• 作者：Juana A. Flores Le-Roux ; David Benaiges Boix ; Juan Pedro-Botet
• 关键词：Diabetes mellitus gestacional ; Complicaciones ; Control glucé ; mico
• 刊名：Cl¨ªnica e Investigaci¨®n en Arteriosclerosis
• 出版年：2013
• 出版时间：September-October, 2013
• 年：2013
• 卷：25
• 期：4
• 页码：175-181
• 全文大小：337 K

Gestational diabetes mellitus (GDM) is common during pregnancy, and is frequently associated with maternal and perinatal complications. Intensive treatment of hyperglycaemia during pregnancy has been shown to reduce perinatal morbidity. In women with pregestational type 1 or 2 diabetes, hyperglycaemia during labour and delivery is an important factor in the development of neonatal hypoglycaemia. There are no generally accepted recommendations for women with GDM. Recent studies evaluating patients with GDM show that peripartum glucose control can be achieved in these women without the need for insulin use in the majority of cases. Hyperglycaemia during labour is not related with treatment established during pregnancy but rather with non-compliance of endocrinological follow-up. Factors such as ethnic origin, neonatal hypoxaemia, and large for gestational age seem to play an important role in the development of neonatal hypoglycaemia.