A b b re v i a t i o n s : GDM, gestational diabetes mellitus; IGT, glucose intolerance; NGT, normal glucose tolerance; O G T T, oral glucose tolerance test; P:S, polyunsaturated:saturated fat ratio; PUFA, polyunsaturated fatty acid.A table elsewhere in this issue shows conventional and Système International (SI) units and conversion factors for many substances. D i e t a ry Variables and GlucoseTo l e r a n c e in Pre g n a n c yO B J E C T I V E -To investigate relationships between dietary macronutrient intakes and glucose tolerance in pre g n a n c y.RESEARCH DESIGN AND METHODS -N u l l i p a rous pregnant Chinese women diagnosed with gestational diabetes mellitus (GDM) (n = 56) were compared to age-, gestational age-, height-, and parity-matched groups with normal glucose tolerance (n = 77) and glucose intolerance (IGT) (n = 38) based on the results of an oral glucose tolerance test (National Diabetes Data Group criteria), perf o rmed between 24 and 28 weeks of pre g n a n c y. A 24-h re c a l l d i e t a ry assessment was also obtained at the time of scre e n i n g . R E S U LT S -Subjects withIGT and GDM were significantly heavier (66.1 ± 1.4 and 68.6 ± 1.2 kg, re s p e c t i v e l y, mean ± SEM) (P 0.0001) than the normal group (61.2 ± 1.8 kg) and had a higher BMI. Overall energy intake was similar between groups, as were the intakes of each m a c ronutrient (%kcal). However, there was a highly significant reduction in polyunsaturated fat intake in the IGT and GDM groups whether expressed as %kcal, % of total fat, or fat kcal. This effect was independent of body weight or BMI whether assessed by ordinal logistic re g re ssion or by analysis of a weight-and BMI-matched subgroup of the subjects (P = 0.002 for %kcal; n = 47 normal, 26 IGT, and 43 GDM subjects). In logistic re g ression analysis of the complete data set, increased body weight (P 0.0001) and decreased polyunsaturated fat intake (P = 0.0014) were both independent predictors of glucose intolerance (IGT and GDM), as were i n c reased body weight and a low dietary polyunsaturated to saturated fat ratio.
Rationale: Ectopic twin gestation involving a complete hydatidiform mole (CHM) and coexisting embryo is an exceedingly rare occurrence. Patient concerns: In this report, we present the case of a 22-year-old female (gravida2, para 1) who was in her 8th week of gestation and presented with abdominal pain. Due to the detection of active bleeding and a ruptured right fallopian tube, the patient underwent a salpingectomy on the right side. Diagnosis: The patient was diagnosed with an ectopic twin gestation involving a CHM and coexisting embryo. Interventions: The patient was treated with right-side salpingectomy. Outcomes: The operation was successful and her recuperation was satisfactory. Lessons: In the management of ectopic pregnancy involving CHM, it is crucial to enhance the accuracy of preoperative diagnosis. Additionally, histopathological examination of the salpingectomy specimen and conceptus is definitely essential for accurate diagnosis and appropriate follow-up management of tubal pregnancies.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.