Lind T
Postgrad Med J. 1979 May;55(643):353-7. doi: 10.1136/pgmj.55.643.353.
The alterations in carbohydrate metabolism during pregnancy are discussed and possible mechanisms for these changes are put forward. It is stressed that the raised levels of plasma glucose, the enhanced response to insulin and the decreased tissue sensitivity to insulin are all features of normal pregnancy. It may be difficult to distinguish this from very early forms of diabetes mellitus during pregnancy, the detection of which is briefly considered.
本文讨论了孕期碳水化合物代谢的变化,并提出了这些变化可能的机制。强调血浆葡萄糖水平升高、对胰岛素反应增强以及组织对胰岛素敏感性降低均为正常妊娠的特征。这可能难以与孕期极早期的糖尿病形式相区分,文中简要考虑了对此类糖尿病的检测。