Gestational Diabetes Mellitus

被引:127
作者
Landon, Mark B. [1 ]
Gabbe, Steven G. [1 ]
机构
[1] Ohio State Univ, Coll Med, Dept Obstet & Gynecol, Columbus, OH 43210 USA
关键词
INTERNATIONAL WORKSHOP-CONFERENCE; WEIGHT-GAIN; SHOULDER DYSTOCIA; RANDOMIZED-TRIAL; WOMEN; PREGNANCY; INSULIN; GLYBURIDE; RECOMMENDATIONS; MANAGEMENT;
D O I
10.1097/AOG.0b013e31823974e2
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Gestational diabetes mellitus (GDM) represents a heterogeneous group of metabolic disorders, which result in varying degrees of maternal hyperglycemia and pregnancy-associated risk. The frequency of GDM is rising globally and may also increase further as less-stringent criteria for the diagnosis are potentially adopted. The additional burden placed on the health care system by increasing cases of GDM requires consideration of diagnostic approaches and currently used treatment strategies. Debate continues to surround both the diagnosis and treatment of GDM despite several recent large-scale studies addressing these controversial issues. As many now have come to reassess their approach to the management of GDM, we provide information in this review to help guide this process. The goal for each health care practitioner should continue to be to provide optimum care for women discovered to have carbohydrate intolerance during pregnancy. (Obstet Gynecol 2011;118:1379-93) DOI: 10.1097/AOG.0b013e31823974e2
引用
收藏
页码:1379 / 1393
页数:15
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