ACOG Practice Bulletin No. 201: Pregestational Diabetes Mellitus.
ACOG Practice Bulletin No. 201: Pregestational Diabetes Mellitus.
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DOI：
10.1097/aog.0000000000002960
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发表时间：
2018-12-01
影响因子：
7.2
通讯作者：
中科院分区：
文献类型：
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妊娠糖尿病是妊娠期最具挑战性的医学并发症之一，因为需要频繁监测和调整药物，以及潜在的母体和胎儿并发症。本文概述了目前对妊娠前糖尿病的认识，并提出了妊娠期间的管理指南。由于很少有设计良好的研究已经进行，许多指南是基于专家和共识的意见。本文件已更新，以反映当前关于妊娠前糖尿病的数据。本实践公告更新了妊娠前和妊娠期间咨询和管理妊娠前糖尿病妇女的总结信息，反映妊娠期间持续皮下胰岛素输注经验的最新文献，关于口服降糖药在妊娠中的作用的扩展部分，以及产后期间长效可逆避孕的选择。
Pregestational diabetes mellitus represents one of the most challenging medical complications of pregnancy because of the need for frequent monitoring and adjustment of medications as well as the potential for maternal and fetal complications. This document provides an overview of the current understanding of pregestational diabetes mellitus and suggests management guidelines during pregnancy. Because few well-designed studies have been performed, many of the guidelines are based on expert and consensus opinion. This document has been updated to reflect current data on pregestational diabetes. This Practice Bulletin is updated with summary information to counsel and manage women with pregestational diabetes before and during pregnancy, more recent literature reflecting experience with continuous subcutaneous insulin infusion during pregnancy, an expanded section on the role of oral hypoglycemic agents in pregnancy, and the option of long-acting reversible contraception during the postpartum period.