長期健康影響:研究顯示,妊娠糖尿病媽媽將來發展為2型糖尿病的風險比普通女性高7倍左右(Kim et al., 2002)。
寶寶健康:孩子出生后肥胖及血糖異常風險也會上升。
建議:產后6-12周檢查空腹血糖,每1-3年隨訪一次,有利于及早發現和改善血糖異常。
關鍵參考文獻
Damm, P. (2009). Future risk of diabetes in mother and child after gestational diabetes mellitus. International Journal of Gynecology & Obstetrics, 104, S25–S26.
American Diabetes Association. (2022). Standards of Medical Care in Diabetes—2022. Diabetes Care, 45(Supplement 1), S244–S256.
Sacks, D. A., Hadden, D. R., Maresh, M., et al. (2013). Association between glycaemic control and pregnancy outcomes in women with gestational diabetes: an observational study. The Lancet.
Butalia, S., et al. (2017). Short- and long-term outcomes of insulin versus oral agents for diabetes in pregnancy: A systematic review and meta-analysis. BMJ Open, 7, e018438.
Kim, C., Newton, K. M., & Knopp, R. H. (2002). Gestational diabetes and the incidence of type 2 diabetes: A systematic review. Diabetes Care, 25(10), 1862-1868.