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专业代生小孩公司地址_最简单的代码雨_为什么代
来源:http://www.chongqingdyun.cn  时间:2020-08-05
摘要:专业代生小孩公司地址*最简单的代码雨,编者按:平时就有“大肚皮”找小编“论理”,说她的医生就因为她血糖高那么“一丁点儿”,就要她多抽“几管血”,舍不得。觉得医生是不是

专业代生小孩公司地址*最简单的代码雨,

  编者按:平时就有“大肚皮”找小编“论理”,说她的医生就因为她血糖高那么“一丁点儿”,就要她多抽“几管血”,舍不得。觉得医生是不是过于谨慎了点了。她可能就是当天早饭吃多了一点。再说血糖只高那么一点应该也没什么大不了的。眼看春节就要来到,“过年胖三斤”也是可以预见的,面对这个体重、血糖控制的“重灾区”,我们请来“段爷”为大家说道说道,这个数值背后有多少医生的良苦用心。文末附有文献摘要,有兴趣可以阅读。

卵巢早衰借卵试管婴儿成功率

  

找女人生孩子联系电话

  ?血糖的高低不仅仅是一个不痛不痒的数字,它的升高意味着未来母亲和孩子并发症的明显增加

代孕包龙凤胎多少钱

  看我门诊的准妈妈都知道,我经常会唠叨,叮嘱大家一定要控制饮食,对于妊娠期糖尿病的准妈妈,我有一个“三控”要求:控制好体重增加,控制好血糖,控制好宝宝的大小。

输卵管堵塞自查 方法

  要求大家这么做不仅仅是为了让你可以自己生,生得更加顺利,更重要的是为了你自己和宝宝未来的健康。

代孕产子多少钱解决

  大家不要以为血糖稍微高一些不要紧,没啥大问题,其实问题真的不小,这是为了你自己和宝宝的未来健康在打基础。

  我知道单单讲道理是没有用的,还要摆事实,还要讲数据。

  2018年9月,非常著名的权威医学杂志JAMA(医学会杂志)发表了一篇文章,这是一个进行了近二十年的HAPO研究。研究的对象是血糖升高,但是没有达到妊娠期糖尿病诊断标准的孕妇。

  这个研究的前期结果显示,即使是没有达到原来的妊娠期糖尿病的标准,孕期的血糖升高会导致胎儿、新生儿、儿童、以及孕妇的各种并发症的增加。

  2010年,在这个研究的基础上,国际专家组建议降低诊断妊娠期糖尿病的标准。2011年,中国已经开始采用这一新的妊娠期糖尿病的诊断标准,但是依然还是采用老的标准。

  在最近发表的文章中,报道了HAPO研究随访母亲和孩子10-14年的结果。

  研究发现,血糖升高但没有达到妊娠期糖尿病标准(按照中国目前新的标准,是可以诊断妊娠期糖尿病的)母亲的孩子,在出生以后10-14年的随访过程中,肥胖的发生率明显上升。不仅仅是孩子的肥胖风险增加,母亲自己患糖尿病的风险也明显增加。

  在分娩10-14年以后,血糖升高的母亲患2型糖尿病的发生率是11%,还有42%是糖尿病前期。在正常对照组母亲,2型糖尿病的发生率是2% ,糖尿病前期的发生率是18%。

  在分娩10-14年以后,以BMI作为计算标准,血糖升高母亲的孩子肥胖的发生率是19%,血糖正常孕妇对照组孩子的肥胖发生率是10%。

  所以,血糖的高低不仅仅是一个不痛不痒的数字,它意味着未来母亲和孩子并发症的明显增加。

  所以,妊娠期血糖的控制很重要,你得当回事才行,你得认真控制和监测才行,这是为了你自己的健康,也是为了孩子的健康。

  所以,各位“糖妈”,下次看门诊的时候,乖乖的带好你的血糖测定结果,我要的是达标的结果,省得我再一次唠叨。

  就算你不是妊娠期糖尿病,你也得注意控制体重,长得太胖不好看的呀。

  如果你对英文有兴趣,可以参考以下的原文。

  跟学英文之“GDM”

  September 11, 2018

  Association of Gestational Diabetes With Maternal Disorders of Glucose Metabolism and Childhood Adiposity

  William L. Lowe Jr, MD11

  JAMA. 2018;320(10):1005-1016. doi:10.1001/jama.2018.11628

  Key Points

  Question Is gestational diabetes diagnosed with contemporary criteria associated with long-term risks for a disorder of glucose metabolism in mothers and greater adiposity in children?

  Findings In this international multiethnic cohort study of 4697 women and 4832 children followed up for a median of 11.4 years, gestational diabetes defined post hoc was significantly associated with maternal development of a disorder of glucose metabolism (composite of type 2 diabetes or prediabetes; odds ratio, 3.44). Gestational diabetes was not significantly associated with the composite outcome of childhood overweight or obesity.

  Meaning Gestational diabetes defined by criteria that identify a larger group of women was associated with a maternal disorder of glucose metabolism.

  Abstract

  Importance The sequelae of gestational diabetes (GD) by contemporary criteria that diagnose approximately twice as many women as previously used criteria are unclear.

  Objective To exae associations of GD with maternal glucose metabolism and childhood adiposity 10 to 14 years’ postpartum.

  Design, Setting, and Participants The Hyperglycemia and Adverse Pregnancy Outcome (HAPO) Study established associations of glucose levels during pregnancy with perinatal outcomes and the follow-up study evaluated the long-term outcomes (4697 mothers and 4832 children; study visits occurred between Fepuary 13, 2013, and December 13, 2016).

  Exposures Gestational diabetes was defined post hoc using criteria from the International Association of Diabetes and Pregnancy Study Groups consisting of 1 or more of the following 75-g oral glucose tolerance test results (fasting plasma glucose ≥92 mg/dL; 1-hour plasma glucose level ≥180 mg/dL; 2-hour plasma glucose level ≥153 mg/dL).

  Main Outcomes and Measures Primary maternal outcome: a disorder of glucose metabolism (composite of type 2 diabetes or prediabetes). Primary outcome for children: being overweight or obese; secondary outcomes: obesity, body fat percentage, waist circumference, and sum of skinfolds (>85th percentile for latter 3 outcomes).

  Results The analytic cohort included 4697 mothers (mean [SD] age, 41.7 [5.7] years) and 4832 children (mean [SD] age, 11.4 [1.2] years; 51.0% male). The median duration of follow-up was 11.4 years. The criteria for GD were met by 14.3% (672/4697) of mothers overall and by 14.1% (683/4832) of mothers of participating children. Among mothers with GD, 52.2% (346/663) developed a disorder of glucose metabolism vs 20.1% (791/3946) of mothers without GD (odds ratio [OR], 3.44 [95% CI, 2.85 to 4.14]; risk difference [RD], 25.7% [95% CI, 21.7% to 29.7%]). Among children of mothers with GD, 39.5% (269/681) were overweight or obese and 19.1% (130/681) were obese vs 28.6% (1172/4094) and 9.9% (405/4094), respectively, for children of mothers without GD. Adjusted for maternal body mass index during pregnancy, the OR was 1.21 (95% CI, 1.00 to 1.46) for children who were overweight or obese and the RD was 3.7% (95% CI, ?0.16% to 7.5%); the OR was 1.58 (95% CI, 1.24 to 2.01) for children who were obese and the RD was 5.0% (95% CI, 2.0% to 8.0%); the OR was 1.35 (95% CI, 1.08 to 1.68) for body fat percentage and the RD was 4.2% (95% CI, 0.9% to 7.4%); the OR was 1.34 (95% CI, 1.08 to 1.67) for waist circumference and the RD was 4.1% (95% CI, 0.8% to 7.3%); and the OR was 1.57 (95% CI, 1.27 to 1.95) for sum of skinfolds and the RD was 6.5% (95% CI, 3.1% to 9.9%).

  Conclusions and Relevance Among women with GD identified by contemporary criteria compared with those without it, GD was significantly associated with a higher maternal risk for a disorder of glucose metabolism during long-term follow-up after pregnancy. Among children of mothers with GD vs those without it, the difference in childhood overweight or obesity defined by body mass index cutoffs was not statistically significant; however, additional measures of childhood adiposity may be relevant in interpreting the study findings.

专业代生小孩公司地址