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患有妊娠糖尿病的孕妇体内肌醇的作用:一篇叙述性综述。

The role of inositols during pregnancies complicated by gestational diabetes mellitus: a narrative review.

机构信息

Department of Obstetrics and Gynaecology, ASUFC, Ospedale Santa Maria della Misericordia, Udine, Italy.

Obstetrics and Gynaecology, Department of Medical Area (DAME), University of Udine, Udine, Italy.

出版信息

Gynecol Endocrinol. 2024 Dec;40(1):2411727. doi: 10.1080/09513590.2024.2411727. Epub 2024 Oct 4.

DOI:10.1080/09513590.2024.2411727
PMID:39364801
Abstract

Pregnancy is a critical period marked by intricate physiological changes and maintaining maternal and fetal well-being is paramount. Inositols, a group of naturally occurring sugar alcohols, have gained attention for their potential benefits during pregnancy. This abstract provides a comprehensive review of the current literature on using inositols, primarily myo-inositol (MI) and D-chiro-inositol (DCI) in pregnancy. Inositols are crucial in cellular signal transduction and insulin sensitivity, making them integral to various physiological processes. Several studies suggest that inositols may contribute to preventing and managing gestational diabetes mellitus (GDM). MI, in particular, has shown promise in improving insulin sensitivity and mitigating insulin resistance, thereby influencing glucose metabolism. As our understanding of inositol's role in pregnancy deepens, it may emerge as a valuable supplement to enhance maternal and fetal health outcomes.

摘要

妊娠是一个关键时期,其特点是复杂的生理变化,维持母婴健康至关重要。肌醇,一组天然存在的糖醇,因其在妊娠期间的潜在益处而受到关注。本文对目前关于在妊娠中使用肌醇(主要是肌醇和 D-手性肌醇)的文献进行了全面综述。肌醇在细胞信号转导和胰岛素敏感性中起着重要作用,是各种生理过程的重要组成部分。几项研究表明,肌醇可能有助于预防和治疗妊娠期糖尿病(GDM)。特别是肌醇,已显示出改善胰岛素敏感性和减轻胰岛素抵抗的潜力,从而影响葡萄糖代谢。随着我们对肌醇在妊娠中作用的理解加深,它可能成为一种有价值的补充剂,以提高母婴健康结局。

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The role of inositols during pregnancies complicated by gestational diabetes mellitus: a narrative review.患有妊娠糖尿病的孕妇体内肌醇的作用:一篇叙述性综述。
Gynecol Endocrinol. 2024 Dec;40(1):2411727. doi: 10.1080/09513590.2024.2411727. Epub 2024 Oct 4.
2
The influence of different inositol stereoisomers supplementation in pregnancy on maternal gestational diabetes mellitus and fetal outcomes in high-risk patients: a randomized controlled trial.孕期补充不同肌醇立体异构体对高危患者母体妊娠期糖尿病及胎儿结局的影响:一项随机对照试验
J Matern Fetal Neonatal Med. 2020 Mar;33(5):743-751. doi: 10.1080/14767058.2018.1500545. Epub 2018 Dec 17.
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Inositols in treating polycystic ovary syndrome and non-insulin dependent diabetes mellitus: now and the future.肌醇在治疗多囊卵巢综合征和非胰岛素依赖型糖尿病中的应用:现状与未来。
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Crit Rev Food Sci Nutr. 2022;62(6):1626-1673. doi: 10.1080/10408398.2020.1845604. Epub 2020 Dec 7.
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An update on the use of inositols in preventing gestational diabetes mellitus (GDM) and neural tube defects (NTDs).关于肌醇在预防妊娠糖尿病(GDM)和神经管缺陷(NTDs)中的应用的最新进展。
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The use of inositol(s) isomers in the management of polycystic ovary syndrome: a comprehensive review.肌醇异构体在多囊卵巢综合征管理中的应用:一项综述
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Cochrane Database Syst Rev. 2023 Feb 15;2(2):CD011507. doi: 10.1002/14651858.CD011507.pub3.
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Effect of inositol stereoisomers at different dosages in gestational diabetes: an open-label, parallel, randomized controlled trial.不同剂量手性肌醇对妊娠期糖尿病的影响:一项开放标签、平行、随机对照试验。
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Antenatal dietary supplementation with myo-inositol in women during pregnancy for preventing gestational diabetes.孕期女性产前补充肌醇以预防妊娠期糖尿病。
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Nutrients. 2022 Apr 8;14(8):1543. doi: 10.3390/nu14081543.