孕期糖尿病:孕产妇和胎儿并发症的潜在机制
Jooyeop Lee1, Na Keum Lee2, Joon Ho Moon2
1Division of Endocrinology and Metabolism, Department of Internal Medicine, Armed Forces Yangju Hospital, Yangju, Korea.
Endocrinology and metabolism (Seoul, Korea)
|January 23, 2025
概括
孕期糖尿病 (GDM) 影响了许多怀孕,增加了母亲和孩子的风险. 这篇评论总结了GDM的总结.
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:
- 妊娠期糖尿病 (GDM) 影响全球超过10%的怀孕.
- GDM与不良的孕产妇和胎儿结果有关,包括妊娠前,早产和宏观症.
- 母亲GDM增加了产后2型糖尿病,心血管疾病和后代肥胖,糖尿病和神经发育障碍的风险.
研究的目的:
- 提供关于GDM的临床流行病学研究的全面审查.
- 要总结与GDM相关的孕产妇和胎儿并发症.
- 探索对GDM病理生理学的机械研究.
主要方法:
- 临床流行病学研究的文献综述.
- 对调查孕产妇和胎儿并发症的研究进行分析.
- 检查关于GDM病理生理学的机械研究.
主要成果:
- GDM与显著的风险有关,包括孕前症,早产,巨症,新生儿低血糖症和肩膀缩.
- 患有GDM的母亲面临着产后2型糖尿病和心血管疾病的风险增加.
- 患有GDM的母亲的后代表现出儿童肥胖,糖尿病和神经发育障碍 (如自闭症谱系障碍) 的风险增加.
结论:
- GDM对母亲和胎儿的健康构成重大风险.
- 了解GDM病理生理学对于减轻其长期后果至关重要.
- 综合管理和进一步的研究对于解决GDM多方面的影响至关重要.
相关概念视频
Pathophysiology of Diabetes
854
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,...
854
Diabetes Mellitus: Type 2 and Gestational
2.2K
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...
2.2K
Diabetes Mellitus: Overview and Type I Subtype
2.4K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.4K
Diabetes: Symptoms, Diagnosis, and Complications
500
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...
500
Teratogenicity
2.3K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.3K
Overview of Carbohydrate Metabolism
696
Carbohydrate metabolism is a fundamental biochemical process that ensures a constant supply of energy to living cells. The most important carbohydrate is glucose, which can be broken down via glycolysis to enter into the Krebs cycle and eventually lead to the production of ATP through oxidative phosphorylation.
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
696


