アブストラクト
| Title | 妊娠糖尿病 |
|---|---|
| Subtitle | 特集 / 糖尿病診療の最前線 |
| Authors | 荒田尚子 |
| Authors (kana) | |
| Organization | 国立成育医療研究センター周産期・母性診療センター・母性内科診療部長 |
| Journal | 臨牀と研究 |
| Volume | 98 |
| Number | 1 |
| Page | 65-69 |
| Year/Month | 2021 / 1 |
| Article | 報告 |
| Publisher | 大道学舘出版部 |
| Abstract | 「はじめに」わが国において, 長年, 妊娠糖尿病(gestational diabetes mellitus:GDM)は, 「妊娠中に発症もしくははじめて発見された耐糖能低下をいう」と定義されていた. 2010年に, IADPSG(International Association of Diabetes and Pregnancy Study Groups)Consensus Panelが大規模スタディによる周産期の有害事象を基にしたGDM新診断基準を発表し, わが国でも26年ぶりにIADPSG基準に準じた新しいGDM診断基準に変更され, 2015年8月に一部改訂された. 新基準では, GDMは「妊娠中にはじめて発見または発症した糖尿病に至っていない糖代謝異常である」と定義され, 妊娠中の明らかな糖尿病や糖尿病合併妊娠とは区別されることになった. 診断基準の変更により, 妊娠糖尿病の頻度は2.1%から8.5%へと4倍に増加した. |
| Practice | 臨床医学：一般 |
| Keywords |
- 全文ダウンロード： 従量制、基本料金制の方共に913円(税込) です。
参考文献
- 1) International Association of D, Pregnancy Study Groups Consensus, P., Metzger, B. E., Gabbe, S. G., Persson, B., Buchanan, T. A. et al. : International association of diabetes and pregnancy study groups rec-ommendations on the diagnosis and classification of hy-perglycemia in pregnancy. Diabetes Care, 33(3): 676-682, 2010.
- 2) 日本糖尿病・妊娠学会と日本糖尿病学会との合同委員会(平松祐司, 羽田勝計): 妊娠中の糖代謝異常と診断基準の統一化について. 日本産科婦人科学会雑誌, 67: 1656-1658, 2015.
- 3) Crowther, C. A., Hiller, J. E., Moss, J. R., McPhee, A. J., Jeffries, W. S., Robinson, J. S. et al. : Effect of treatment of gestational diabetes mel-litus on pregnancy outcomes. The New England jour-nal of medicine, 352(24): 2477-2486, 2005.
- 4) Landon, M. B., Spong, C. Y., Thom, E., Carpen-ter, M. W., Ramin, S. M., Casey, B. et al. : A multicenter, randomized trial of treatment for mild ges-tational diabetes. The New England journal of medi-cine, 361(14): 1339-1348, 2009.
- 5) 日本産科婦人科学会, 日本産婦人科医会: 産婦人科診療ガイドライン産科編 2020 妊婦の糖代謝異常スクリーニングと診断のための検査は?. 日本産科婦人科学会, 18-24p, 2020.
残りの17件を表示する
- 6) Iwama, N., Sugiyama, T., Metoki, H., Kusaka, H., Yaegashi, N., Sagawa, N. et al. : Difference in the prevalence of gestational diabetes mellitus accord-ing to gestational age at 75-g oral glucose tolerance test in Japan: The Japan Assessment of Gestational Diabe-tes Mellitus Screening trial. J Diabetes Investig, 10(6): 1576-1585, 2019.
- 7) 杉山隆, 日下秀人, 佐川典正: 妊娠糖尿病のスクリーニング. 難波光義, 杉山隆, 編, 金芳堂, 京都市, 149-153p, 2013.
- 8) 日本糖尿病学会: 糖尿病診療ガイドライン2019 妊婦の糖代謝異常. 南江堂, 東京, 283-304p, 2019.
- 9) Viana, L. V., Gross, J. L., Azevedo, M. J. : Die-tary intervention in patients with gestational diabetes mellitus: a systematic review and meta-analysis of ran-domized clinical trials on maternal and newborn out-comes. Diabetes Care, 37(12): 3345-3355, 2014.
- 10) Mahajan, A., Donovan, L. E., Vallee, R., Yamamoto, J. M. : Evidenced-Based Nutrition for Gestational Dia-betes Mellitus. Curr Diab Rep, 19(10): 94, 2019.
- 11) Hernandez, T. L., Friedman, J. E., Van Pelt, R. E., Barbour, L. A. : Patterns of glycemia in normal pregnancy: should the current therapeutic targets be challenged? Diabetes Care, 34(7): 1660-1668, 2011.
- 12) Heindrichs, A., Radermecker, R., Paquot, N., Philips, J. C. : Evaluation of the accuracy of FreeStyle ((R)) Libre during gestational diabetes: Is this device acceptable for decision making? Acta Diabetol, 57(12): 1519-1522, 2020.
- 13) American Diabetes A. 14. Management of Diabetes in Pregnancy: Standards of Medical Care in Diabetes-2019. Diabetes Care, 42(Suppl 1): S165-S172, 2019.
- 14) Bellamy, L., Casas, J. P., Hingorani, A. D., Wil-liams, D. : Type 2 diabetes mellitus after gestational diabetes: a systematic review and meta-analysis. Lan-cet, 373(9677): 1773-1779, 2009.
- 15) Ratner, R. E., Christophi, C. A., Metzger, B. E., Dabelea, D., Bennett, P. H., Pi-Sunyer, X. et al. : Prevention of diabetes in women with a history of ges-tational diabetes: effects of metformin and lifestyle in-terventions. J Clin Endocrinol Metab, 93(12): 4774-4779, 2008.
- 16) Gunderson, E. P., Hurston, S. R., Ning, X., Lo, J. C., Crites, Y., Walton, D. et al. : Lactation and Progression to Type 2 Diabetes Mellitus After Gesta-tional Diabetes Mellitus: A Prospective Cohort Study. Annals of internal medicine, 889-898, 2015.
- 17) Gunderson, E. P., Lewis, C. E., Lin, Y. et al. : Lactation duration and progression to diabetes in women across the childbearing years: The 30-year cardia study. JAMA Internal Medicine, 2018.
- 18) Kawasaki, M., Arata, N., Ogawa, Y. : Obesity and abnormal glucose tolerance in the offspring of mothers with diabetes. Curr Opin Obstet Gynecol, 30(6): 361-368, 2018.
- 19) Lowe, W. L., Lowe, L. P., Kuang, A., Catalano, P. M., Nodzenski, M., Talbot, O. et al. : Maternal glucose levels during pregnancy and childhood adipos-ity in the Hyperglycemia and Adverse Pregnancy Out-come Follow-up Study. Diabetologia, 62(4): 598-610, 2019.
- 20) Lowe, W. L., Scholtens, D. M., Kuang, A., Lin-der, B., Lawrence, J. M., Lebenthal, Y. et al. : Hyperglycemia and Adverse Pregnancy Outcome Fol-low-up Study (HAPO FUS): Maternal Gestational Dia-betes Mellitus and Childhood Glucose Metabolism. Dia-betes Care, 42(3): 372-380, 2019.
- 21) Scholtens, D. M., Kuang, A., Lowe, L. P., Ham-ilton, J., Lawrence, J. M., Lebenthal, Y. et al. : Hyperglycemia and Adverse Pregnancy Outcome Fol-low-up Study (HAPO FUS): Maternal Glycemia and Childhood Glucose Metabolism. Diabetes Care, 42(3): 381-392, 2019.
- 22) Gunderson, E. P., Greenspan, L. C., Faith, M. S., Hurston, S. R., Quesenberry, Jr. C. P., Investiga-tors obotSOS. Breastfeeding and growth during in-fancy among offspring of mothers with gestational dia-betes mellitus: a prospective cohort study. Pediatric Obesity, 13(8): 492-504, 2018.
