[The dilemma of diabetes in pregnancy: worldwide differences in diagnosis and management].

Gynakologisch-geburtshilfliche Rundschau Pub Date : 2009-01-01 Epub Date: 2010-05-19 DOI:10.1159/000301086

W Zeck, D Schlembach, T Panzitt, U Lang, H D McIntyre

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Abstract

Objective: Type 1 and type 2 diabetes in pregnancy as well as gestational diabetes mellitus (GDM) pose major risks to mother and fetus. We assessed to which extent two obstetric centers on two different continents coincide in their management of diabetes in pregnancy.

Methods: Within the scope of research activities between the Obstetric Department of the Medical University of Graz, Austria, and the Centre of Obstetric Medicine at the Mater Misericordiae Mothers' Hospital in Brisbane, Australia, current practices among the two obstetric centers in Austria and Australia were assessed.

Results: The management of type 1 and type 2 diabetes in pregnancy was almost identical, whereas major differences were found in the management of GDM.

Conclusion: Standardization of screening methods in diabetes in pregnancy remains challenging. National and international consensus has yet to be achieved in order to put a hold to the 'diabetic epidemic' we are going to face in the future.

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[妊娠期糖尿病的困境:世界范围内诊断和治疗的差异]。

目的:妊娠期1型和2型糖尿病以及妊娠期糖尿病(GDM)对母亲和胎儿的危害较大。我们评估了在多大程度上两个产科中心在两个不同的大陆在其妊娠糖尿病的管理一致。方法:在奥地利格拉茨医科大学产科科和澳大利亚布里斯班圣母医院产科医学中心的研究活动范围内，对奥地利和澳大利亚两个产科中心的现行做法进行了评估。结果:妊娠期1型和2型糖尿病的管理几乎相同，而妊娠期GDM的管理存在重大差异。结论:标准化妊娠期糖尿病筛查方法仍具有挑战性。为了控制我们未来将面临的“糖尿病流行”，国内和国际共识尚未达成。

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