Abstract: Diabetes in pregnancy（DIP） have the following two types:pre-gestational diabetes mellitus（PGDM） and gestational diabetes mellitus（GDM）.DIP is closely related to short- and long-term adverse pregnancy outcomes of the mother and the child.The incidence of DIP in China is increasing year by year,and the age of patients with diabetes during pregnancy is becoming younger.Therefore,it is important to focus on and improve the clinical diagnosis and treatment of DIP.This study introduced the latest research progress on diagnosis and treatment of DIP.Comparisons were made between the diagnostic criteria provided by the World Health Organization（2013） and the International Association of Diabetes and Pregnancy Study Groups（IADPSG,2010） and those in our country.Diet management and exercise intervention need to be carried out throughout the whole treatment process of DIP.Early drug therapy should be provided to patients in need of drug therapy.The importance of postpartum follow-up needs to be emphasized to prevent the occurrence of long-term chronic diseases.In conclusion,treatment should be provided throughout the whole DIP treatment process,which includes pro-gestational planning and preparation,treatment during gestation（including interventions in living habits and drug therapy）,and postpartum follow-ups.

Key words: Diabetes, gestational, Diagnosis, Therapy, Review

摘要： 妊娠合并糖尿病包括糖尿病合并妊娠和妊娠期糖尿病（GDM），与母儿近、远期不良妊娠结局密切相关。我国妊娠合并糖尿病的发病率逐年上升且呈现年轻化趋势。因此重视并加强对妊娠合并糖尿病的临床诊治至关重要。本文介绍了妊娠合并糖尿病的诊治研究进展。比较了世界卫生组织（WHO）（2013年）、国际糖尿病与妊娠研究组（IADPSG）（2010年）和我国妊娠合并糖尿病的诊断标准。强调妊娠合并糖尿病全程应进行饮食管理和运动干预，且对需要进行药物治疗的患者，应及早药物治疗。此外，必须重视产后随访，进而最大可能对远期慢性疾病进行预防。综上提出，妊娠合并糖尿病的治疗需贯穿全程，即妊娠前计划与准备、妊娠期治疗（包括生活方式干预和药物治疗）以及重视产后随访。

关键词: 糖尿病,妊娠, 诊断, 治疗, 综述