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非糖尿病母亲的超重和/或巨大儿是否应该进行血糖监测?

Should blood glucose monitoring be done in overweight and/or giant infants of non-diabetic mothers?

作者信息

Husstedt W, Oberheuser F, Fenner A

出版信息

J Perinat Med. 1983;11(1):57-61. doi: 10.1515/jpme.1983.11.1.57.

DOI:10.1515/jpme.1983.11.1.57
PMID:6842359
Abstract

Monitoring of serum glucose levels in 60 asymptomatic overweight (4.000-4.499 g) and giant (greater than 4.500 g) newborns of non-diabetic mothers during the first 72 hours of life did not reveal pathological values. The mean result of giant infants was lower than that of the group less than 4.500 g. In mothers of overweight infants diabetes mellitus should always be kept in mind. However, the diagnosis may be difficult particularly in its latent form due to metabolic alterations caused by pregnancy. For this reason it is necessary to monitor blood glucose levels for hypoglycemia in these newborns just as in infants of mothers having a manifest diabetes mellitus.

摘要

对60例非糖尿病母亲的无症状超重(4.000 - 4.499克)和巨大儿(大于4.500克)新生儿在出生后72小时内的血糖水平进行监测,未发现病理值。巨大儿的平均结果低于体重小于4.500克的组。对于超重婴儿的母亲,应始终考虑糖尿病。然而,由于妊娠引起的代谢改变,诊断可能很困难,尤其是其潜在形式。因此,有必要像对患有显性糖尿病母亲的婴儿一样,监测这些新生儿的血糖水平以防低血糖。

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