Postpartum follow-up and management of gestational diabetes mellitus: comments on relevant issues in American College of Obstetricians and Gynecologists (ACOG) and America Diabetes Association (ADA) guidelines in 2018
10.3760/cma.j.issn.1007-9408.2018.10.002
- VernacularTitle:妊娠期糖尿病的产后随访和管理:2018年美国妇产科医师学会和美国糖尿病协会指南相关内容解读
- Author:
Haitian CHEN
1
;
Jianjian CUI
;
Zilian WANG
Author Information
1. 中山大学附属第一医院产科
- Keywords:
Diabetes,gestational;
Postpartum period;
Follow-up studies;
Patient care management
- From:
Chinese Journal of Perinatal Medicine
2018;21(10):652-656
- CountryChina
- Language:Chinese
-
Abstract:
Gestational diabetes mellitus (GDM) is defined as carbohydrate intolerance of variable severity with onset or first recognition during pregnancy.Short-and long-term effects of GDM on both mother and child depend on the severity of the condition and blood sugar level.Currently,relatively standardized guidance on management of GDM in China has greatly improved maternal and infant outcomes.Moreover,standardized postpartum management and monitoring are also essential for the prevention of long-term complications in this population.The guidelines issued by America Diabetes Association (ADA) and American College of Obstetricians and Gynecologists (ACOG) in 2018 recommended that GDM patients should be followed up at 4-12 weeks postpartum for a 75 g oral glucose tolerance test.For those who is normal at the first postpartum follow up,it is necessary to have their blood glucose tested once every 1-3 years.However,for those who is abnormal,medication should also be initiated when necessary in addition to more frequent follow-ups and nutritional intervention and physical exercise.
