surgumedВестник СурГУ. МедицинаVestnik SurGU. Meditsina2949-3447Сургутский государственный университет10.34822/2304-9448-2020-1-49-58surgumed-292Research ArticleМЕДИКО-БИОЛОГИЧЕСКИЕ НАУКИ. ОБЗОР ЛИТЕРАТУРЫLIFE SCIENCES. REVIEWSСОВРЕМЕННЫЙ ВЗГЛЯД НА ПРОБЛЕМУ ЛЕЧЕНИЯ ГЕСТАЦИОННОГО САХАРНОГО ДИАБЕТАMODERN VIEW ON THE TREATMENT PROBLEM OF GESTATIONAL DIABETESБелоцерковцеваЛ. Д.BelotserkovtsevaL. D.

доктор медицинских наук, профессор, заведующая кафедрой акушерства, гинекологии и перинатологии, Медицинский институт,

главный врач;

Е-mail: info@surgut-kpc.ru

Doctor of Sciences (Medicine), Professor, Head, Department of Obstetrics, Gynecology and Perinatology, Medical Institute,

Chief Medical Officer;

Е-mail: info@surgut-kpc.ru

КоваленкоЛ. В.KovalenkoL. V.

доктор медицинских наук, профессор, заведующая кафедрой патофизиологии и общей патологии, директор Медицинского института;

Е-mail: lvkhome@yandex.ru

 

Doctor of Sciences (Medicine), Professor, Head, Department of Pathophysiology and General Pathology, Director, Medical Institute;

Е-mail: lvkhome@yandex.ru

ДобрынинаИ. Ю.DobryninaI. Y.

доктор медицинских наук, профессор кафедры внутренних болезней, Медицинский институт;

Е-mail: diu_surgut@mail.ru

Doctor of Sciences (Medicine), Professor of the Internal Diseases Department, Medical Institute;

Е-mail: diu_surgut@mail.ru

КонченковаЕ. Н.KonchenkovaE. N.

кандидат медицинских наук, доцент кафедры акушерства, гинекологии и перинатологии, Медицинский институт;

Е-mail: een79@yandex.ru

Candidate of Sciences (Medicine), Associate Professor, Department of Obstetrics, Gynecology and Perinatology, Medical Institute;

Е-mail: een79@yandex.ru

Сургутский государственный университет, Сургутский клинический перинатальный центр, Сургут, РоссияРоссияSurgut State University, Surgut Regional Clinical Prenatal Centre, Surgut, RussiaRussian FederationСургутский государственный университет, Сургут, РоссияРоссияSurgut State University, Surgut, RussiaRussian Federation20201004202001 (43)4958Copyright © Белоцерковцева Л.Д., Коваленко Л.В., Добрынина И.Ю., Конченкова Е.Н., 20202020Белоцерковцева Л.Д., Коваленко Л.В., Добрынина И.Ю., Конченкова Е.Н.Belotserkovtseva L.D., Kovalenko L.V., Dobrynina I.Y., Konchenkova E.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.surgumed.ru/jour/article/view/292

Цель – провести анализ отечественных и зарубежных клинических рекомендаций и исследований дляобобщения установленных стратегий и новых методов лечения гестационного сахарного диабета. Материал и методы. Проведен анализ отечественных и зарубежных публикаций, рандомизированных контролируемых исследований, клинических рекомендаций за последние 7 лет из различных источников. Результаты. В обзоре представлено современное состояние различных подходов и методов лечения гестационного сахарного диабета. Модификация образа жизни, коррекция питания и инсулинотерапия остаются основными методами коррекции нарушений углеводного обмена во время беременности. Дальнейшие исследования необходимы для уточнения безопасности и эффективности пероральных сахароснижающих препаратов у этой когорты пациенток.

The aim of the study is to analyze modern approaches to the treatment of gestational diabetes mellitus.Material and methods. The analysis of domestic and foreign publications, randomized controlled trials, and clinical practice guidelines for the last 7 years from various sources is conducted. Results. The review presents the current state of various approaches and methods of treatment for gestational diabetes mellitus. Lifestyle modification, dietary intervention and insulin therapy remain the main correction methods of carbohydrate metabolism disorders during pregnancy. Further research is needed to clarify the safety and efficacy of oral antihyperglycemic medications for female patients of this cohort.

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The authors declare that there are no conflicts of interest present.