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[测定糖尿病孕妇血清果糖胺水平以评估血糖代偿水平的价值]

[Value of determining fructosamine levels in serum of pregnant patients with diabetes to evaluate the level of compensation for glycemia].

作者信息

Strojek K, Pietraszek F

机构信息

Kliniki Chorób Wewnetrznych i Zawodowych Sl. AM, Zabrzu.

出版信息

Pol Tyg Lek. 1991;46(17-18):307-9.

PMID:1669059
Abstract

The results in 16 pregnant women with diabetes mellitus are analysed. All patients were treated with an intensive insulin-therapy at the Voivodeship Clinic for Diabetic Patients in Zabrze. Multipoint glycaemia profiles made by the treated patients as a self control were compared with serum fructosamine and HbAlC concentrations. A significant correlation of fructosamine levels with glycaemia and HbAlC levels was noted. No significant dependence of fructosamine and glycaemia fasting levels, incidence of hyperglycaemia and Schlichtkrull's Mw index was noted. Results suggest, that the fructosamine serum concentration is a useful marker of metabolic compensation in pregnant women with diabetes mellitus. It enables less frequent performance of the daily profiles of glycaemia by the patients.

摘要

分析了16例糖尿病孕妇的结果。所有患者均在扎布热省糖尿病患者诊所接受强化胰岛素治疗。将接受治疗的患者作为自我监测所做的多点血糖谱与血清果糖胺和糖化血红蛋白(HbAlC)浓度进行了比较。发现果糖胺水平与血糖及糖化血红蛋白水平存在显著相关性。未发现果糖胺与空腹血糖水平、高血糖发生率及施利希特克鲁尔体重指数有显著相关性。结果表明,血清果糖胺浓度是糖尿病孕妇代谢代偿的一个有用指标。它能减少患者日常血糖谱的检测频率。

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