Screening and diagnosis of gestational diabetes mellitus.docVIP

 PAGE \* MERGEFORMAT 3 Screening and diagnosis of gestational diabetes mellitus [Keywords:] diabetes mellitus, pregnancy; blood glucose; Diagnosis Gestational diabetes (gestational diabetes mellitus, GDM) during pregnancy occurred or was first found that the different degrees of impaired glucose tolerance, is the most common medical complications during pregnancy, one of the women during pregnancy incidence of 1% ~ 13.9% [1,2]. Because of race, diagnosis methods and standards used by the different values far from unity. GDM on maternal and child criminals, major complications include premature delivery, pyelonephritis, polyhydramnios, and pregnancy-induced hypertension syndrome, the prevalence of perinatal children (neonatal hypoglycemia, low blood calcium, high bilirubin blood disease, polycythemia psychosis), and increased mortality [1,3]. GDM postpartum easy to develop clinical diabetes, the adult offspring, there obesity, impaired glucose tolerance and increased risk of diabetes. Adverse pregnancy outcomes associated with high blood sugar levels, early diagnosis and treatment of GDM, the active controlling blood sugar during pregnancy, timely termination of pregnancy can reduce the complications of female children, to improve pregnancy outcome. A screening time and the object At present, screening for the ideal time for GDM has been controversial. Some scholars [4] that the screening time is preferably 24 to 28 weeks of gestation, the placenta during pregnancy and placental lactogen secretion of estrogen on insulin have antagonistic effects, its secretion peak of 24 to 28 weeks of gestation, this time insulin in pregnant women needs reached a peak showed impaired glucose tolerance during this period easily detected in GDM. When Chunyan et al [5] The 8665 cases of pregnant women OK GDM screening clinical studies have shown that, at 24 ~ 36 weeks, screening of pregnant women of different gestational age of 50g glucose challenge test (GCT) rate of abno