个体化营养干预联合运动疗法治疗妊娠期糖尿病的研究进展

Research Progress of Individualized Nutritional Intervention Combined with Exercise Therapy in the Treatment of Gestational Diabetes Mellitus

摘要: 营养干预联合运动疗法是妊娠期糖尿病管理中不可或缺的一个部分，对于妊娠期糖尿病的防治起着积极作用。根据患者个体情况制定的个体化营养干预联合运动疗法，更有益于患者长期维持血糖稳态水平。已有研究表明，个体化营养干预联合运动疗法通过改善葡萄糖耐量、增加胰岛素敏感性、提高血糖控制能力、减少因高血糖引起的并发症、降低血脂，从而达到提高良好妊娠结局的目的。临床上根据患者个体情况选择合适的营养干预和运动治疗对妊娠期糖尿病患者有积极的作用。

Abstract: Nutritional intervention combined with exercise therapy is an indispensable part of gestational di-abetes management and plays a positive role in the prevention and treatment of gestational diabe-tes. Individualized nutritional interventions combined with exercise therapy are beneficial to the long-term maintenance of steady state blood glucose levels. It has been shown that individualized nutritional intervention combined with exercise therapy promotes maternal and fetal health by improving glucose tolerance, increasing insulin sensitivity, improving glycemic control, reducing complications due to hyperglycemia, and lowering blood lipids, thus achieving the goal of improving good pregnancy outcomes. Clinical selection of appropriate nutritional interventions and exercise therapy according to the individual patient’s condition has a positive effect on patients with gesta-tional diabetes mellitus.