التفاصيل البيبلوغرافية
| العنوان: |
Gestational diabetes mellitus: metabolic and blood glucose parameters in singleton versus twin pregnancies. |
| المؤلفون: |
Schwartz, David B., Daoud, Yahya, Schwartz, D B, Daoud, Y, Zazula, P, Goyert, G, Bronsteen, R, Wright, D, Copes, J |
| المصدر: |
American Journal of Obstetrics & Gynecology; Oct99, Vol. 181 Issue 4, p912-914, 3p, 1 Chart, 1 Graph |
| مصطلحات موضوعية: |
PREGNANCY complications, GESTATIONAL diabetes, BLOOD sugar, INSULIN therapy, BODY weight, COMPARATIVE studies, DYNAMICS, GLUCOSE tolerance tests, INSULIN, MATERNAL age, RESEARCH methodology, MEDICAL cooperation, MULTIPLE pregnancy, RESEARCH, TWINS, EVALUATION research, GLUCOSE intolerance |
| مستخلص: |
Objectives: This study compared the frequency, glucose tolerance test results, and parameters of blood glucose control in twin and singleton pregnancies associated with gestational diabetes mellitus and carbohydrate intolerance.Study Design: Twin and singleton pregnancies associated with gestational diabetes mellitus and carbohydrate intolerance were compared as follows: frequency, maternal age, weight, 1-hour screen, glucose tolerance test results, posttreatment blood glucose values, insulin requirement, and insulin dose. Statistical analysis included the chi(2) and Student t tests.Results: Gestational diabetes mellitus was increased in twins (7.7% vs 4.1%; P <.05). The maternal weight at first visit was significantly less, and the 3-hour glucose tolerance test value was significantly greater than that for singletons. The other parameters were not different.Conclusions: There is a significant increase in the incidence of gestational diabetes mellitus and disturbance of the 3-hour glucose tolerance test in twin pregnancies. However, insulin requirements were not different, suggesting a mild disturbance of carbohydrate tolerance that was effectively managed by the strategies used to achieve blood glucose control in singletons. [ABSTRACT FROM AUTHOR] |
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