scholarly journals PATTERN OF GLYCEMIC STATUS AFTER STEROID ADMINISTRATION FOR FETAL LUNG MATURITY IN NORMOGLYCEMIC PREGNANT WOMEN ; A CLINICAL ANALYSIS

Author(s):  
BRUCE S A IESHA ◽  
Alexander A Rachel ◽  
K lalithambica ◽  
Jacob Jaimie T

Objectives To study the patterns of glycemic status in response to steroid administered to women with risk of preterm delivery between 24 weeks and 36 weeks 6 days of gestation in normoglycemic subjects and to evaluate if maternal characteristics predicted the development of hyperglycemia and if Insulin was necessary in the glycemic management Design : longitudinal study Participants : 76 antenatal women, normoglycemic status between 24 weeks and 36 week 6 days of gestation Methods : Antenatal women who screened negative for Gestational Diabetes Mellitus by 75 gm GTT who received Injection Betamethasone for risk of preterm delivery . Fasting and Postprandial blood sugar levels were recorded from day 1 to 7 after steroid administration. Results Forty seven out of seventy six patients had hyperglycemia of varying severity. Among the risk factors associated with hyperglycemia, age>25 years, family history ofdiabetes and hypertension and BMI >25 have statistically significant association with hyperglycemia. Insulin was started in a total of 40 patients of 47 hyperglycemic patients (85.1%). Mean Insulin dosage required for day 1 was9.66 units. Among the 40 patients started on Insulin 15 (37.5 %) had to be continued on Insulin on Day 7 after steroid administration. Conclusion Significant hyperglycemia can occur in normoglycemic women also leading to serious maternal- fetal consequences . Testing of all antenatal patients especially in age group more than 25years, BMI over 25, hypertensive patients, family history of diabetes who are at risk for development of hyperglycemia ie recommended and start insulin accordingly thus preventing complications.

2016 ◽  
Vol 4 (1) ◽  
pp. 100
Author(s):  
Rizky Pradana Setiawan

Mild preeclampsia is the frequent disease experienced by pregnant women in Puskesmas Jagir in 2011-2014. The number of mild preeclampsia in Puskesmas Jagir keep increase significantly. The purpose of this study is to analyze the association between the characteristics, family history and calcium supplementation in pregnant women with mild preeclampsia at Puskesmas Jagir Surabaya. The type of research is non-reactive research with case control design. Subjects was taken from the population using simple random sampling. The variables studied were age, body weight changes, parity, family history of preeclampsia, contraception, family history of diabetes mellitus, family history of chronic hypertension, and calcium supplementation. The statistical test was Chi-square test with α = 0.05, odds Ratio is calculated by value with 95% confidence interval (CI 95%). Variables associated with mild preeclampsia is a maternal characteristics such as parity (p = 0.001, OR 0.17) and contraception (p = 0.019, OR = 5.636). Variables that are not associated with mild preeclampsia is a maternal characteristics such as the form of changes in body weight during pregnancy, age, and family history of diabetes mellitus in the form of family history and family history of hypertension and calcium supplementation. There is a association between parity and contraception with mild preeclampsia.Keywords: mild preeclampsia, parity, contraception 


2021 ◽  
Vol 21 (1) ◽  
pp. 39
Author(s):  
Muaaz Waseem ◽  
Faraz Ahmed Bokhari ◽  
Muhammad Aakif Jalal ◽  
Zainab Zahra ◽  
Mahnoor Khalid ◽  
...  

Abstract Introduction:  A study was conducted among students of a public medical college in Lahore, Pakistan to determine proportion of pre diabetic students (Blood sugar levels between 100 mg/dl - 125 mg/dl, accord-   Waseem M.1 Fourth Year MBBS Student Sheikh Khalifa Bin Zayed Al-Nahyan Medical College, Lahore   Bokhari F.A.2 Assistant Professor, Department of Physiology, Sheikh Khalifa Bin  Zayed Al-Nahyan Medical College, Lahore Jalal M.A.3 Fourth Year MBBS Student Sheikh Khalifa Bin Zayed Al-Nahyan Medical College, Lahore Zahra Z.4 Fourth Year MBBS Student Sheikh Khalifa Bin Zayed Al-Nahyan Medical College, Lahore Khalid M.5 Fourth Year MBBS Student Sheikh Khalifa Bin Zayed Al-Nahyan Medical College, Lahore Aman M.6 Fourth Year MBBS Student Sheikh Khalifa Bin Zayed Al-Nahyan Medical College, Lahore ing to American Diabetes Association) and its relation with body mass index, family history of Diabetes, die-tary habits, socioeconomic status and physical activity. Methods:  A cross sectional survey was conducted at Sheikh Zayed Medical Complex in February 2013 on medical students of either gender. Data was collected on a validated questionnaire. Fasting blood sugar lev-els of 65 students (enrolled after taking informed con-sent) were taken by trained co investigators through standardized glucose meter. Results:  A total of 65 medical students (43 males and 22 females) enrolled in this study. Their ages ranged from 18 to 23 years (mean age 20.56 ± 0.97 years). No student was found to be pre diabetic. Fasting blood sugar level in male participant with a family historyof diabetes was significantly higher (85 ± 6.228 vs. 79.857 ± 6.602, P = 0.016). Conclusion:  In this study, no student was found to be pre diabetic, though male participants with a family history of diabetes had higher fasting blood sugar levels. However, a larger study sample is required so that any significant finding may be shown, if it exists. Data on prevalence of pre-dia-betes in youth in South Asia is scarce. The high incidence of diabetes in developing countries un-derlines the need to explore prevalence of pre dia-betes in the younger population. Key Words:  Pre diabetes, Impaired Fasting Glucose (IFG).


2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Vincent H. Kosanto ◽  
Nelly Mayulu ◽  
Shirley E.S. Kawengian

Abstract: Random blood sugar levels (GDS) on pregnant women is the result of blood tests of pregnant women in circumstances immediately taken from the blood capillaries and measured with a digital measuring tools. GDS category based on consensus of Perkeni 2011: not DM: (<90 mg / dL); Not Sure DM: (90-199 mg / dL); DM: (≥200 mg / dL). GDS levels are influenced by several factors which is a history of diabetes in the family. Family history of diabetes may come from parents or grandparents. This research is an analytic cross sectional (cross-sectional). Which is implemented in September to November 2016 in Bahu, Paniki bawah, Ranotana- Weru, Kombos and Tuminting Public Health Centre. The Data were collected through questionnaires and examinations for GDS levels, then the data is processed with SPSS applications. Respondents who had a history of diabetes in the family at 13.5% and who had no history of diabetes in the family is 86.5%. Respondents were not DM is 51.9%, which is uncertain DM is 48.0% and there were no DM. Conclusion: The results of this study concluded that there was significant relationship between family history of diabetes with DM status on pregnant women in Manado with p = 0.046 (p <α = 0.05).Keywords: random blood sugar levels, history of diabetes, pregnant women. Abstrak: Kadar gula darah sewaktu (GDS) ibu hamil adalah hasil pemeriksaan darah ibu hamil dalam keadaan sesaat yang diambil dari darah kapiler dan diukur dengan alat ukur digital. Kategori GDS berdasarkan Konsensus Perkeni 2011 adalah: bukan DM : (<90 mg/dL); Belum pasti DM : (90-199 mg/dL); DM : ( . Kadar GDS dipengaruhi oleh beberapa faktor salah satunya adalah riwayat DM dalam keluarga. Riwayat DM keluarga ini dapat berasal dari orang tua maupun kakek atau nenek. Penelitian ini bersifat analitik dengan pendekatan potong lintang (cross sectional). Yang dilaksanakan pada periode September sampai November 2016 di Puskesmas Bahu, Paniki bawah, Ranotana- Weru, Kombos dan Tuminting. Data yang dikumpulkan melalui kuisioner dan pemeriksaan kadar GDS, kemudian data diolah dengan aplikasi SPSS. Responden yang memiliki riwayat DM dalam keluarga 13,5% dan yang tidak memiliki riwayat DM dalam keluarga 86,5%. Responden yang bukan DM 51,9%, yang belum pasti DM 48,0% dan tidak terdapat yang DM. Simpulan: Hasil penelitian ini menyimpulkan bahwa terdapat hubungan yang bermakna antara riwayat DM keluarga dengan status DM pada ibu hamil di Kota Manado dengan p=0,046(p<α=0,05). Kata kunci: kadar gula darah sewaktu, riwayat DM, ibu hamil


2016 ◽  
Vol 4 (1) ◽  
pp. 100
Author(s):  
Rizky Pradana Setiawan

ABSTRACTMild preeclampsia is the frequent disease experienced by pregnant women in Puskesmas Jagir in 2011-2014. The number of mild preeclampsia in Puskesmas Jagir keep increase significantly. The purpose of this study is to analyze the association between the characteristics, family history and calcium supplementation in pregnant women with mild preeclampsia at Puskesmas Jagir Surabaya. The type of research is non-reactive research with case control design. Subjects was taken from the population using simple random sampling. The variables studied were age, body weight changes, parity, family history of preeclampsia, contraception, family history of diabetes mellitus, family history of chronic hypertension, and calcium supplementation. The statistical test was Chi-square test with α = 0.05, odds Ratio is calculated by value with 95% confidence interval (CI 95%). Variables associated with mild preeclampsia is a maternal characteristics such as parity (p = 0.001, OR 0.17) and contraception (p = 0.019, OR = 5.636). Variables that are not associated with mild preeclampsia is a maternal characteristics such as the form of changes in body weight during pregnancy, age, and family history of diabetes mellitus in the form of family history and family history of hypertension and calcium supplementation. There is a association between parity and contraception with mild preeclampsia.Keywords: mild preeclampsia, parity, contraception 


Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 1378-P
Author(s):  
JANAKI D. VAKHARIA ◽  
SUNGEETA AGRAWAL ◽  
JANINE BACIC ◽  
LISA S. TOPOR

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Meng Wang ◽  
Wei-Wei Gong ◽  
Feng Lu ◽  
Ru-Ying Hu ◽  
Qing-Fang He ◽  
...  

Abstract Background Previous studies have indicated inconsistent relationships of diabetes with thyroid cancer risk, yet little is known in China. In this study, we aimed to investigate the associations between diabetes, diabetes duration and the risk of thyroid cancer in Chinese population. Methods A 1:1 matched case-control study was performed between 2015 and 2017 in Zhejiang Province including 2,937 thyroid cancer cases and 2,937 healthy controls. Odds ratios (ORs) with 95 % confidence intervals (CIs) for thyroid cancer were estimated in logistic regression models. Specific effects stratified by age, as well as sex, body mass index (BMI) and family history of diabetes were also examined. Results Overall, neither diabetes (OR = 0.75, 95 % CI: 0.21–2.73) nor diabetes duration (OR = 0.14, 95 % CI: 0.02–1.22 for diabetes duration ≦ 5 years; OR = 2.10, 95 % CI: 0.32–13.94 for diabetes duration > 5 years) was significantly associated with thyroid cancer. In stratified analyses, significant lower risk of thyroid cancer was observed among subjects with diabetes and shorter diabetes duration ( ≦ 5 years), but limited to those who were aged more than 40 years, female, overweight/obese and had positive family history of diabetes. Conclusions Diabetes and shorter diabetes duration were significantly associated with decreased risk of thyroid cancer in individuals characterized by older age, female sex, higher BMI and positive family history of diabetes.


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