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Gestationsdiabetes

Gestational diabetes mellitus

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Gynäkologische Endokrinologie Aims and scope

Zusammenfassung

Der Diagnostik und Therapie des Gestationsdiabetes wurde durch neue Studienergebnisse und die aktuelle Leitlinie ein neuer Rahmen gesteckt. Die Diagnostik stützt sich auf ein 2-stufiges Screening aller Schwangeren mit exakten Anweisungen zur venösen Blutentnahme und einheitlichen Grenzwerten. Für die Therapie und die Betreuung während der Schwangerschaft gibt es nun ebenfalls eine verbindliche Empfehlung, um eine angemessene und risikoadaptierte Betreuung anhand von Blutzuckerwerten, maternalen Vorerkrankungen und fetaler Entwicklung zu gewährleisten. Der vorliegende Artikel soll einen Überblick über diese Entwicklungen und einen Ausblick auf die praktische Umsetzung geben.

Abstract

The diagnostics and therapy of gestational diabetes mellitus (GDM) have been changed by new scientific results and new guidelines. The GDM diagnostics are now based on a two step screening program for all pregnant women with uniform measurement limits and exact standards for venous blood sampling. There are also obligatory recommendations about care and therapy during pregnancy to ensure an adequate management according to blood sugar measurements, maternal risk profile and fetal development. This article presents a summary of recent developments and an outlook on practical issues of GDM management.

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Authors and Affiliations

  1. Perinatalzentrum Klinikum Innenstadt, Ludwig-Maximilians-Universität München, Maistr. 11, 80337, München, Deutschland

    S. Hutter & F. Kainer

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  1. S. Hutter
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  2. F. Kainer
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Correspondence to S. Hutter.

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Hutter, S., Kainer, F. Gestationsdiabetes. Gynäkologische Endokrinologie 10, 184–189 (2012). https://doi.org/10.1007/s10304-012-0488-4

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  • DOI: https://doi.org/10.1007/s10304-012-0488-4

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