孕前糖尿病围孕期咨询和评估及降糖药应用

Prepregnancy consultation and evaluation of preexisting diabetic patients and the application of hypoglycemic agents

孕前糖尿病占所有妊娠合并糖尿病的5%~10%,妊娠前咨询内容包括了解血糖水平、评估慢性并发症及合并症以确定合适的妊娠时机。资料表明,相对比较安全的孕期口服降糖药是格列本脲和二甲双胍,目前仍推荐孕期使用胰岛素控制血糖。

Among all of gestational diabetes 5%-10% was preexisting diabetes.The consultation during prepregnancy and antenatal care in women with preexisting diabetes include the investigation of blood glucose levels,chronic complications,to determine the right time for pregnancy.The existing data shows that relatively safe oral hypoglycemic agents are glyburide and metformin in pregnancy.It is still recommended to use insulin to control blood glucose in pregnancy.