Self-Monitoring of Blood Glucose in Pregnant Diabetics: A Comparative Study of the Blood Glucose Level and Course of Pregnancy in Pregnant Diabetics on an Out-Patient Regime before and after the Introduction of Methods for Home Analysis of Blood Glucose

1985 ◽  
Vol 64 (1) ◽  
pp. 11-14 ◽  
Author(s):  
Thorkild Espersen ◽  
Joachim G. Klebe
2016 ◽  
Vol 1 (3) ◽  
pp. 1-9 ◽  
Author(s):  
Munmun Rawat ◽  
Praveen Chandrasekharan ◽  
Stephen Turkovich ◽  
Nancy Barclay ◽  
Katherine Perry ◽  
...  

Background: Newborn infants with risk factors may require intravenous (IV) dextrose for asymptomatic hypoglycemia. Administration of IV dextrose and transfer to the neonatal intensive care unit (NICU) may interfere with parent-infant bonding. Objective: To study the effect of implementing dextrose gel supplement with feeds in late preterm/term infants affected by asymptomatic hypoglycemia on reducing IV dextrose therapy. Method: A retrospective study was conducted before and after dextrose gel use: 05/01/2014 to 10/31/2014 and 11/01/2014 to 04/30/2015, respectively. Asymptomatic hypoglycemic (blood glucose level <45 mg/dl) infants in the newborn nursery (NBN) were given a maximum of 3 doses of dextrose gel (200 mg/kg of 40% dextrose) along with feeds. Transfer to the NICU for IV dextrose was considered treatment failure. Results: Dextrose gel with feeds increased the blood glucose level in 184/250 (74%) of asymptomatic hypoglycemic infants compared to 144/248 (58%) with feeds only (p < 0.01). Transfer from the NBN to the NICU for IV dextrose decreased from 35/1,000 to 25/1,000 live births (p < 0.01). Exclusive breastfeeding improved from 19 to 28% (p = 0.03). Conclusions: Use of dextrose gel with feeds reduced the need for IV fluids, avoided separation from the mother and promoted breastfeeding. Neonates who failed dextrose gel therapy were more likely to be large for gestational age, delivered by cesarean section and had lower baseline blood glucose levels.


2017 ◽  
Vol 1 (1) ◽  
pp. 51
Author(s):  
Linda Triana ◽  
Maulidiyah Salim

Abstract: One of the simple carbohydrates is glucose that acts as the main energy producer. The function of the body will be felicitous when blood glucose levels are within normal limits. Glucose removal levels are considered normal if glucose levels return to normal within 2 hours after it rises in the first hour. If the blood glucose level within 2 hours after given fed is abnormal, it can be done by Oral Glucose Tolerance Test to get additional information about the presence of carbohydrate metabolism disorders. This study was aimed to determine the difference of blood glucose levels within 2 hours postprandial between samples who given fed with loads of 75 grams glucose. The type of research used in this research was analytic observational with comparative study approach. Samples obtained 33 samples with treatment 4 times in each sample. The method used in this research was an enzymatic method. The results of this study showed the average blood glucose level within 2 hours postprandial which given fed with loads was 10.10% while the average measurement of blood glucose level within 2 hours postprandial loaded with 75 grams glucose was 7.61%. T-test obtained t value of 1.092 with a significant level at p = 0.284 (p> 0.05) so the conclusion there was no difference of blood glucose level within 2 hours postprandial between who given fed with loads of 75-gram glucose.Abstrak: Salah satu karbohidrat sederhana adalah glukosa yang berperan sebagai penghasil energi utama. Fungsi dari tubuh akan menjadi sangat baik apabila kadar glukosa darah berada pada batas yang normal. Kadar pembuangan glukosa dianggap normal jika kadar glukosa kembali normal dalam waktu 2 jam setelah kenaikan pada 1 jam pertama. Apabila kadar glukosa darah dalam waktu 2 jam setelah makan abnormal, maka dapat dilakukan Tes Toleransi Glukosa Oral untuk mendapatkan keterangan tambahan tentang adanya gangguan metabolisme karbohidrat. Penelitian ini bertujuan untuk mengetahui perbedaan kadar glukosa darah 2 jam post prandial antara yang diberi beban makanan dengan beban glukosa 75 gram. Jenis penelitian yang digunakan dalam penelitian ini adalah observasional analitik dengan pendekatan comparative study. Sampel didapatkan 33 sampel dengan perlakuan 4 kali pada setiap sampelnya. Metode yang digunakan dalam penelitian ini adalah metode enzimatik. Hasil penelitian ini menunjukan rata-rata kadar glukosa darah 2 jam post prandial yang diberi beban makanan yaitu 10,10% sedangkan hasil pengukuran rata-rata kadar glukosa darah 2 jam post prandial yang diberi beban glukosa 75 gram yaitu 7,61%. Uji T-test didapatkan nilai t hitung sebesar 1,092 dengan tingkat signifkan pada p = 0,284 (p>0,05) sehingga Ha ditolak dengan kesimpulan tidak ada perbedaan kadar glukosa darah 2 jam post prandial antara yang diberi beban makanan dengan beban glukosa 75 gram.


2020 ◽  
Vol 32 (06) ◽  
pp. 2050043
Author(s):  
Keshava N. Acharya ◽  
M. G. Yashwanth Gowda ◽  
M. Vijay ◽  
S. Deepthi ◽  
S. Malathi ◽  
...  

Blood glucose monitoring systems (BGMSs) play a crucial role in health care applications. Invasive measurements are more accurate while non-invasive BGMS encourage self monitoring and reduce the cost of health care. Though multiple sensor data acquisition and suitable processing improve accuracy, self-monitoring becomes difficult in such non-invasive systems due to multiple signal acquisition. This paper investigates a non-invasive BGMS prototype that renders accurate measurements by statistically processing a single sensor data. The developed prototype is based on near-infrared (NIR) spectroscopy, which provides an electronic voltage that gets mapped to corresponding blood glucose level. This mapping is proposed using two different statistical regression approaches, parametric Bayesian Regression (BR) approach and the non-parametric Gaussian Process Regression (GPR) approach. Dataset is acquired from 33 subjects who visited Ramaiah Medical College Hospital, India. On each subject, voltage from the BGMS prototype and corresponding invasively obtained blood glucose level have been recorded. The BR and GPR approaches are trained with 75% of the data while the remaining 25% is used for testing. Test results show that BR approach renders root mean square error (RMSE) of 3.7[Formula: see text]mg/dL, while the mean absolute percentage error (MAPE) is around 2.5. The GPR with different radial basis function kernels revealed that a multiquadric kernel provides a lowest RMSE of 3.28[Formula: see text]mg/dL and lowest MAPE of 2.2, thus outperforming the parametric BR approach. Investigations also show that for a training data of less than 15 entries, BR renders better accuracy than the GPR approach.


Author(s):  
Hugo Eduardo de Amorim ◽  
Gilmar Moraes Santos ◽  
Luis Mochizuki ◽  
Evangelos Pappas ◽  
Vanessa Lima Silva ◽  
...  

Abstract Despite the increase in the number of Ironman competitions worldwide, thousands of athletes have been joining Ironman experience but only a few studies have been published on the effects of this competition on postural control. This study aims to investigate the ability to maintain a static posture in three different positions before and after an Ironman competition and the blood glucose level behavior. Forty-nine volunteers underwent balance evaluation using the force plate VSRTM Sport. The area of the center of gravity (ACOG) was assessed pre- and post-competition in the bipodal, unipodal, and tandem postures. Glucose levels were also assessed concurrently. The ACOG findings showed a significant post-competition increase in the three postures assessed, with no significant interaction between the postures. The glucose test showed an increase in the post-competition glycemic levels. The findings showed reduced postural control, suggesting that prolonged exercise stimulation could lead to a disturbance in postural control.


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