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[生育巨大儿女性的糖尿病筛查。对分娩体重4500克及以上婴儿的女性产褥期进行128次葡萄糖耐量试验的结果,并在丹麦产科诊所制定筛查程序]

[Diabetes screening among women who gave birth to heavy infants. The result of 128 glucose tolerance tests during puerperium in women who gave birth to infants weighing 4,500 gram or more, and establishing the screening procedures in Danish maternity clinics].

作者信息

Nielsen G L, Nielsen P H

机构信息

Aalborg Sygehus Nord, gynaekologisk/obstetrisk afdeling.

出版信息

Ugeskr Laeger. 1991 Jul 29;153(31):2176-8.

PMID:1866830
Abstract

Experience gained from glucose tolerance tests during the puerperium carried out during a period of two years on 129 non-diabetic mothers who had given birth to infants with birth weights of over 4,500 g is presented. Out of 128 completed investigations, only one new case of diabetes was diagnosed. Seven glucose tolerance tests revealed intolerance and six of these were normal on control. No fasting blood sugar levels were over 6.0 mmol/l. These findings correspond to the frequencies of reduced glucose tolerance in a previously published Danish article. In Denmark as a whole, approximately 60% of these women undergo glucose tolerance tests and further 20% are submitted to fasting blood sugar determinations. Glucose tolerance tests during the puerperium based on postprandial blood sugar measurements for two hours is not considered to be suitable as a screening method for diabetes mellitus.

摘要

本文介绍了在两年时间里,对129名分娩出体重超过4500克婴儿的非糖尿病母亲进行产褥期葡萄糖耐量试验所获得的经验。在128项完成的调查中,仅诊断出1例新的糖尿病病例。7次葡萄糖耐量试验显示不耐受,其中6例在复查时正常。空腹血糖水平均未超过6.0毫摩尔/升。这些结果与之前发表的一篇丹麦文章中葡萄糖耐量降低的频率相符。在丹麦全国,约60%的此类女性接受葡萄糖耐量试验,另有20%接受空腹血糖测定。基于餐后两小时血糖测量的产褥期葡萄糖耐量试验不被认为是筛查糖尿病的合适方法。

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