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市場調查報告書
糖尿病與懷孕
Diabetes and Pregnancy - Delivering Improved Outcomes
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本報告已在2011年07月19日停止出版。
糖尿病可能會對懷孕中的女性帶來風險，反過來說，醫療技術的進步相對的也大幅提升了孕婦的健康狀況。然而，不接受治療，也就是健康管理不佳造成的妊娠糖尿病，其嚴重的後果甚至可能會危及胎兒。
專門從事多種市場調查分析的英國調查公司 Datamonitor Corporation〈總公司：倫敦〉，針對妊娠糖尿病以及之前就患有糖尿病的孕婦進行 調查、分析，並出版報告書 "Diabetes and Pregnancy - Delivering Improved Outcomes" 。
該報告書中，重新檢討患有妊娠糖尿病的母親以及之前就換有糖尿病的孕婦以及胎兒的健康，並且對以往進行的療程方面也做了深度的檢討，大量刊載了篩選與診斷指導原則的概要。本報告書包含 10 張圖表 ，共有 30 頁，概略如下所記。
摘要
妊娠糖尿病〈GDM〉
- 定義
- 篩選與診斷
- 發生率
- 病態生理學
- GDM 的管理
懷孕的糖尿病患者的健康管理
- 懷孕前的新陳代謝調節與先天性畸形
- 沒有併發症的糖尿病孕婦之健康管理
- 含有血管併發症之糖尿病孕婦的健康管理
附錄
Introduction
About one in 100 women of childbearing age have diabetes before pregnancy
(pre-existing diabetes). Another 3-5% develop diabetes during pregnancy
(gestational diabetes). While diabetes poses some risks in pregnancy, advances
in healthcare have greatly improved the outlook for these pregnancies. However,
untreated or poorly controlled gestational diabetes can seriously harm the
fetus.
Scope of this report
- Review of therapeutic approaches to gestational diabetes mellitus and
pre-existing diabetes during pregnancy to protect the health of mother &
baby
- Overview of screening and diagnosis guidelines
Research and analysis highlights
The prevalence of congenital anomalies among children of diabetic women is
much higher compared to non-diabetic women. The frequency of malformations
correlates with the degree of maternal glycemic control. Their prevalence may be
reduced by normalization of blood glucose and the maintenance of normal glycemic
control throughout the pregnancy.
Key reasons to read this report
- Get insight in the current therapeutic approaches used to treat women with
gestational and pre-existing diabetes during pregnancy
- Understand the effect of diabetes in pregnancy outcomes and gauge the
impact of diabetic complications in the treatment of pregnant women
ABOUT DATAMONITOR HEALTHCARE
About the Cardiovascular pharmaceutical analysis team
EXECUTIVE SUMMARY
- Introduction
- Scope and coverage of the Brief
- Key findings about the topic
GESTATIONAL DIABETES MELLITUS
- Definition
- Screening and diagnosis
- Prevalence
- Pathophysiology
- The mother
- The fetus
- Management of GDM
- Antepartum management
- Nutrition therapy
- Monitoring effectiveness of therapy
- Intensification of treatment
- Obstetric management
- Assessment of fetal wellbeing
- Timing and mode of delivery
- Management after pregnancy
- The mother
- The child
MANAGEMENT OF PREGNANT DIABETICS
- Preconceptional metabolic control and congenital malformations
- Management of pregnant diabetic women without complications
- Nutrition recommendations
- Exercise
- Insulin
- Hypoglycemia
- Ketosis
- Management of pregnant diabetic women with vascular complications
- Coronary artery disease
- Diabetic nephropathy
- Retinopathy
APPENDIX
- Bibliography
- Disclaimer
List of Tables
- Table 1: Diagnostic criteria for GDM
- Table 2: Glucose targets for antepartum management of GDM
- Table 3: Estimated prevalence of CAD in diabetics in the seven major
markets, 2003
- Table 4: Estimated prevalence of diabetic nephropathy in the seven major
markets, 2003
- Table 5: Changes in kidney structure and function in diabetic nephropathy
- Table 6: Perinatal outcome of patients with diabetic nephropathy
- Table 7: Estimated prevalence of diabetic retinopathy in the seven major
markets, 2003
List of Figures
- Figure 1: Classification of patients at risk of developing GDM
- Figure 2: Recommended screening for patients at risk of developing GDM
- Figure 3: White's classification of diabetes in pregnancy
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