在孕期糖尿病妇女中测量基的评估 (EVOKING) 研究
Basilio Pintaudi1, Loretta Giunta2, Giacoma Di Vieste3
1Interdisciplinary Diabetes and Pregnancy Center, Niguarda Cà Granda Hospital, Diabetology, Milan, Italy. basilio.pintaudi@ospedaleniguarda.it.
Hormones (Athens, Greece)
|April 29, 2025
概括
孕期糖尿病患者可以从血测试中获益,该测试比尿液测试检测更多的症发作. 建议进行这种密集监测,以更好地管理GDM.
科学领域:
- 内分泌学 在内分泌学.
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 孕期糖尿病 (GDM) 的管理通常涉及监测尿,通常在早餐前.
- 在GDM中,症可能会在一天的其他时间发生,可能会被标准的尿测试遗漏.
- 血测量提供了一个潜在的更准确的评估症.
研究的目的:
- 为了评估密集的血测量在检测GDM患者的症的有效性.
- 为了比较血检测率与消极的禁食尿测试.
主要方法:
- 一项前性观察性研究包括101名患有GDM和阴性禁食尿测试的妇女.
- 在妊娠30-32周期间,参与者在主食 (早餐,午餐,晚餐) 之前进行了血测试.
- 症的定义是空腹血水平超过0.1 mmol/L早餐前和0.2 mmol/L午餐/晚餐前至少25%的时间.
主要成果:
- 在早餐前检测到37.6%的血,在午餐前检测到13.9%,在晚餐前检测到11.9%.
- 总体而言,40.6%的女性每天至少出现一次血.
- 禁食血液中的存在与午餐前 (r=0.63) 和晚餐前 (r=0.55) 的水平以及早餐后的葡萄糖水平 (r=0.23) 有显著的相关性.
结论:
- 与尿检测相比,密集的血监测在GDM患者中发现了更多的症病例.
- 建议进行血测试,以全面检测患有GDM的女性的症.
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