Management of the pregnant diabetic: home or hospital, with or without glucose meters?
| Autor: | K. G. M. M. Alberti, S.M. Stubbs, Peter J. Watkins, David Pyke, W. A. Stubbs, J.M. Brudenell |
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| Rok vydání: | 1980 |
| Předmět: |
Adult
Blood Glucose Glycerol medicine.medical_specialty Adolescent Pregnancy Trimester Third Pregnancy in Diabetics Blood sugar Hydroxybutyrates Pregnancy Diabetes mellitus Diabetes Mellitus Medicine Humans Monitoring Physiologic Blood Specimen Collection Alanine business.industry Obstetrics General Medicine medicine.disease Self-Help Devices Home Care Services Intermediary metabolite Surgery Hospitalization Evaluation Studies as Topic Lactates Gestation Female business Diabetic control |
| Zdroj: | Lancet (London, England). 1(8178) |
| ISSN: | 0140-6736 |
| Popis: | Thirteen pregnant insulin-dependent diabetic patients were allocated to blood-glucose self-monitoring (meter) or conventionally treated (non-meter) groups at 30--31 weeks. A day-profile of blood-glucose and intermediary metabolite levels was obtained 2 weeks later at home and after routine admission to hospital at 35--36 weeks. Metabolic profiles were also obtained in eight normal pregnant women of equivalent gestational ages admitted to hospital for study. The mean blood-glucose and metabolite concentrations in both the meter and non-meter groups were similar to those obtained in the non-diabetic pregnant women (mean diurnal blood-glucose 4.6 +/- 1.1 mmol/l, meter group; 5.3 +/- 1.5 non-meter group; 4.8 +/- 0.8 controls). The diabetic control achieved at home was not improved by the use of a meter or admission to hospital (mean glucose at home 5.0 +/- 1.3 and 6.3 +/- 1.6 mmol/l in hospital). Both the use of a meter and admission to hospital may be valuable in some patients. Neither, however, is essential for the good control of blood-glucose in all pregnant diabetics. |
| Databáze: | OpenAIRE |
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