王冰倩,赵得雄,冯孟利,刘 赟,王 涛

妊娠期糖尿病（GDM）是一种产科常见的妊娠期内分泌系统并发症，随着全球经济的快速发展，人们的生活水平逐渐提升，全球肥胖正在流行，GDM仍旧是一大棘手问题。国内外大多数指南建议，GDM的筛查应在妊娠24～28周之间进行。但最近的研究表明，孕妇的高血糖状态甚至可能于妊娠的前三个月就已出现，这被称为妊娠早期糖尿病（eGDM)。目前国内外关于妊娠期糖尿病早期筛查呈现丰富多样的研究态势，但暂未明确最佳方法，因此，完善GDM的早期预测显得尤为重要。本文将就妊娠早期GDM的相关预测指标予以梳理。

妊娠期糖尿病；妊娠早期FPG；甲状腺激素；维生素D；预测指标

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