The utility of serum glucose measurement at 1 hour of the oral glucose tolerance test

Otto-Buczkowska, Ewa; Dryżałowski, Marek

doi:10.5603/dk.2016.0022

Cited by 1 publication

(2 citation statements)

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“…It must be borne in mind that the history of gestational diabetes is a risk factor for the development of diabetes in the future as well as the recurrence of this complication in the subsequent pregnancy. [59,60] It is therefore recommended to perform a glucose tolerance check 6-12 weeks after the childbirth and then control it, depending on the indications, every 1-2-3 years. It is very important to take the glucose tolerance test before the next planned pregnancy.…”

Section: Resultsmentioning

confidence: 99%

“…Other authors point to the utility of glucose measurements OGTT in 1 hour after a glucose load in predicting the development of diabetes mellitus. [20] Currently, more and more attention is being paid to the presence of glucose homeostasis disorders in pregnant women, which, according to the current criteria, are not considered to be gestational diabetes. However, the studies show that even a small degree of hyperglycemia during pregnancy increases the risk of obstetric and neonatal complications.…”

Section: Sugar Levels In the Oral Glucose Tolerance Test Indicating Tmentioning

confidence: 99%

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Maternal Diabetes Mellitus – Risk Factor for Fetus and Infant

Lorenc¹,

Otto-Buczkowska²

2018

JED

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Diabetes during pregnancy may occur as pregestational or gestational diabetes mellitus. Throughout gestation there is a close relationship between maternal and fetal blood glucose concentrations. Maternal hyperglycemia leads to hyperglycemia of the fetus, stimulating the fetal pancreas to synthesize excessive amounts of insulin. At the time of delivery, after separation of the placenta, the flow of glucose to the newborn that is appropriate for hyperglycemia is suddenly interrupted. Excessive insulin production in the fetus in response to maternal hyperglycemia can cause severe hypoglycaemia during the neonatal period. It is a very common complication of maternal diabetes. In healthy children during the first 4-6 postnatal hours there is a physiological decrease in glucose levelfrom the mother's blood level to about 2.5 mmol / l (45 mg / dl). This is related to still not fully developed adaptive mechanisms. There is strong evidence that good glycemic control is essential for an optimal outcome of pregnancy in diabetic women. Despite advances in perinatal care, infants of diabetic mothers remain at risk for a multitude of physiologic, metabolic, and congenital complications such as preterm birth, macrosomia, respiratory distress, hypoglycemia, hypocalcemia, hyperbilirubinemia, hypertrophic cardiomyopathy, and congenital anomalies, particularly of the central nervous system.

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Section: Resultsmentioning

confidence: 99%

Section: Sugar Levels In the Oral Glucose Tolerance Test Indicating Tmentioning

confidence: 99%