最后审阅: 25 九月 2021
最后更新: 04 三月 2021

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 口服葡萄糖耐量试验异常

危险因素

  • 高龄孕妇(> 40 岁)
  • BMI 升高
  • 多囊卵巢综合征 (PCOS)
  • 非白人血统
  • 糖尿病家族史
  • 既往妊娠糖尿病

诊断性检查

首要检查

  • 一步式试验选项:75 g 口服葡萄糖耐量试验 (OGTT)
  • 两步式试验选项:1 小时 50 g 葡萄糖负荷试验 (GLT),然后进行 3 小时 100 g OGTT

需考虑的检查

  • 空腹血糖(血浆)
  • 随机血糖(血浆)

治疗流程

急症处理

撰稿人

作者

Ellen W. Seely, MD

Professor of Medicine

Harvard Medical School

Director of Clinical Research

Endocrinology, Diabetes and Hypertension Division

Brigham & Women's Hospital

Boston

MA

利益声明

EWS declares that she has no competing interests.

Chloe Zera, MD, MPH

Assistant Professor

Harvard Medical School

Director, Network Obstetrics Population Health

Division of Maternal Fetal Medicine

Department of Obstetrics and Gynecology

Beth Israel Deaconess Medical Center

Boston

MA

利益声明

CZ declares that she has no competing interests.

鸣谢

Dr Ellen W. Seely and Dr Chloe Zera would like to gratefully acknowledge Dr Jeremy Soule and Dr Leonard E. Egede, previous contributors to this topic.

利益声明

JS has undertaken research support and speakers' bureau activity for Novartis, Bristol Myers Squibb, Astra Zeneca, and Sanofi-Aventis. LEE is an author of a number of references cited in this topic.

同行评议者

Rajesh K. Garg, MD

Professor of Medicine

Director of Clinical Diabetes

University of Miami

Miami

FL

利益声明

RKG declares that he has no competing interests.

Wail Malaty, MD

Clinical Professor

Department of Family Medicine

University of North Carolina

Chapel Hill

Assistant Program Director

MAHEC Rural Family Medicine Residency

Hendersonville

NC

利益声明

WM declares that he has no competing interests.

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