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怀孕早期的中间高血糖症:一个南亚的视角
John Punnose1, Komal Sukhija2, Rashika M Rijhwani2
1Department of Endocrinology and Metabolism, St. Stephen's Hospital, Delhi 110054, India. drpunnose@rediffmail.com.
World journal of diabetes
|June 5, 2023
概括
怀孕早期的中间高血糖症 (IHEP) 影响了许多南亚妇女在24周之前. 需要进一步的研究来理解IHEP.
科学领域:
- 产科和妇科 产科和妇科
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 怀孕早期的中间高血糖症 (IHEP) 是24周妊娠前的轻度高血糖症.
- 常规查明显的糖尿病可以确定女性患有IHEP,特别是在南亚,在24周前诊断是常见的.
- 目前在南亚IHEP的诊断方法经常使用24周后确定的妊娠糖尿病 (GDM) 标准.
研究的目的:
- 审查目前对南亚人口早期怀孕中期高血糖症 (IHEP) 的理解.
- 探索与IHEP相关的诊断挑战和潜在的不良妊娠结果.
- 建议IHEP的未来研究方向.
主要方法:
- 关于IHEP,GDM查和怀孕早期诊断标准的文献搜索.
- 分析南亚医院的诊断实践.
- 对与IHEP和HbA1c水平相关的妊娠不良事件现有证据的审查.
主要成果:
- 在南亚,三分之一的GDM病例被诊断为IHEP (24周前).
- 与晚些时候被诊断的女性相比,患有IHEP的南亚女性可能面临更高的不良妊娠结果风险.
- 禁食血葡萄糖是南亚女性GDM的可靠查工具,可能减少对OGTT的需求.
- 第一个三个月的HbA1c预测了GDM,但对IHEP诊断不可靠;然而,它与不良怀孕事件有关.
结论:
- 在南亚怀孕中,IHEP是一个重大问题,需要特定的诊断和管理策略.
- 进一步的随机对照试验至关重要,以确认南亚女性IHEP的不良结果风险增加.
- 强烈建议对IHEP对胎儿和母亲影响的致病机制进行研究.
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