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妊娠合并糖尿病产妇临产后饮食、用药及分娩均会使血糖水平出现较大波动,忽视对血糖水平的管理,可出现低血糖、酮症酸中毒和新生儿严重低血糖。维持分娩期血糖水平在正常范围,必要时给予小剂量短效胰岛素持续静脉滴注。产后糖代谢逐渐恢复到妊娠前水平,应根据空腹血糖水平调整胰岛素用量。妊娠期糖尿病多可在产后6周完全恢复正常,仍有约1/3病例于产后5～10年转为糖尿病,应定期随访。
Pregnancy with diabetes maternal postpartum diet, medication and delivery will lead to greater fluctuations in blood glucose levels, ignoring the management of blood glucose levels, there may be hypoglycemia, ketoacidosis and neonatal severe hypoglycemia. Maintain blood glucose levels during childbirth in the normal range, if necessary, given a small dose of short-acting insulin continuous intravenous infusion. Postpartum glucose metabolism gradually restored to the level before pregnancy, insulin levels should be adjusted according to fasting blood glucose levels. Gestational diabetes can be more than 6 weeks postpartum fully returned to normal, there are still about 1/3 of cases in 5 to 10 years after delivery to diabetes, should be regularly followed up.