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妊娠合并糖尿病有2种情况:一种为妊娠前已有糖尿病的妊娠患者(即糖尿病合并妊娠),另一种为妊娠期首次出现或发现的妊娠期糖尿病。1妊娠对糖尿病的影响:妊娠可以使隐性糖尿病显性化,使原来无糖尿病者发生妊娠期糖尿病,使原来糖尿病患者病情加重。妊娠期血容量增加、血液稀释,胰岛素相对不足。随着妊娠的进展,抗胰岛素样物质(如胎盘生乳素、雌激素、孕激素等)增加,使母体对胰岛素的需要量较非孕时增加近1倍。
There are two cases of pregnancy with diabetes: one for pre-pregnancy in patients with diabetes (ie, diabetes with pregnancy), and the other for the first time in pregnancy gestational diabetes or found. 1, the impact of pregnancy on diabetes: pregnancy can make recessive diabetes dominance, the original non-diabetic patients with gestational diabetes, so that the original diabetic patients aggravate. Increased blood volume during pregnancy, hemodilution, relative lack of insulin. With the progress of pregnancy, anti-insulin-like substances (such as placental lactogen, estrogen, progesterone, etc.) increased, so that the mother’s insulin requirements increased nearly twice as non-pregnant.