空腹血糖对妊娠期糖尿病的诊断意义

The clinical significance of fasting plasma glucose for diagnosing gestational diabetes mellitu

妊娠期糖尿病(GDM)的结局好坏往往与血糖水平有着密切的关系,尽早干预GDM有助于改善母儿不良妊娠结局。妊娠早期空腹血糖(FPG)与葡萄糖负荷试验(GCT)及口服葡萄糖耐量试验(OGTT)的血糖水平呈正相关,具有操作简单,价格低廉,可重复率高,并且容易被妊娠妇女接受等优点。笔者将其临床筛查的意义进行综述。

Objective： The incidence of gestational diabetes mellitus （GDM） increased year by year. Adverse pregnancy outcome is often closely associated with blood glucose levels, so the early intervention of GDM will help to improve the adverse pregnancy outcomes. In recent years, many studies have confirmed that fasting plasma glucose （FPG） in early regnancy are positively correlated with the blood glucose level of glucose challenge test （GCT） and oral glucose tolerance test （OGTT）. Because of the advantages of simple operation, low cost, higher repetitive rate and easily accepted by pregnant women, screening GDM with FPG has higher clinical values and the article will review its significance.