Diagnostic criteria for gestationai diabetes: Who decides?

Edmond A. Ryan

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Diagnostic criteria for gestationai diabetes: Who decides?

机译：gestationai糖尿病诊断标准:谁决定?

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When we hear of an 11-pound baby being delivered, maternal diabetes comes to mind. This link between the mother's glucose levels and macrosomia provides the main rationale for treating gestationai diabetes. Recently proposed criteria for gestationai diabetes will result in the condition being diagnosed in nearly a fifth of all pregnancies.1 In a related article in CMAJ, Retnakaran and colleagues report that, among women who did not have gestationai diabetes according to current diagnostic criteria, impaired glucose tolerance was not a significant independent predictor of having a large-for-gestational-age infant.2 Given that many of these women would be labelled as having gestationai diabetes using the proposed diagnostic criteria, this should give us pause before accepting such changes to the criteria.

机译：当我们听到11磅重的婴儿被交付,孕妇糖尿病出现在我的脑海里。在母亲的血糖水平和之间巨大胎儿提供了主要原因gestationai治疗糖尿病。糖尿病会导致gestationai标准条件被诊断出近五分之一所有pregnancies.1医疗协会,Retnakaran和他的同事们报告说,女性没有gestationai糖尿病根据目前的诊断标准,葡萄糖耐量并不显著独立的预测因子large-for-gestational-age infant.2很多女性会贴上gestationai使用提出了糖尿病诊断标准,这应该让我们暂停在接受这些改变之前的标准。

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来源
《Canadian Medical Association Journal: Journal de l'Association Medicale Canadienne》 |2012年第12期|1341-1342|共2页
作者
Edmond A. Ryan;
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作者单位

Department of Medicine, the Heritage Medical Research Centre and the Alberta Diabetes Institute;

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原文格式 PDF
正文语种英语
中图分类医药、卫生;
关键词
diagnosis quality/standard; Gestational Diabetes; Diabetes Mellitusfetal macrosomatia;

机译：质量/诊断标准;妊娠糖尿病糖尿病;Mellitusfetal macrosomatia;

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Diagnostic criteria for gestationai diabetes: Who decides?

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