Fagen C, King J D, Erick M
Long Beach Memorial Medical Center, Calif., USA.
J Am Diet Assoc. 1995 Apr;95(4):460-7. doi: 10.1016/S0002-8223(95)00122-0.
Gestational diabetes mellitus (GDM) is the most common medical disorder complicating pregnancy that requires the services of a registered dietitian. Despite three international workshops on GDM, many questions remain regarding its epidemiology, pathophysiology, screening, diagnosis, and management. Registered dietitians encounter these controversial issues when working with women referred for GDM education and counseling. Nutrition intervention remains the cornerstone of therapy. The purpose of this article is not to provide practice guidelines but to review the literature and current practices in research centers across the United States. Registered dietitians are in a position to individualize nutrition care to each woman's needs and to participate in the decision-making process of nutrition management.
妊娠期糖尿病（GDM）是妊娠期间最常见的需要注册营养师提供服务的医学疾病。尽管举办了三次关于GDM的国际研讨会，但关于其流行病学、病理生理学、筛查、诊断和管理仍存在许多问题。注册营养师在为接受GDM教育和咨询的女性提供服务时会遇到这些有争议的问题。营养干预仍然是治疗的基石。本文的目的不是提供实践指南，而是回顾美国各研究中心的文献和当前实践。注册营养师有能力根据每位女性的需求提供个性化的营养护理，并参与营养管理的决策过程。
