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妊娠期糖尿病(gestational diabetes mellitus,GDM)在孕妇妊娠期间严重危害母亲及胎儿的健康。虽然多数GDM孕妇在分娩后能恢复正常血糖水平,但是其产后发生糖代谢异常和2型糖尿病(T2DM)的风险以及再次妊娠时GDM的复发率高于糖代谢正常孕妇。为了早期发现、早期干预、早期治疗分娩后糖代谢异常和T2DM者,产后血糖筛查和随访管理具有重要价值。本文将对GDM患者产后血糖筛查的时间和方式以及随访管理现状中存在的问题进行阐述,为探索科学的GDM产后随访模式提供参考。
Gestational diabetes mellitus (GDM) seriously jeopardizes maternal and fetal health during pregnancy. Although most GDM pregnant women return to normal blood glucose levels after childbirth, the risk of postpartum abnormal glucose metabolism and type 2 diabetes mellitus (T2DM) and the relapse rate of GDM during re-pregnancy are higher than those with normal glucose metabolism. For early detection, early intervention, early treatment of postpartum abnormal glucose metabolism and T2DM, postpartum blood glucose screening and follow-up management of great value. This article will elaborate on the time and mode of postpartum blood glucose screening in GDM patients and the problems existing in the follow-up management status, and provide a reference for exploring the post-partum follow-up model of GDM.