帮助患有糖尿病的孕妇。2014年更新的临床实践指南

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引用次数: 46

摘要

糖尿病是妊娠期最常见的代谢并发症之一,与孕产妇和胎儿发病率和死亡率的风险增加有关,通过适当的血糖控制可以预防和/或降低这一风险。在妊娠前糖尿病中,为了使血糖尽可能控制在接近正常水平,评估并发症和审查药物治疗处方,妊娠前的专门准备是必不可少的。妊娠期糖尿病的治疗已被证明可以降低孕产妇和围产期并发症的发生率,因此其诊断是合理的。关于诊断策略,由于缺乏共识和新的国际糖尿病和妊娠研究小组协会(IADPSG)出版后产生的争议,该小组决定将相同的诊断策略分为两个阶段,并具有相同的截止点,直到有可靠的数据支持引入新标准。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Asistencia a la gestante con diabetes. Guía de práctica clínica actualizada en 2014

Diabetes is one of the most common metabolic complications of pregnancy, and is associated with an increased risk of maternal and foetal morbidity and mortality that can be prevented and/or reduced with adequate glycaemic control. In pre-gestational diabetes, specific preparation prior to the pregnancy is essential in order to achieve glycaemic control near to normal as possible and to evaluate complications and review pharmacologic treatment prescription. The treatment of gestational diabetes has been shown to decrease the rate of maternal and perinatal complications, thus its diagnosis is justified. As regards the diagnostic strategy and due to the lack of consensus and the controversy arising after the publication of the new International Association of the Diabetes and Pregnancy Study Groups (IADPSG), the group has decided to keep the same diagnostic strategy in two stages, and with the same cut-off points, until there are solid data available that support the introduction of new criteria.

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