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妊娠期间糖尿病有2种情况,一种为妊娠前已有糖尿病的患者妊娠,另一种妊娠前糖代谢正常或有潜在糖耐量减退,怀孕时才发现糖尿病又称妊娠期糖尿病(GDM),我国发生率约1~5%,近几年有明显增高趋势,本人近5年对本院门诊及住院患者82例GDM的管理及治疗体会总结报告如下。在妊娠早中期,随孕周增加,胎儿对营养物质的需求量增加,通过胎盘从母体获取葡萄糖是胎儿能量的主要来源,孕妇血浆葡萄糖水平随妊娠进展而降低,空腹血糖约降低10%。
There are two cases of diabetes during pregnancy, one for pre-pregnancy in patients with diabetes pregnancy, the other before pregnancy normal glucose metabolism or potential impaired glucose tolerance, was found during pregnancy diabetes mellitus, also known as gestational diabetes (GDM), our country The incidence of about 1 ~ 5%, in recent years there was a clear upward trend in the past five years I hospital outpatient and inpatient 82 cases of GDM management and treatment experience summary report is as follows. In the first trimester of pregnancy, with the increase of gestational weeks, the fetus’ demand for nutrients is increased. Getting the glucose from the mother through the placenta is the main source of fetal energy. The plasma glucose level of pregnant women decreases with the progress of pregnancy, and the fasting blood glucose is reduced by about 10%.