2024年7月14日 · Gestational diabetes mellitus (GDM) is typically defined as hyperglycemia that is diagnosed or develops during pregnancy. GDM is often divided into classes, primarily diet-controlled GDM (class A1GDM) or GDM requiring pharmacologic treatment of hyperglycemia (class A2GDM). [1] .

Gestational diabetes classification A2: Insulin dependent - insulin controlled. unusual OGTT intensified by abnormal glucose levels on fasting and/or after meals; supplemental therapy with insulin or other medications is required

2023年1月2日 · Gestational diabetes mellitus (GDM) has become increasingly prevalent worldwide. Class A1GDM refers to diet-controlled GDM. Class A2GDM refers to the clinical scenario where medications are required. The following synopsis highlights key practice points from various professional organizations. Screening for GDM – One or Two Step?

A2级：经饮食控制，FBG＞5.8mmol/L，餐后2小时血糖≥6.7mmol/L，妊娠期需加用胰岛素控制血糖。 A2级GDM母儿合并症较多，胎儿畸形发生率增加。 目前采用1994年美国妇产科医师协 …

There are two types of gestational diabetes: type A1 (GDMA1) patients are managed with diet modification and type A2 (GDMA2) patients require antihyperglycemic medication. Our objective is to identify women at risk of GDMA2 using patient characteristics and GTT values.

For women with A2 GDM, current guidelines from the American College of Obstetricians and Gynecologists recommend insulin as the standard therapy for treating pregestational diabetes and GDM [37].

2024年7月14日 · GDM is often divided into classes, primarily diet-controlled GDM (class A1GDM) or GDM requiring pharmacologic treatment of hyperglycemia (class A2GDM). The benefits of identifying GDM have long been established, with several studies demonstrating that women diagnosed with GDM are at high risk for developing type 2 diabetes long-term and that ...

6-4 推荐妊娠期糖尿病（gestational diabetes mellitus，GDM）孕妇在诊断后行自我血糖监测并记录空腹及餐后血糖，如血糖控制良好，可以适当调整监测频率；A1型GDM至少每周监测1 d空腹和三餐后血糖，A2型GDM至少每2~3天监测三餐前后血糖（推荐等级：C级）。

2017年11月23日 · 无需药物即可控制好的GDM常常称为饮食控制的GDM或GDM A1型，需要药物以使血糖达到正常水平的GDM称为GDM A2型。 由于许多女性在怀孕前没有接受过糖尿病检查，所以区分妊娠期糖尿病和孕前糖尿病是很有挑战性的。

（3） GDM：包括 A1型和 A2型，其中经过营养管理和运动指导可将血糖控制理想者定义为 A1型GDM；需要加用降糖药物才能将血糖控制理想者定义为 A2型GDM。