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Postpartum reclassification in women with gestational diabetes and analyzing the high risk factors associated with them
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF OBSTETRICS AND GYNECOLOGY
- Issue:
- 3
- DOI:
- 10.3760/j.issn:0529-567X.2003.03.004
- Key Word:
- 糖尿病,妊娠;葡糖耐量不良;糖尿病,非胰岛素依赖型;葡糖耐量试验;血糖
Abstract： 目的探讨妊娠期糖尿病(GDM)孕妇分娩后2个月的75g 葡萄糖耐量试验(OGTT)结果,及其与血糖异常的相关因素.方法对294例GDM孕妇于分娩后2个月行OGTT,按世界卫生组织标准进行再分类,即2型糖尿病(2型DM)、糖耐量低减(IGT)和血糖正常.并对其相关因素进行分析.结果 (1) 294例孕妇中160例(54.4%)血糖正常(血糖正常组),75例(25.5%)IGT (IGT组),59例(20.1%)2型DM(2型DM组).(2) 2型DM组的诊断孕周早于其他两组(P<0.01);50 g葡萄糖负荷试验(GCT)的血糖、OGTT中的空腹血糖、以及诊断时的糖化血红蛋白(HbA1c)均明显高于其他两组(P<0.01);胰岛素治疗的孕周最早,胰岛素使用率高于血糖正常组(P<0.05),胰岛素的剂量也明显大于其他两组;分娩后1周内的空腹和餐后2 h血糖仍明显高于其他两组(P<0.01).(3)3组孕妇间体重、年龄、家族史等比较,差异无显著性(P>0.05).结论 GDM孕妇中约有1/4为IGT,1/5为2型DM;后者在孕期表现为发病早,空腹血糖高,使用胰岛素机会多.
- [1]B E, Metzger.Summary and recommendations of the Third International Workshop-Conference on Gestational Diabetes Mellitus.[J].1991,40 Suppl 2.
- [2]L R, Greenberg,T R, Moore,H, Murphy.Gestational diabetes mellitus: antenatal variables as predictors of postpartum glucose intolerance.[J].1995,86(1).
- [3]P M, Catalano,K M, Vargo,I M, Bernstein,etc.Incidence and risk factors associated with abnormal postpartum glucose tolerance in women with gestational diabetes.[J].1991,165.
- [4].Classification and Diagnosis of Diabetes Mellitus and Other Categories of Glucose Intolerance[J].1979.
- [5]J B, O'Sullivan.Diabetes mellitus after GDM.[J].1991,40 Suppl 2.
- [6]J V, Dacus,N L, Meyer,D, Muram,etc.Gestational diabetes: postpartum glucose tolerance testing.[J].1994,171(4).