Beccaria L, Corbella E, Poloniato A, Bosio L, Castiglioni M T, Natale N, Bianchi C
Clinica Pediatrica III, Università degli Studi di Milano.
Minerva Pediatr. 1991 Apr;43(4):287-94.
The aim of our study was to evaluate the usefulness of fructosamine measurement (Fram) in cord blood as an index of glucose metabolism in the last week of pregnancy in infants of diabetic mothers. In newborns and their respective mothers Fram values were surprisingly greater in N than in IDM and IGDM and neonatal and maternal values appeared to be strictly related. While intrauterine growth was associated with metabolic control indexes of 2nd and 3rd trimester gestation. Fram value appeared positively correlated to cord insulin. In conclusion Fram level appears as a good index of glucose metabolic control of the last week of pregnancy and it is associated to cord insulin level and to neonatal hypoglycemia.
我们研究的目的是评估脐血中果糖胺测定值(Fram)作为糖尿病母亲婴儿妊娠最后一周葡萄糖代谢指标的有用性。在新生儿及其各自母亲中,非糖尿病母亲婴儿的Fram值出人意料地高于糖尿病母亲婴儿(IDM)和妊娠期糖尿病母亲婴儿(IGDM),且新生儿和母亲的值似乎密切相关。虽然宫内生长与妊娠中期和晚期的代谢控制指标相关。Fram值与脐血胰岛素呈正相关。总之,Fram水平似乎是妊娠最后一周葡萄糖代谢控制的良好指标,并且与脐血胰岛素水平和新生儿低血糖相关。