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妊娠糖尿病患者的糖化血红蛋白测定

Glycohemoglobin determinations in pregnant diabetic patients.

作者信息

Hatjis C G, Capeless E L, Mann L I

出版信息

South Med J. 1984 Mar;77(3):327-31. doi: 10.1097/00007611-198403000-00015.

Abstract

Glycohemoglobins (GH), minor variants of hemoglobin A, are elevated in patients with diabetes mellitus. We examined the clinical usefulness of GH levels in human pregnancy. There was no correlation between GH levels and gestational age or neonatal birth weight. Insulin-dependent diabetics had higher GH levels than did normal controls (greater than or equal to 33 weeks' gestation). There was a significant correlation between fasting plasma glucose concentration and GH levels in insulin-dependent diabetics, especially when the former was determined six to 12 weeks before GH determination. Because of the wide scatter of data and the a posteriori relationship, however, we were unable to use this information at the clinical level.

摘要

糖化血红蛋白(GH)是血红蛋白A的次要变体,在糖尿病患者中会升高。我们研究了GH水平在人类妊娠中的临床应用价值。GH水平与孕周或新生儿出生体重之间没有相关性。胰岛素依赖型糖尿病患者的GH水平高于正常对照组(孕周大于或等于33周)。在胰岛素依赖型糖尿病患者中,空腹血糖浓度与GH水平之间存在显著相关性,尤其是在测定GH前6至12周测定前者时。然而,由于数据分散以及事后的关系,我们无法在临床层面使用这些信息。

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