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The Prevalence of Postpartum Glucose Intolerance in Women with Gestational Diabetes
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF PERINATAL MEDICINE
- Issue:
- 2
- DOI:
- 10.3760/cma.j.issn.1007-9408.1999.02.002
- Key Word:
- 妊娠;糖尿病;产后;随访
Abstract： 目的 了解妊娠期糖尿病(GDM)患者产后糖代谢异常情况、筛出预测产后糖代谢异常的高危因素及GDM患者远期糖尿病发生情况.方法 收集1982年11月～1998年4月在我院分娩并产后随访的97例GDM孕妇,其中远期随访1～8年者33例.结果 GDM产后近期随访诊断为显性糖尿病者23例,糖耐量减低11例,列为产后糖代谢异常组.与产后糖代谢正常组(41例)进行比较发现:糖尿病家族史、孕期血糖异常出现时间、糖筛查血糖高、空腹血糖升高以及糖尿病孕期治疗情况两组间存在明显差异.远期追踪33例中显性糖尿病10例,糖耐量减低3例.结论 GDM产后仍有部分患者糖代谢不能恢复正常,尤其有糖尿病家族史,在妊娠24周以前确诊GDM,糖筛查血糖较高,空腹血糖升高,孕期需胰岛素治疗者更应重视产后血糖检查,以便及时发现产后糖代谢异常.产后近期糖代谢正常者,仍需进行远期随访.
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