患胰岛素依赖性糖尿病的青年妇女,至今尚无理想的避孕方法。由于宫内节育器(IUD)用于未产妇时弊害明显而用于糖尿病妇女时效果甚微,以致这些妇女对药物避孕的需要日渐增加。以往曾报告年轻糖尿病患者即便只服用“小剂量雌激素”口服避孕药(OC)亦可高发冠心病和脑血管病,因此本文仅以孕激素的作用来阐述口服避孕药的影响。亚临床型糖尿病患者服用含雌激素的 Young women with insulin-dependent diabetes have so far no ideal method of contraception. The use of IUDs in non-mothers is less harmful than in women with diabetes, and the need for contraceptives in these women is increasing. It has been reported in the past that young diabetic patients can develop coronary heart disease and cerebrovascular disease even if only taking “low dose estrogen” oral contraceptives (OC). Therefore, the effect of oral contraceptives is only explained by the effect of progestin. Subclinical diabetes patients taking estrogen-containing