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孕期葡萄糖耐量异常(低血糖和高血糖)是否有可识别的症状?

Are there recognizable symptoms of abnormal glucose tolerance (hypoglycaemia and hyperglycaemia) in pregnancy.

作者信息

Abell D A, Beischer N A

出版信息

Aust N Z J Obstet Gynaecol. 1980 May;20(2):73-6. doi: 10.1111/j.1479-828x.1980.tb00096.x.

DOI:10.1111/j.1479-828x.1980.tb00096.x
PMID:6932205
Abstract

The symptoms noted by 1,291 consecutive patients undergoing a glucose tolerance test during the third trimester of pregnancy were studied to determine whether their presence was attributable to obstetrically important hypoglycaemia or hyperglycaemia. Relevant symptoms were common and, apart from the more frequent occurrence of palpitations in patients with hyperglycaemia, did not have a significant relationship to maternal glucose tolerance patterns. Patients with hypoglycaemia weighed less, but did not evidence a reduced dietary intake, whereas those with hyperglycaemia smoked less. Symptoms classically associated with biochemical hypoglycaemia and hyperglycaemia were not reliable indicators for selection of patients with obstetrically significant hypoglycaemia or hyperglycaemia.

摘要

对1291例在妊娠晚期接受葡萄糖耐量试验的连续患者所记录的症状进行了研究,以确定这些症状的出现是否归因于具有产科重要意义的低血糖或高血糖。相关症状很常见,除了高血糖患者心悸出现频率更高外,与孕妇的葡萄糖耐量模式没有显著关系。低血糖患者体重较轻,但饮食摄入量并未减少,而高血糖患者吸烟较少。传统上与生化性低血糖和高血糖相关的症状并不是选择具有产科重要意义的低血糖或高血糖患者的可靠指标。

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Reactive Hypoglycaemia at Glucose Tolerance Test-Another Presentation of Gestational Diabetes: A Multicentre Retrospective Study.葡萄糖耐量试验中的反应性低血糖——妊娠期糖尿病的另一种表现形式:一项多中心回顾性研究
BJOG. 2025 Jun;132(7):927-934. doi: 10.1111/1471-0528.18105. Epub 2025 Feb 25.
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Incidence Rate of Type 2 Diabetes Mellitus after Gestational Diabetes Mellitus: A Systematic Review and Meta-Analysis of 170,139 Women.妊娠期糖尿病患者发生 2 型糖尿病的发病率:170139 名女性的系统评价和荟萃分析。
J Diabetes Res. 2020 Apr 27;2020:3076463. doi: 10.1155/2020/3076463. eCollection 2020.