scholarly journals Effects of Insulin treated Established Diabetes Mellitus (EDM) on the Volume of Placental Parenchyma and Weight of the Neonate

1970 ◽  
Vol 7 (1) ◽  
pp. 45-48
Author(s):  
AHMM Mawla Chowdhury ◽  
Selina Anwar ◽  
Meherunnessa Begum ◽  
K Nahid Eva ◽  
Fahmida Shahnaz
Keyword(s):  
Diabetes Mellitus ◽  
Plasma Glucose Level ◽  
Significant Positive Correlation ◽  
Well Being ◽  
Mean Value ◽  
Third Trimester ◽  
Control Mother ◽  
The Mean ◽  
Diabetic Mothers ◽  
Venous Plasma

Taking in mind the effects of diabetes mellitus of varying severity on human placenta and their implication on the well being of the fetus, a quantitative study at the macroscopic level was designed. Sixty post caesarean section human placentas were studied of which thirty were from mothers having insulin treated established diabetes mellitus (EDM) considered as EDM group and thirty were from control mother having no diabetes mellitus. The venous plasma glucose level (fasting and two hours after breakfast) of the diabetic mothers in second and third trimester were recorded and the mean of the values were calculated. The value ranged from 5.93 to 10.10 and the mean was 7.28±0.90. The two groups did not differ significantly from each other with age, weight, height, or parity of the mother or in gestational age. Parenchymal volume in control and EDM group were 300.14±75.43 and 309.25±61.64 respectively. The value showed higher mean value in EDM group. The differences did not reach a significant level. The neonatal weight in control and EDM group were 2.95±0.53 and 3.05±0.52 respectively. The neonate did show a tendency towards being heavier in EDM group, but no reached the significant level. There was a significant positive correlation between the neonatal weight and the parenchymal volume in control and EDM groups. Key words: Established Diabetes Mellitus, Placenta, Parenchyma, Neonates.   doi: 10.3329/bja.v7i1.3025 Bangladesh Journal of Anatomy January 2009, Vol. 7 No. 1 pp. 45-48

scholarly journals A Comparative Study of Effects of Different Grades of Maternal Established Diabetes Mellitus on Placental and Neonatal Weight

1970 ◽  
Vol 9 (1) ◽  
pp. 53-58 ◽  
Author(s):  
AHMM Mawla Chowdhury ◽  
Khondker Manzare Shamim ◽  
Roxana Ferdousi ◽  
Janah Ara Begum ◽  
Laila Anjuman Banu
Keyword(s):  
Diabetes Mellitus ◽  
Glucose Level ◽  
Plasma Glucose ◽  
Plasma Glucose Level ◽  
Mean Value ◽  
Placental Weight ◽  
Control Mother ◽  
The Mean ◽  
The Difference ◽  
Venous Plasma

Context: Aiming the effects of severity of diabetes mellitus on human placenta and the neonatal outcome, a quantitative study at the macroscopic level was designed. Material and Methods: Sixty post caesarean section human placentae were studied of which thirty were from mothers having established diabetes mellitus considered as EDM and thirty were from control mother having no diabetes mellitus. EDM mothers were treated with insulin. Venous plasma glucose level (fasting and 2 hours after breakfast) of the EDM mothers in 2nd and 3rd trimester were recorded and the mean of the values were calculated. Results: The values ranged from 5.93 to 10.10mmol/L and the mean was 7.28±0.99 m mol/L. The mothers having EDM were grouped according to the mean venous plasma glucose level. The mothers having a mean level up to 8.3 m mol/L and those having a level above 8.3 m mol/L were designated as the Low-EDM and High- EDM group respectively. Placental weight in Control, Low-EDM and High-EDM groups were 414.93±95.41, 403.83±68.53 gm and 446.33± 82.23gm respectively. The value showed lower mean value in Low-EDM group. The difference did not reach a significant level. The neonatal weight in Control, Low-EDM and High-EDM groups were 2958.33±537gm, 2997.91±540 gm and 3300.00±379 gm respectively. The weight of the neonates did show a tendency towards being heavier in EDM groups but did not reach the significant level. There was a significant positive correlation between the neonatal weight and placental weight in control and Low-EDM group. Key words: Established diabetes mellitus; Placenta; Neonates DOI: http://dx.doi.org/ 10.3329/bja.v9i1.8150 Bangladesh Journal of Anatomy January 2011, Vol. 9 No. 1 pp 53-58

Correlations Between the Values of Maternal Glycemia from the Last Trimester of Pregnancy and Fetal Birth Weight

2013 ◽  
Vol 20 (3) ◽  
pp. 259-265
Author(s):  
Monica Vereş ◽  
Aurel Babeş ◽  
Szidonia Lacziko
Keyword(s):  
First Trimester ◽  
Mean Value ◽  
Fetal Macrosomia ◽  
Entire Group ◽  
Third Trimester ◽  
The Third ◽  
Group I ◽  
Fetal Birth Weight ◽  
First Trimester Of Pregnancy ◽  
The Mean

Abstract Background and aims: Gestational diabetes represents a form of diabetes diagnosed during pregnancy that is not clearly overt diabetes. In the last trimester of gestation the growth of fetoplacental unit takes place, thus maternal hyperglycemia will determine an increased transplacental passage, hyperinsulinemia and fetal macrosomia. The aim of our study was that o analyzing the effect of maternal glycemia from the last trimester of pregnancy over fetal weight. Material and method: We run an observational study on a group of 46 pregnant women taken into evidence from the first trimester of pregnancy, separated in two groups according to blood glucose determined in the third trimester (before birth): group I normoglycemic and group II with hyperglycemia (>92mg/dl). Results: The mean value of third trimester glycemia for the entire group was of 87.13±22.03. The mean value of the glycemia determined in the third trimester of pregnancy was higher in the second group (109.17 mg/dl) in comparison to the first group (74.,21 mg/dl). The ROC curve for third trimester glycemia as fetal macrosomia appreciation test has an AUC of 0.517. Conclusions: Glycemia determined in the last trimester of pregnancy cannot be used alone as the predictive factor for fetal macrosomia.

Nasal mucociliary clearance in patients with diabetes mellitus

1989 ◽  
Vol 103 (9) ◽  
pp. 853-855 ◽  
Author(s):  
W. L. Yue
Keyword(s):  
Diabetes Mellitus ◽  
Mucociliary Clearance ◽  
Mean Value ◽  
Nasal Disease ◽  
Patients With Diabetes ◽  
History Of ◽  
Insulin Dependent ◽  
Mucociliary Function ◽  
The Mean ◽  
Nasal Mucociliary Clearance

AbstractFifty insulin-dependent diabetics and 50 non-diabetics without a history of nasal disease have been studied for nasal problems including mucociliary function complicated by diabetes mellitus. For the diabetics, the mean value of nasal mucociliary clearance was considerably decreased and this was more often associated with dry noses but increased pH-values, both of which were higher than those for non-diabetics (p<0.05). As suggested in earlier literature, more aggressive nasal moistening therapy must be recommended for those patients presenting with these conditions in the light of systemic diabetic abnormalities.

scholarly journals Ocular Risk Factors in the Primary Formation of Diabetic Macular Edema in Patients with Type 2 Diabetes Mellitus

2019 ◽  
Vol 16 (2) ◽  
pp. 225-229
Author(s):  
M. V. Pshenichnov ◽  
O. V. Kolenko ◽  
E. L. Sorokin ◽  
Ya. E. Pashentcev
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Macular Edema ◽  
Comparison Group ◽  
Mean Value ◽  
Main Group ◽  
The Mean

Purpose. Revealing of the ocular risk factors in the formation of diabetic macular edema (ME) in type 2 diabetes mellitus (DM2).Patients and methods. A 3.5-year research of 80 patients (160 eyes) with DM2 without signs of ME at the beginning of the research was performed. The main group consisted of 46 patients with ME symptoms on one or both eyes during the research period, the comparison group included 34 patients without ME symptoms to the end of the research. The initial ocular characteristics were retrospect compared in groups.Results. The mean value of the axial lengths (AL) in the eyes of the main group was 23.12 ± 0.75 mm compared to 23.82 ± 0.62 mm in the comparison group (significant difference, p < 0.01). AL was less than 23.5 mm in 66 % of the eyes in the main group and only in 22 % of the eyes in the comparison group (p < 0.01). The mean value of the initial macular retina volume in the main group was significantly higher than in the comparison group — 7.51 ± 0.22 mm3 and 7.21 ± 0.12 mm3, respectively (p < 0.01). Initial background diabetic retinopathy (DR) was noted in 73 % of the eyes in the main group, which significantly differed from the comparison group, where this index was noted only in 13 % of the eyes (p < 0.01).Conclusion. Significant ocular risk factors for the formation of ME in patients with DM2 are: the initial macular retina volume more than 7.3 mm3, the value of the AL less than 23.5 mm; the initial background DR. The use of the detected morphometric parameters of eye and retina in combination with an adequate assessment of the risk factors in human organism makes it possible to assume with high degree of probability a high risk of the primary formation of diabetic ME in patients with DM2. 

scholarly journals Low Dose Vaginal Misoprostol in the Management of Women with Intrauterine Fetal Death

2010 ◽  
Vol 3 ◽  
pp. CMWH.S5797
Author(s):  
M.N. El-Gharib ◽  
M.T. El-Ebyary ◽  
T.S. Alhawary ◽  
S.H. Elshourbagy
Keyword(s):  
Fetal Death ◽  
Mean Value ◽  
University Hospital ◽  
Intrauterine Fetal Death ◽  
Third Trimester ◽  
Trimester Pregnancy ◽  
Observational Cohort ◽  
The Mean ◽  
Vaginal Misoprostol ◽  
Duration Of Gestation

Objectives The study was conducted to assess the effectiveness and side effects of vaginal misoprostol (Vagiprost® tablet) in termination of second and third trimester pregnancy complicated with intrauterine fetal death. Design A prospective observational cohort study. Setting Tanta University Hospital. Patients The study was carried out on 324 women with fetal demise in the second and third trimesters. Cases were collected during the period from January 2008 to December 2009. Intervention All patients were subjected to history taking, physical examination, Bishop Scoring. Application of 25 μg misoprostol in the posterior fornix of the vagina, this will be repeated every 4 hours over 24 hours. The adverse effects, progress, and outcomes were assessed. Results the success rate was 90% and 45% in women with third and second trimesters respectively. The mean induction-termination interval was 8.95 ± 2.63 and 15.3 ± 5.37 hours for women with third and second trimesters respectively. The induction termination interval correlated negatively with the duration of gestation. Approximately, 90% of second trimester and 55% of third trimester women required oxytocin augmentation. The mean value of total required dose of misoprostol was 166.3 ± 7.5 and 120 ± 28.79 μg for women with second and third trimesters respectively. Conclusion Vagiprost appears to be a safe, effective, practical, and inexpensive method for termination of third trimester pregnancy complicated with of intrauterine fetal death (IUFD), its effects increase with parity and duration of gestation.

scholarly journals Chronic Spontaneous Urticaria and Type 1 Diabetes Mellitus—Does Quality of Life Impairment Always Reflect Health Danger?

2020 ◽  
Vol 9 (8) ◽  
pp. 2505
Author(s):  
Zenon Brzoza ◽  
Katarzyna Nabrdalik ◽  
Lukasz Moos ◽  
Hanna Kwiendacz ◽  
Karina Badura-Brzoza ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Social Functioning ◽  
Short Form ◽  
Well Being ◽  
Chronic Spontaneous Urticaria ◽  
The Mean ◽  
Being There

Background and aims: Chronic spontaneous urticaria (CSU) and diabetes mellitus type 1 (T1DM) may compromise the quality of life (QoL). We decided to compare the QoL of T1DM patients to those suffering from CSU. Materials and methods: Sixty-six patients with well-controlled T1DM (male 52%) in the mean age of (SD) 36.3 (11.09) years and 51 patients with CSU (male 33%) in the mean age of (SD) 35.8 (8.53) years were enrolled in this observational study. All the participants completed a Short-Form 36 (SF-36) QoL. Results: The QoL related to social functioning was significantly worse among CSU patients. There were differences related to gender found in the group of patients with T1DM—where men tended to declare a better quality of life than women (p = 0.015)—especially in the area of energy/fatigue and pain. It appeared that due to physical and emotional problems occurring in married patients, the QoL is lower in T1DM group in comparison to the CSU one. Conclusions: The patients with CSU presented significantly worse social functioning compared to the ones with T1DM. This fact proves the QoL impairment level is not always related to the level of health danger. The differences in the QoL related to gender and marital status found among T1DM patients point to the necessity for further exploration in a larger group of patients. Due to the fact that optimal disease management should ensure patient’s good emotional well-being, there is a need for additional psychological and social care for patients from those two groups.

Determination Of Malondialdehyde In Normal And Diabetic Pregnancies

1981 ◽  
Author(s):  
I Rákóczi ◽  
Gy Geró ◽  
J Demeter ◽  
I Gáti
Keyword(s):  
Pregnant Women ◽  
Mean Value ◽  
Diabetic Pregnancy ◽  
Diabetic Patients ◽  
Third Trimester ◽  
The Mean ◽  
Platelet Hyperaggregation ◽  
Induced Aggregation ◽  
Increased Activity

It is known that platelet hyperaggregation observed in diabetic patients is, at least in part, due to an increased activity of the endoperoxide-thromboxane forming metabolic pathway. It was interesting to determine the platelet malondialdehyde /MDA/ production in normal and diabetic pregnancies. Following individuals have been studied: /I/ twenty-five healthy non-pregnant volunteers; /II/ thirty women in third trimester of non-complicated pregnancies; /III/ twenty two diabetic pregnant women without retinopathy; /IV/ fifteen diabetic pregnant women with retinopathy. Platelet MDA production following N-ethyl-maleimide induced aggregation was measured according to Stuart et al. The mean value of MDA production was similar in volunteers and normal pregnant women /SDM, 7.07±0.73 nmoles MDA per 109 platelets; 7.22±0.81/. The mean MDA production in diabetic women without retinopathy was slightly but nonsignificantly higher than that in normal pregnant women /7.57±1.02; p>0.05/. The corresponding value in diabetic women with retinopathy was significantly higher than the values in the other three groups /8.47±0.82; p<0.01/. These data suggest that the activation of prostaglandin synthetic pathway /measured by MDA/ is significantly increased in diabetic pregnancy complicated by retinopathy. The increase of platelet prostaglandin synthesis in diabetic pregnancy might play an important role in initiating and/or promoting the small-vessel complications of placenta.

CHANGES IN OVARIAN AND PITUITARY FUNCTION IN NON-PREGNANT WOMEN DURING THE INFUSION OF PROSTAGLANDIN F2α

1975 ◽  
Vol 80 (4) ◽  
pp. 676-685 ◽  
Author(s):  
J. A. Elias ◽  
J. R. Newton ◽  
W. P. Collins
Keyword(s):  
Pregnant Women ◽  
Intravenous Administration ◽  
Luteal Phase ◽  
Prostaglandin F2α ◽  
Mean Value ◽  
Prostaglandin F ◽  
The Mean ◽  
Serial Samples ◽  
Mean Concentration ◽  
Venous Plasma

ABSTRACT The concentrations of prostaglandin F2α, progesterone, oestradiol, LH and cortisol have been determined in serial samples of peripheral venous plasma, before, during and after, the intravenous administration of prostaglandin F2α (50 μg/min, for 5 h) to 8 women in the luteal phase of the ovarian cycle. The results show that the mean concentrations of prostaglandin F2α and cortisol increased during the infusion by factors of 8.8 and 2.6 respectively. The highest levels of cortisol occurred after 3 h, and were significantly different (P < 0.0005, Student's t-test) from those obtained before the infusion. There were progressive decreases in the concentrations of LH and progesterone. After 3 h the values for LH were significantly lower (P < 0.0025) than those before the administration of prostaglandin F2α, and the lowest mean value was 26 % of the control. The values for progesterone were significantly lower (P < 0.025) after 5 h, and the mean value at this time was 38 % of the control. The pattern of the mean concentration for oestradiol was similar to that for progesterone. The levels of all 5 compounds had returned to normal within 1 h after completion of the infusion. The findings are discussed.

scholarly journals Cortical Evoked Potentials in Children of Diabetic Mothers

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Mario Brinciotti ◽  
Angela Napoli ◽  
Antonio Mittica ◽  
Olimpia Bitterman ◽  
Maria Matricardi
Keyword(s):  
Evoked Potentials ◽  
Metabolic Control ◽  
Somatosensory Evoked Potentials ◽  
Visual Evoked Potential ◽  
Evoked Potential ◽  
Mean Value ◽  
Evoked Responses ◽  
The Mean ◽  
Diabetic Mothers

Type 1 diabetic mothers' infants show a delay of visual evoked potential (VEP) significantly related to some parameters of poor metabolic control during pregnancy. In the present paper we analyzed the characteristics of VEPs and somatosensory evoked potentials (SEPs) recorded in 16 three-year-old type 1 diabetic mothers' children (DMC). Compared with controls (23 nondiabetic mothers' healthy matched children), DMC showed significantly delayed mean latency of VEP (P2) and SEP (P22). In 3 cases (19%), we found pathological responses (+3 SD from the mean value of controls) of VEPs and SEPs. At the age of 3 years, the offspring of type 1 diabetic mothers showed delay of cortical evoked responses in both visual and somatosensory systems.

THE EFFECT OF GLUCOSE AND FRUCTOSE INGESTION ON THE ADRENALINE AND NORADRENALINE LEVELS IN HUMAN PLASMA

1954 ◽  
Vol 11 (3) ◽  
pp. 298-303 ◽  
Author(s):  
H. WEIL-MALHERBE ◽  
A. D. BONE
Keyword(s):  
Human Plasma ◽  
Blood Sugar ◽  
Blood Sugar Level ◽  
Mean Value ◽  
Initial Value ◽  
Subsequent Recovery ◽  
The Mean ◽  
Effect Of Glucose ◽  
Venous Plasma ◽  
Noradrenaline Levels

SUMMARY 1. The ingestion of 50 g glucose by fasting subjects led to an increase of the concentration of adrenaline in venous plasma amounting to a mean value of 55% after 10 min. The effect was almost as marked 5 min after the glucose meal when the mean blood sugar level had only gone up by 3%. During the period 10–60 min after the glucose meal the concentration of adrenaline in the plasma gradually returned to its initial value. 2. The concentration of noradrenaline in the plasma was not significantly changed after a glucose meal. 3. The ingestion of 50 g fructose by fasting subjects was without effect on the concentration of adrenaline or noradrenaline in the plasma. 4. A glucose meal given 15 min before an intravenous injection of insulin slightly modified the effect of insulin on the concentration of adrenaline by delaying its initial fall and also its subsequent recovery. It is suggested that the rise in the level of adrenaline after a glucose meal is caused by a decrease in the hepatic utilization of the hormone.

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