Risk Factors of Postpartum Cardiovascular Disease in Patients with Gestational Diabetes Mellitus

摘要

Objective:To investigate the risk factors of postpartum cardiovascular disease in patients with gestational diabetes mellitus(GDM).Methods:From December 2020 to December 2021,pregnant women who underwent 75-g oral glucose tolerance test(OGTT)between 24 and 28 weeks of gestation and were diagnosed with GDM were selected as the research subjects.These women were followed-up after delivery.Results:The average fasting plasma glucose(FPG)levels of these women were 6.25±1.36 mmol/L before discharge and 5.01±1.45 mmol/L at 42 days after delivery;the average 2-hour plasma glucose(2hPG)levels were 11.23±2.01 mmol/L before discharge and 7.98±1.23 mmol/L at 42 days after delivery;the average insulin levels were 8.36±1.98 mmol/L before discharge and 2.98±1.36 mmol/L at 42 days after delivery.There were 46 patients with postpartum cardiovascular disease,with an incidence rate of 22.89%.Conclusion:By improving the postpartum management of patients,the weight of GDM patients can be better controlled,their insulin sensitivity can be increased,and the occurrence of glucose and lipid metabolism disorders can be reduced.