初次产检血糖不宜确诊妊娠期糖尿病

• 出 处: 中国社区医师
• 发表日期: 2012年47期
• 关键词: 妊娠期糖尿病 空腹血糖 孕妇 运动干预 血糖 美国糖尿病学会 周时 四成 血糖值 杨慧

我国仅四成初次产检空腹血糖≥5.10 mmol/L的孕妇确诊为妊娠期糖尿病北京大学第一医院杨慧霞教授等报告,孕妇初次产检时空腹血糖(FPG)水平≥5.10mmol/L不能确诊为妊娠期糖尿病(GDM)。若6.10 mmol/L≤初次产检时FPG水平<7.00 mmol/L,则应视作GDM并给予营养和运动干预;当FPG水平处于5.10～6.09 mmol/L时,也可适当加强营养和锻炼,同时在妊娠24～28周时进行口服葡萄糖耐量试验(OGTT),以排除GDM。

China’s only 40% of the first birth of fasting plasma glucose ≥ 5.10 mmol / L of pregnant women diagnosed with gestational diabetes First Hospital of Peking University Professor Yang Huixia and other reports, the first pregnancy when pregnant women with fasting plasma glucose (FPG) ≥ 5.10mmol / L can not be diagnosed as pregnancy Diabetes (GDM). If 6.10 mmol / L≤ FPG level <7.00 mmol / L at initial checkup, it should be regarded as GDM and given nutrition and exercise intervention; when FPG level is 5.10 ~ 6.09 mmol / L, nutrition and exercise may be appropriately strengthened, meanwhile Oral Glucose Tolerance Test (OGTT) was performed at 24-28 weeks gestation to exclude GDM.