Einzeitiges Screening auf Gestationsdiabetes – Pro

Definition und Bedeutung des Gestationsdiabetes für Mutter und Kind

Der Gestationsdiabetes mellitus (GDM) ist eine Glukosetoleranzstörung, die in der Schwangerschaft auftritt. Der GDM ist Ausdruck einer mangelnden Anpassung des Stoffwechsels an die Veränderungen in der Schwangerschaft, die mit einer erheblichen Steigerung des Insulinbedarfes einhergehen [1]. Der Insulinbedarf steigt in der zweiten Hälfte der Schwangerschaft kontinuierlich an. Bei gesunden Frauen erfolgt kompensatorisch eine Steigerung der Insulinproduktion, die sich bis zum dritten Trimester verdoppelt [1]. Der Glukosestoffwechsel bleibt ausgeglichen und die Blutglukosewerte normal.

Publication History

Article published online:
18 October 2021

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