Postpartum Screening Following GDM: How Well Are We Doing?
Postpartum Screening Following GDM: How Well Are We Doing?
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DOI：
10.1007/s11892-010-0110-x
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发表时间：
2010-06-01
影响因子：
4.2
通讯作者：
Korte, Jeffrey E.
中科院分区：
文献类型：
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作者：
Hunt, Kelly J.;Logan, Sarah L.;Korte, Jeffrey E.
一旦被诊断患有妊娠期糖尿病（GDM），女性患2型糖尿病的风险是妊娠期未患糖尿病的女性的7倍。此外，多达三分之一的GDM女性在6至12周内完成的产后葡萄糖筛查中发现了明显的糖尿病、空腹血糖受损或葡萄糖耐量受损。因此，美国糖尿病协会、世界卫生组织和美国妇产科医师学会目前建议在GDM后进行产后血糖筛查。然而，尽管有这一建议，在许多情况下，大多数GDM妇女未能返回产后血糖测试。迄今为止进行的研究还没有全面检查的卫生保健系统，医生，或成功的筛查患者的决定因素。需要这些研究来帮助制定标准的临床程序，使并鼓励所有妇女返回产后葡萄糖筛查GDM后。
Once diagnosed with gestational diabetes mellitus (GDM), a woman has a sevenfold increased risk of developing type 2 diabetes relative to women who do not have diabetes during pregnancy. In addition, up to one third of women with GDM have overt diabetes, impaired fasting glucose, or impaired glucose tolerance identified during postpartum glucose screening completed within 6 to 12 weeks. Therefore, the American Diabetes Association, the World Health Organization, and the American College of Obstetricians and Gynecologists currently recommend postpartum glucose screening following GDM. However, despite this recommendation, in many settings the majority of women with GDM fail to return for postpartum glucose testing. Studies conducted to date have not comprehensively examined the health care system, the physician, or the patient determinants of successful screening. These studies are required to help develop standard clinical procedures that enable and encourage all women to return for postpartum glucose screening following GDM.