妊娠期糖尿病患者的产后管理策略

Postpartum follow-up and management strategies for gestational diabetes mellitus

妊娠期糖尿病(gestational diabetes mellitus,GDM)患者及其子代均是2型糖尿病(type2 diabetes mellitus,T2DM)患病的高危人群,针对这一群体进行合理干预,是预防T2DM的第一道防线。产后血糖监测和随访管理具有重要社会价值和经济效益。本文通过强化GDM母儿远期不良预后的认识,拓展GDM产后健康宣教内容,并对国内外最新GDM产后管理指南进行对比,以期提高患者产后血糖筛查的依从性,尽早识别T2DM的潜在人群,优化我国GDM产后健康管理服务;并提出将新媒体技术运用于GDM产后随访体系中,为探索科学的GDM产后随访模式提供参考。

Women with gestational diabetes mellitus(GDM)and their offspring are the high risk factor for type 2 diabetes mellitus(T2 DM).Appropriate intervention of GDM pregnancy women and their offspring is the first line to prevent T2 DM.Postpartum blood glucose monitoring and follow-up management have important social value and economic benefits.By strengthening the understanding of the long-term poor prognosis of GDM,expanding the postpartum health education content of GDM,and comparing the latest postpartum management guidelines of GDM in China,this aim of paper is to improve the compliance of postpartum blood glucose screening in GDM women,identify potential population of T2 DM as soon as possible,and optimize postpartum health management services of GDM in China.In addition,to provide a reference for exploring a scientific postpartum follow-up model of GDM,it is proposed to apply new media technology to the postpartum follow-up system of GDM.