妊娠期高血糖胰岛素应用的种类、特点和技巧

妊娠期高血糖包括妊娠期糖尿病、妊娠期显性糖尿病及孕前糖尿病。妊娠期高血糖患病率高,且与不良妊娠结局明确相关。迄今为止,我国尚未批准任何口服降糖药物用于妊娠期高血糖的治疗,胰岛素是妊娠期间控制血糖的首选。随着胰岛素类似物应用,妊娠期可选用的胰岛素越来越多。本文将对妊娠期间高血糖的特点、胰岛素应用种类及特点和应用技巧进行概述。

The types,characteristics,and application techniques of insulin in gestational hyperglycemia

Gestational hyperglycemia includes gestational diabetes mellitus(GDM),overt diabetes mellitus(ODM)and pre-gestational diabetes mellitus(PGDM).The prevalence of hyperglycemia during pregnancy is high and clearly related to adverse pregnancy outcomes.So far,China has not approved any oral hypoglycemic drugs for the treatment of hyperglycemia during pregnancy.Insulin is the first choice for blood glucose control during pregnancy.With the application of insulin analogues,more and more type of insulins can be used during pregnancy.This article will summarize the characteristics of hyperglycemia during pregnancy,the types,characteristics,and application techniques of insulin applications.