国际妇产科学杂志

国际妇产科学杂志 ›› 2011, Vol. 38 ›› Issue (3): 172-173.

• 述评 • 上一篇    下一篇

重视妊娠期糖尿病国际新标准的临床应用

杨慧霞   

  1. 100034 北京大学第一医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2011-06-15 发布日期:2011-06-15

An Implement of New Diagnostic Criteria for Diagnosing GDM

YANG Hui-xia   

  1. Department of Obstetrics and Gynecology，Peking University First Hospital，Beijing 100034，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2011-06-15 Online:2011-06-15

PDF (PC)

5267

摘要： 长期以来，妊娠期糖尿病诊断标准存在争议，近年来，国际妊娠合并糖尿病研究组织基于全球多中心的观察性研究，妊娠期高血糖与围产结局研究结果制定的妊娠期糖尿病诊断标准如下：75 g口服葡萄糖耐量试验空腹、服糖后1 h和2 h血糖分别为 5.1 mmol/L，10.0 mmol/L和8.5 mmol/L，任何一项血糖达到或超过上述标准应诊断为妊娠期糖尿病。同时，妊娠早期空腹血糖升高者应诊断为妊娠前糖尿病。

关键词: 妊娠, 糖尿病, 妊娠, 葡糖耐量试验, 血糖

Abstract: For many years，GDM has been defined as any degree of glucose intolerance with onset or first recognition during pregnancy. This limitations of definition were recognized for many years. After deliberations in 2008—2009，the International Association of Diabetes and Pregnancy Study Groups（IADPSG），recommended that high-risk women found to have diabetes at their initial prenatal visit，using standard criteria，receive a diagnosis of overt，not gestational， diabetes. The group recommended that all women not known to have diabetes undergo a 75 g OGTT at 24~28 weeks of gestation. The diagnosis of GDM is made when any of the following plasma glucose values are exceeded：fasting：5.1 mmol/L，1 h：10.0 mmol/L and 2 h：8.5 mmol/L.

Key words: Pregnancy, Diabetes, gestational, Glucose tolerance test, Blood glucose