scholarly journals Influence of Preoperative Fasting Time on Maternal and Neonatal Blood Glucose Level in Elective Caesarean Section under Subarachnoid Block

1970 ◽  
Vol 6 (2) ◽  
pp. 21-24 ◽  
Author(s):  
M Tauhid-Ul-Mulk ◽  
SMF Rahman ◽  
NP Ali ◽  
M Haque ◽  
MRA Chaudhary

Introduction: Pre-operative fasting period is poorly monitored in developing countries though it may lead to critical consequences especially in the parturient women and their neonates.Objective: In this prospective randomized study, conducted over a period of six months, influences of pre-operative fasting time on maternal and neonatal blood glucose level in elective caesarean section under sub-arachnoid block was observed.Methods: Three equally sized (n=20) groups with different pre-operative fasting period (Group A: 4 hours, Group B: 6 hours and Group C: 7.9±1.15 hours) were taken into consideration. Maternal blood glucose level was measured on day before operation (as baseline), on day of surgery before starting infusion and just after baby delivery. Neonatal umbilical cord blood glucose just after delivery was also measured by strip method.Results: Baseline blood glucose level of group C mother was 5.41±0.43 mmol/L, whereas glucose level before starting infusion and just after deliver was 4.46±0.45 mmol/L and 4.60±0.39 mmol/L respectively. In group A and group B, these changes were not significant (p>0.05). There was marked reduction in maternal blood glucose level in group C (p<0.001). Neonatal blood glucose level was reduced in all three groups as compared to placental circulation concept (70-80% of placental flow). No mother or neonate showed critical hypoglycaemia (in mother <4.0 mmol/L and in neonate <2.5 mmol/L). Highly significant inverse correlation was observed between maternal fasting time and blood glucose before starting infusion (r= 0.706, p <0.001), and maternal blood glucose and neonatal cord blood glucose level (r= -0.937, p <0.001).Conclusion: Though, no significant correlation could be detected between maternal fasting time and neonatal blood glucose level (r= -0.196, p >0.05) neonatal blood glucose level was reduced in group C.Key words: Pre-operative fasting time; caesarean section; sub-arachnoid block; neonatal cord blood glucose DOI: 10.3329/jafmc.v6i2.7269JAFMC Bangladesh. Vol 6, No 2 (December) 2010 pp.21-24

2020 ◽  
Vol 8 (1) ◽  
pp. 37-40
Author(s):  
Karthik S ◽  
Preethi R M ◽  
Kumar G V

Background: Cord blood biochemical parameter reflects the status of neonate. APGAR score following birth is used for evaluation of the neonate. There is limited data regarding the correlation between APGAR score and cord blood sugar levels.Subjects and Methods:Glucose Oxidase Peroxidase method was used for measuring cord blood sugar levels of 250 randomly selected consecutive samples. At 1 minute and 5 minutes of life the APGAR scores of the newborns were assessed by a single person in order to avoid subjective variability. The collected data was analyzed using the SPSS software. Mothers with gestational diabetes mellitus and overt diabetes were excluded from the study. Result:The mean age of the mothers in the study population was 22.86 years ± 3.465(SD). The mean blood glucose level in the maternal blood was 88.16 mg/dl ± 10.675(SD). The vaginal deliveries were 60.6% and Lower Uterine Caesarean Sections were 39.4 %. The cord blood glucose level had a mean value of 92.48 mg/dl ±21.005 (SD). The mean APGAR scores after 1 minute and 5 minutes of birth were found to be 4.82 ± 1.42(SD) and 7.01 ±1.68 (SD) respectively. Conclusion:The study showed no correlation with cord blood sugar levels and APGAR scores calculated at 1 minute and 5 minutes of life. The study found that neonates were free from complications if the cord blood sugar levels were around 87 mg/dl.


1999 ◽  
Vol 55 (1) ◽  
pp. 63-66 ◽  
Author(s):  
David G Sweet ◽  
Diana Hadden ◽  
Henry L Halliday

Diabetologia ◽  
2020 ◽  
Vol 64 (1) ◽  
pp. 83-94
Author(s):  
Ellen C. Francis ◽  
Dana Dabelea ◽  
Brandy M. Ringham ◽  
Katherine A. Sauder ◽  
Wei Perng

Author(s):  
Baburaj Stephenson ◽  
BA Kannan ◽  
C Joseph Johnson ◽  
Belgin Premkumar ◽  
Cinju Lowarance Chellaswamy ◽  
...  

2019 ◽  
pp. 52-56
Author(s):  
Yu.F. Glukhov ◽  
N.V. Krutikov ◽  
A.V. Ivanov ◽  
N.P. Muravskaya

We have studied and analyzed status and metrological supervision of blood glucose monitors, individual devices for a person’s blood glucose level measurement. It has been indicated that nowadays blood glucose monitors like other individual devices for medical measurement are not allowed to be involved in telemedicine public service. This accounts for absence of metrological supervision with these measurement devices in telemedicine. In addition, the key problem is absence of safe methods and means of remote verificaition, calibration and transmission of measurement data to health care centers. The article offers a remote test method for blood glucose monitors using a number of resistors with values correlating with measured blood glucose level. The available method has been successfully trialed in real practice.


2010 ◽  
Vol 5 (2) ◽  
pp. 87
Author(s):  
Rusman Efendi ◽  
Evy Damayanthi ◽  
Lilik Kustiyah ◽  
Nastiti Kusumorini

<p class="MsoNormal" style="margin: 0cm 7.1pt 6pt 14.2pt; text-align: justify; text-indent: 1cm;"><span style="font-size: 10pt;">Diabetes mellitus is degeneratif disease with high prevalence that happens in many countries. Several studies had been done to control diabetes by using green tea, mullberry leaf  tea, and their mixture. The aim of this research was to analyze the influence of the administration green tea, mullbery leaf tea, and their mixtures to blood glucose level of diabetic rats both during 120 minutes after administration. This research had four phases, first to determine the best mullberry leaf tea, second to fourth phases respectively, determine turnover of blood glucose level on normal rats; attempt during 120 minutes on diabetic rats.  The result of research during 120 minutes have showed that blood glucose level on diabetic rats which were administered by green tea, mullberry leaf tea and their mixture is significantly difference with diabetic rats which were administered by water. Blood glucose level at baseline increased at 30<sup>th </sup>minutes and showed the difference significantly and then until 60<sup>th</sup> and 120<sup>th</sup> minutes and relatively stable. During 120 minutes after feed consumption, inhibition of blood glucose level occured increasingly on diabetic rats which were administered by green tea, mullberry leaf tea, and their mixture compared to diabetic rats which were administered by water.</span></p>


2020 ◽  
Vol 11 (4) ◽  
pp. 5067-5070
Author(s):  
Pang Jyh Chayng ◽  
Nurul Ain ◽  
Kaswandi Md Ambia ◽  
Rahim Md Noah

The purpose of this project is to study the anti-diabetic effect of on a diabetic rat model. A total of Twenty male Sprague rats were used and it randomly distributed into four groups which are Group I: , Group II: negative control, Group III: and Group IV: and . In diabetic model were induced with via injection at the dosage of 65mg/kg. and FBG (Fasting Blood Glucose) level of diabetic rats were assessed every three days. Blood was collected via cardiac puncture at day 21 after the induction of treatment. Insulin level of the rats was assessed with the Mercodia Rat Insulin ELISA kit. FBG level of group I (12.16 ±3.96, p&lt;0.05) and group IV (11.34 ±3.67, p&lt;0.05) were significantly decreased. Meanwhile, the for all rats did not show any significant increase. However, the insulin level was escalated in group IV (0.74+0.25, p&lt;0.05) significantly. The present study shows that the and the combination of and lowered blood glucose level and enhanced insulin secretion.


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