个体化饮食治疗是妊娠糖尿病治疗的基石

发布时间：2018-09-08 21:23

【摘要】：妊娠糖尿病是产科常见疾病,对胎儿和母体会均造成诸多不良影响。饮食治疗是控制血糖、减少妊娠糖尿病不良影响的重要措施之一。国内外研究表明,大部分妊娠糖尿病患者经过严格的饮食治疗,再配合适当运动,均能获得满意的血糖控制。但相关指南中关于妊娠糖尿病饮食治疗的阐述仅限于治疗原则,并且数据多来源于欧美国家,对国人来讲,个体化治疗内容欠缺,并且操作性方面也不够理想,容易引起能量摄入过量或不足等问题。本文结合笔者多年临床经验、国内外研究进展及妊娠糖尿病饮食治疗指南,详细阐述了个体化饮食治疗的具体实施方案,旨在改善妊娠糖尿病患者的妊娠结局。
[Abstract]:Gestational diabetes is a common disease in obstetrics, which can cause many adverse effects on both fetus and mother. Diet therapy is one of the important measures to control blood sugar and reduce the adverse effects of gestational diabetes mellitus. Studies at home and abroad show that most patients with gestational diabetes can obtain satisfactory blood glucose control after strict diet treatment and proper exercise. However, the related guidelines on dietary treatment of gestational diabetes are limited to treatment principles, and the data are mostly from Europe and the United States. For Chinese, individualized treatment is lacking in content and operational aspects are not ideal. It is easy to cause excessive or insufficient energy intake and other problems. Based on the author's many years of clinical experience, research progress at home and abroad and dietary treatment guidelines for gestational diabetes mellitus, this paper expounds in detail the specific implementation of individualized diet therapy in order to improve the pregnancy outcome of gestational diabetes mellitus patients.
【作者单位】：首都医科大学附属北京友谊医院营养科;
【分类号】：R714.256

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