Development of early-onset type 2 diabetes in the young: implications for child bearing.
Development of early-onset type 2 diabetes in the young: implications for child bearing.
复制标题
DOI：
10.1007/s11892-003-0023-z
复制
发表时间：
2003-08-01
影响因子：
4.2
通讯作者：
Reece, E Albert
中科院分区：
文献类型：
--
作者：
Homko, Carol J;Reece, E Albert
2型糖尿病在全世界儿童和青少年中的流行率正在上升，特别是在少数民族青年中。这导致2型糖尿病并发症的怀孕数量增加，现在已经超过了1型糖尿病并发症的怀孕数量。虽然数据有些有限，但现有的研究似乎表明，2型糖尿病与1型糖尿病的孕产妇和胎儿不良结局的发生率至少一样大，如果不是更大的话。据推测，一些额外的风险是由于患有2型糖尿病的女性年龄较大，体重较重，不太可能寻求早期产前护理，并且通常血糖控制不太满意。本文综述了妊娠合并2型糖尿病的现有数据及其对管理和预防的影响。
The prevalence of type 2 diabetes mellitus is increasing in children and adolescents worldwide, particularly among minority youth. This has led to an increase in the number of pregnancies complicated by type 2 diabetes, which has now exceeded pregnancies complicated by type 1 diabetes. Although the data are somewhat limited, those studies that are available seem to indicate that the rate of adverse maternal and fetal outcomes is at least as great, if not greater, for type 2 as for type 1 diabetes. It has been postulated that some of the excess risk is due to the fact that women with type 2 diabetes are older, heavier, less likely to seek early prenatal care, and are generally in less satisfactory glycemic control. This article reviews the existing data on pregnancies complicated by type 2 diabetes and the implications for management and prevention.