LOGO? ?2007?6? 426?428? ? ?(GDM)? ? ? ? ? ? 1979?WHO?GDM?GDM?50gGCT?24?28? ?50g GCT ?GDM? ?50g GCT? ?24?50g GCT?32-34 ?GCT?GDM?GDM? ? ? GDM? ? ?GDM?25? ?GDM? ? ?50gGCT? ?50g?200 ml?5 min? ?1 h? ?7?8 mmol/L(140 mg/dl)?50g GCT ?75g?100g? (oral glucose tolerance test, OGTT)? 50g GCT 1 h?11.1mmol/L(200mg/dl) ?FPG?FPG?5.8 mmol/L(105 mg/dl)?0GTT?FPG ?OGTT?1h? 140mg/dl?7.8mmol/l? ?80%? 14%18%? ?130mg/dl(7.2mmol/l)? ?90%?20%-25%? ?75g OGTT?OGTT?3?150? 200 g? 8?14 h?FBG?75g ?200?300 ml?5 min?1?2?3 h? ?1?2?3 h4? ?5.8?10.6?9.2?8.1 mmol/L(105? 190?165?145 mg/d1)?GDM?GDM? ?FBG?5?8mmol/L(105 mg/dl)? ? OGIT 4? ? 50g GCT?h?11.1 mmol/L(200 mg/dl)? FPG?5?8 mmol/L (105 mg/dl)?OGTT ?(?mmol/ L)-7.8 / 11.27. 0WHO-8. 6 (155)10. 0 (180)5. 3 (95)ADA(2001)7.8 (140)8. 6 (155)10. 0 (180)5. 3 (95)ADA(2001)-8. 3 (150)10. 5 (190)5. 6 (100)?8.1 (145)9.2 (165)10. 6 (190)5. 6 (100)Fernando8.1 (145)9. 2 (165)10. 6 (190)5. 8 (105)NDDG?3 hrs2 hrs1 hr? ? ? ? ? ?11.1 mmol/L?200 mg/dl?20?fasting plasma glucose, FPG?7.0 mmol/L?126 mg/dl?GDM?Al?FBG5.8mmol/L(105mg/dl)? ?, ?2 h? 6?7mmol/L (120mg/dl)?A2?: FBG?5.8mmol/L(105mg/dl)? ?h? 6?7mmoL/L (120mg/dl)? ?GDM?B?20?10 ? ?C?10-19?10-19 ? ?D?10?20? ? ?F? ?R? ?H? ?T? (gestational impaired glucose tolerance, GIGT)?OGTT 4? ?FPG?FPG?LOGO