WHO launches global guidelines on diabetes during pregnancy on World Diabetes Day

世界糖尿病日期间，世界卫生组织发布妊娠期糖尿病全球指南。

The World Health Organization (WHO) today released its first global guidelines for the management of diabetes during pregnancy, a condition affecting about one in six pregnancies – or 21 million women annually. The new recommendations provide a critical roadmap to tackle this growing health challenge and prevent serious complications for both women and their children.

世界卫生组织（WHO）今日发布首份《妊娠期糖尿病管理全球指南》。该疾病约影响六分之一的妊娠人群 —— 即每年约 2100 万名女性。这份全新建议为应对这一日益严峻的健康挑战提供了关键指导框架，同时有助于预防该疾病给女性及其子女带来的严重并发症。

Diabetes in pregnancy, if not managed effectively, significantly increases the risk of life-threatening conditions such as pre-eclampsia, stillbirth, and birth injuries. It also has long-term consequences, elevating the lifetime risk of type 2 diabetes and cardiometabolic diseases for both mother and child. The burden is greatest in low- and middle-income countries, where access to specialized care and resources may be limited, yet the need is most acute.

妊娠期糖尿病若未得到有效管理，会显著增加子痫前期、死胎及分娩损伤等危及生命的疾病风险。该疾病还会产生长期影响，使母亲与子女毕生罹患 2 型糖尿病及心脏代谢疾病的风险升高。中低收入国家的疾病负担最为沉重 —— 这些地区获得专科诊疗服务及相关资源的渠道可能有限，但对诊疗支持的需求却最为迫切。

“WHO has long had guidance on diabetes and guidance on pregnancy, but this is the first time we have issued a specific standard of care for managing diabetes during pregnancy,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “These guidelines are grounded in the realities of women’s lives and health needs, and provide clear, evidence-based strategies to deliver high-quality care for every woman, everywhere.”

世界卫生组织总干事谭德塞博士（Dr Tedros Adhanom Ghebreyesus）表示：“世卫组织长期以来已制定糖尿病相关指南及孕期保健指南，但这是我们首次针对妊娠期糖尿病管理发布专门的临床护理标准。该指南立足女性生活实际与健康需求，提供了清晰、循证的策略，旨在为全球各地的每位女性提供高质量医疗服务。”

The guidelines include 27 key recommendations, emphasizing:

该指南包含 27 项核心建议，重点强调：

Individualized care: Advice on diet, physical activity, and blood sugar targets.

个体化护理：关于饮食、体力活动及血糖控制目标的指导建议。

Optimal monitoring: All women with diabetes should have their blood glucose checked regularly, both during clinic visits and at home.

优化监测：所有妊娠期糖尿病女性均应定期监测血糖，包括就诊期间及居家场景下的检测。

Personalized treatment: Specific medication regimens for type 1, type 2, and gestational diabetes when pharmacotherapy is required.

个体化治疗：针对 1 型、2 型及妊娠期糖尿病患者，需药物治疗时的专属用药方案。

Specialized support: Multidisciplinary care for women with pre-existing diabetes.

专科支持：为孕前已确诊糖尿病的女性提供多学科协作诊疗服务。

The release of these guidelines marks a pivotal step in strengthening maternal health and combating noncommunicable diseases (NCDs). They underscore the importance of integrating diabetes care into routine antenatal services and ensuring equitable access to essential medicines and technologies.

该指南的发布标志着在强化孕产妇健康保障、防控非传染性疾病（NCDs）领域迈出关键一步。指南强调，需将糖尿病诊疗纳入常规产前保健服务，并确保所有人群公平获得必需药品及相关技术。

The guideline is launched on World diabetes day 2025, the theme of this year, "Diabetes across life stages,” recognizes that every person living with diabetes should have access to integrated care, supportive environments and policies that promote health, dignity and self-management.

该指南于 2025 年世界糖尿病日发布，本年度活动主题为 “糖尿病全周期管理”（Diabetes across Life Stages）。该主题明确：每位糖尿病患者均应获得综合诊疗服务、有利健康的支持性环境，以及保障其健康状况、人格尊严并助力自我健康管理的相关政策。

Diabetes is one of the fastest-growing health challenges of our time, affecting over 800 million people globally. It is a leading cause of heart disease, kidney failure, blindness, and lower-limb amputation, and its impact stretches across generations and health systems. Over the last decades, the prevalence has been rising the most in low- and middle-income countries, where access to care and essential medicines remains limited.

糖尿病是当今时代增长最快的健康挑战之一，全球受影响人数已超 8 亿。它是导致心脏病、肾衰竭、失明及下肢截肢的主要病因，其危害贯穿代际并给医疗体系带来沉重负担。过去数十年间，中低收入国家的糖尿病患病率增长最为显著 —— 这些地区获得医疗服务及必需药品的渠道仍较为有限。

By focusing on diabetes across life stages, this year’s campaign calls for urgent action to ensure that no one is left behind – from children and adolescents to older adults – and emphasizes the importance of a life-course approach to diabetes prevention, management and overall well-being.

本年度糖尿病主题活动围绕 “糖尿病全周期管理” 展开，呼吁各方采取紧急行动，确保无一人被遗漏 —— 涵盖儿童、青少年至老年群体在内；同时着重强调，在糖尿病的预防、诊疗及人群整体健康福祉保障方面，采用生命全程干预模式意义重大。