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妊娠期糖尿病(GDM)常合并肥胖、胰岛素抵抗、妊娠期高血压、高血脂等代谢异常,与代谢综合征(MS)有共同特征。GDM孕妇合并MS时,单纯控制血糖仍有较高的不良妊娠结局发生率;有GDM史妇女产后MS高发,GDM孕妇子代MS发生率高,发生心血管疾病风险亦高。因GDM与MS密切相关,故在控制GDM孕妇血糖的同时需积极控制各种代谢异常,有利于改善妊娠结局,改善GDM孕妇及子代预后。
Gestational diabetes mellitus (GDM) often associated with obesity, insulin resistance, gestational hypertension, hyperlipidemia and other metabolic abnormalities, and metabolic syndrome (MS) have common characteristics. GDM pregnant women with MS, the simple control of blood glucose is still higher incidence of adverse pregnancy outcomes; women with GDM postpartum high incidence of MS, GDM pregnant women on behalf of the high incidence of MS, the risk of cardiovascular disease is also high. Due to the close relationship between GDM and MS, it is necessary to actively control various metabolic abnormalities while controlling the blood glucose of GDM pregnant women, which is beneficial to improve the pregnancy outcome and improve the prognosis of GDM pregnant women and their offspring.