孕期糖尿病查:美国预防服务工作组建议声明
, Karina W Davidson1, Michael J Barry2
1Feinstein Institutes for Medical Research at Northwell Health, Manhasset, New York.
JAMA
|August 10, 2021
概括
在怀孕24周后对孕妇进行妊娠糖尿病查,对孕妇和婴儿的健康有适度的益处. 在24周之前的早期查缺乏足够的证据来确定其益处和危害.
科学领域:
- 产科和妇科
- 内分泌学
- 预防医学
背景情况:
- 孕期糖尿病 (GDM) 影响美国5.8%-9.2%的孕妇,增加孕妇和胎儿并发症的风险.
- 这些并发症包括妊娠前症,胎儿巨症,出生损伤,新生儿低血糖症以及母亲和孩子的长期健康问题.
- 美国预防服务工作组 (USPSTF) 审查了关于GDM查和治疗的证据.
研究的目的:
- 评估GDM查的准确性,益处和危害.
- 评估GDM治疗对孕妇和新生儿的益处和危害.
主要方法:
- 系统审查由USPSTF委托进行.
- 针对没有先前存在的1型或2型糖尿病的孕妇.
- 评估了GDM干预的查准确性,益处和危害.
主要成果:
- 在怀孕24周或之后查GDM的中等净益率.
- 没有足够的证据来确定24周前查的益处和危害.
- 查旨在改善母亲和胎儿的结果.
结论:
- 在无症状的孕妇中,USPSTF建议在怀孕24周或更晚时对GDM进行查.
- 目前的证据不足以评估怀孕24周之前的查.
- 在推时间进行查可以减轻与GDM相关的风险.
相关概念视频
Diabetes Mellitus: Type 2 and Gestational
3.5K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
3.5K
Preventive Healthcare Services
1.2K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.2K
Pathophysiology of Diabetes
2.2K
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
2.2K
Diabetes: Symptoms, Diagnosis, and Complications
1.3K
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
1.3K
Oral Hypoglycemic Agents: Biguanides and Glitazones
360
Biguanides, particularly metformin (Glucophage), are insulin sensitizers that enhance glucose uptake, thereby reducing insulin resistance. Unlike sulfonylureas, metformin doesn't prompt insulin secretion, which helps to curb hypoglycemia risk. Metformin is beneficial in treating conditions like polycystic ovary syndrome due to its insulin-resistance reduction capability. The drug's primary action involves curtailing hepatic gluconeogenesis, a significant contributor to high blood...
360
Levels of Health Promotion and Illness Prevention
13.7K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
13.7K


