Comparing the Diagnostic Criteria for Gestational Diabetes Mellitus of World Health Organization 2013 with 1999 in Chinese Population

查看全文 作　　者：Weiwei [1]Zhu;Huixia [1]Yang;Yumei [1]Wei;Zilian [2]Wang;Xuelan [3]Li;Hairong [4]Wu;Nan [5]Li;Meihua [6]Zhang;Xinghui [7]Liu;Hua [8]Zhang;Yunhui [9]Wang;Jianmin [10]Niu;Yujie [11]Gan;Liruo [12]Zhong;Yunfeng [13]Wang;Anil [14]Kapur 机构地区：[1]Department of Obstetrics and Gynecology, Peking University First Hospital, Beijing 100034, China;[2]Department of Obstetrics and Gynecology, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510080, China;[3]Department of Obstetrics and Gynecology, First Affiliated Hospital of Medical ColLege of Xi'an Jiaotong University, Xi'an, Shaanxi 710061, China;[4]Department of Obstetrics and Gynecology, Aviation General Hospital, Beijing 100025, China;[5]Department of Obstetrics and Gynecology, Tongzhou Maternal and Child Health Hospital of Beijing, Beijing 101101, China;[6]Department of Obstetrics and Gynecology, Maternal and Child Health Hospital of Taiyuan, Taiyuan, Shanxi 030012, China;[7]Department of Obstetrics and Gynecology, West China Second University Hospital, Chengdu, Sichuan 610041, China;[8]Department of Obstetrics and Gynecology, First Affiliated Hospital of Chongqing Medical University, Chongqing 400042, China;[9]Department of Obstetrics and Gynecology, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510120, China;[10]Department of Obstetrics and Gynecology, Guangdong Women and Children Hospital, Guangzhou, Guangdong 510623, China;[11]Department of Obstetrics and Gynecology, Boai Hospital of Zhongshan, Zhongshan, Guangdong 528403, China;[12]Department of Obstetrics and Gynecology, Shenzhen People's Hospital, Shenzhen, Guangdong 518020, China;[13]Department of Obstetrics and Gynecology, Miyunxian Hospital, Beijing 101500, China;[14]World Diabetes Foundation, Gentofte, Denmark 出　　处：《Chinese Medical Journal》索引2015年第1期,共3页 摘　　要：INTRODUCTION Gestational diabetes mellitus (GDM) was earlier defined as 'hyperglycemia first recognized during pregnancy' and has more recently been described by American Diabetes Association (ADA) (2012) as diabetes diagnosed during pregnancy that is not clearly overt diabetes.[1] The hyperglycemia and adverse pregnancy outcomes study (HAPO) demonstrated that the risk of adverse maternal,fetal,and neonatal outcomes continuously increase as a function of maternal glycemia at 24-28 weeks,even within ranges previously considered normal for pregnancy.[2] After reviewing the results of the HAPO study,many international diabetes study groups,including the International Association of Diabetes and Pregnancy Study Groups and ADA have adopted the 75 g oral glucose tolerance test (OGTT) at 24-28 weeks as a screening and diagnostic test and defined new cut-off values for GDM diagnosis.The Ministry of Health of China published the criteria for GDM,that is the same as the ADA criteria on July 1,2011.World Health Organization (WHO) has recommended the 75 g OGTT with different cut-offvalues as a diagnostic test since 1999,changed its recommendation on 2013.In Hongkong and Yunnan province in China,most hospital adopted the WHO 1999 criteria,nevertheless,there is no evidence of multicenter and large sample to show that the GDM population within the same ethnic group diagnosed by the new WHO criteria matches those diagnosed by the old one and consistency between the two criteria has not been reported.Thus,we conducted this study to analyze the two criteria in Chinese pregnant women. 关 键 词：糖尿病 妊娠期 世界卫生组织 中国人口 诊断 标准 怀孕期间 高血糖