вот еще от немцев в 2019-м:
кого скринировать:
women at increased risk (history of GDM or prediabetes, malformation, stillbirth, successive abortions or birth weight >4500 g in previous pregnancies, obesity, metabolic syndrome, age >35 years, vascular disease, clinical symptoms of diabetes, e. g. glucosuria, or ethnic groups with increased risk for GDM/T2DM, e.g. Arabian countries, south and southeast Asia and Latin America).
A GDM is diagnosed by an oral glucose tolerance test (OGTT) or a fasting glucose concentration ≥92 mg/dl. Performance of the OGTT (120 min, 75 g glucose) may already be indicated in the first trimester in high risk women but is mandatory between 24-28 gestational weeks in all pregnant women with previous non-pathological glucose metabolism (evidence level B).
такие критерии: никто ни на какой стат-перл не опирается
Based on the results of the Hyperglycemia and Adverse Pregnancy Outcome (HAPO) study and following the recent WHO recommendations, GDM is present if the
fasting plasma glucose level exceeds 92 mg/dl,
the 1 h level exceeds 180 mg/dl or
the 2 h level exceeds 153 mg/dl after glucose loading (OGTT international consensus criteria).
A single increased value is sufficient for the diagnosis and a strict metabolic control is mandatory.
---
Wien Klin Wochenschr. 2019 May;131(Suppl 1):91-102.
[Gestational diabetes mellitus (Update 2019)]
|