. doi: 10.1055/s-2006-957073.
4
Management of gestational diabetes.妊娠期糖尿病的管理
Zentralbl Gynakol. 1993;115(4):147-53.
5
[Diabetes and pregnancy].[糖尿病与妊娠]
Ann Med Interne (Paris). 1999 Sep;150(5):419-24.
6
Gestational diabetes mellitus. American Diabetes Association, Inc.妊娠期糖尿病。美国糖尿病协会
Ann Intern Med. 1986 Sep;105(3):461.
7
[Diagnosis of diabetes in pregnancy. Accuracy and prognostic value].[妊娠期糖尿病的诊断。准确性及预后价值]
Wien Klin Wochenschr. 1983 Mar 4;95(5):165-8.
8
Effect of tight glycaemic control on fetal complications in diabetic pregnancies.严格血糖控制对糖尿病妊娠胎儿并发症的影响。
J Assoc Physicians India. 2004 Feb;52:109-13.
9
The Toronto Tri-Hospital Gestational Diabetes Project. A preliminary review.多伦多三院妊娠期糖尿病项目。初步综述。
Diabetes Care. 1998 Aug;21 Suppl 2:B33-42.
10
[Gestational diabetes].[妊娠期糖尿病]
Diabete Metab. 1990;16(2 Pt 2):172-83.

引用本文的文献

1
Relationship between carbohydrate intake and oral glucose tolerance test results among pregnant women.孕妇碳水化合物摄入量与口服葡萄糖耐量试验结果的关系。
Diabetes Res Clin Pract. 2021 Jun;176:108869. doi: 10.1016/j.diabres.2021.108869. Epub 2021 May 23.
2
Elevated soluble CD163 in gestational diabetes mellitus: secretion from human placenta and adipose tissue.妊娠期糖尿病患者可溶性CD163升高:来自人胎盘和脂肪组织的分泌
PLoS One. 2014 Jul 1;9(7):e101327. doi: 10.1371/journal.pone.0101327. eCollection 2014.
3
Visfatin in human pregnancy: maternal gestational diabetes vis-à-vis neonatal birthweight.
人妊娠中的内脂素:母体妊娠期糖尿病与新生儿出生体重。
J Perinat Med. 2009;37(3):218-31. doi: 10.1515/JPM.2009.053.
4
Screening for gestational diabetes among women who have previously had a large baby or a stillborn infant.对既往生育过巨大儿或死产儿的女性进行妊娠期糖尿病筛查。
Arch Gynecol Obstet. 1990;247(4):197-202. doi: 10.1007/BF02389544.