Kinetics of glucose metabolism in mothers with intrauterine growth retardation
Data on oral and I.V. glucose tolerance tests in normal pregnant women and pregnancy induced hypertensives (PIH) were subjected to kinetic analysis to obtain plasma zero concentration (CPO), area under the curve (AUC), half life (t 1/2) and metabolic clearance rates (MCR). Since no differences were...
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Published in | Nutrition research (New York, N.Y.) Vol. 8; no. 2; pp. 137 - 144 |
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Main Authors | , |
Format | Journal Article |
Language | English |
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New York, NY
Elsevier Inc
1988
Elsevier Science |
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Abstract | Data on oral and I.V. glucose tolerance tests in normal pregnant women and pregnancy induced hypertensives (PIH) were subjected to kinetic analysis to obtain plasma zero concentration (CPO), area under the curve (AUC), half life (t 1/2) and metabolic clearance rates (MCR). Since no differences were observed either in the glucose tolerance (both oral and I.V.) or in the various kinetic parameters between the normal women and PIH's, the analysis of data was done in relation to the birth weight of the infant in both these groups. Accordingly, women were divided into 4 groups. 1. Normotensive normal birth weight (NBW), 2. normotensive IUGR, 3. hypertensive NBW, and 4. hypertensive IUGR. It was observed that fasting blood glucose was low in IUGR in N, NBW as well as PIHNBWs. AUC was low with shorter t 1/2 and faster MCR in IUGR as compared to normals both in normotensives and PIHs indicating a rapid elimination of glucose from the plasma with both oral and intravenous GTTs. A mechanism by the maternal tissue to take up higher amount of glucose for maintaining a high concentration gradient across the placenta in IUGR is being suggested. |
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AbstractList | Data on oral and I.V. glucose tolerance tests in normal pregnant women and pregnancy induced hypertensives (PIH) were subjected to kinetic analysis to obtain plasma zero concentration (CPO), area under the curve (AUC), half life (t 1/2) and metabolic clearance rates (MCR). Since no differences were observed either in the glucose tolerance (both oral and I.V.) or in the various kinetic parameters between the normal women and PIH's, the analysis of data was done in relation to the birth weight of the infant in both these groups. Accordingly, women were divided into 4 groups. 1. Normotensive normal birth weight (NBW), 2. normotensive IUGR, 3. hypertensive NBW, and 4. hypertensive IUGR. It was observed that fasting blood glucose was low in IUGR in N, NBW as well as PIHNBWs. AUC was low with shorter t 1/2 and faster MCR in IUGR as compared to normals both in normotensives and PIHs indicating a rapid elimination of glucose from the plasma with both oral and intravenous GTTs. A mechanism by the maternal tissue to take up higher amount of glucose for maintaining a high concentration gradient across the placenta in IUGR is being suggested. Extract: Data on oral and I.V. glucose tolerance tests in normal pregnant women and pregnancy induced hypertensives (PIH) were subjected to kinetic analysis to obtain plasma zero concentration (CPO), area under the curve (AUC), half life (t 1/2) and metabolic clearance rates (MCR). Since no differences were observed either in the glucose tolerance (both oral and I.V.) or in the various kinetic parameters between the normal women and PIH's, the analysis of data was done in relation to the birth weight of the infant in both these groups. Accordingly, women were divided into 4 groups. 1. Normotensive normal birth weight (NBW), 2. normotensive IUGR, 3. hypertensive NBW, and 4. hypertensive IUGR. It was observed that fasting blood glucose was low in IUGR in N, NBW as well as PIHNBWs. AUC was low with shorter t 1/2 and faster MCR in IUGR as compared to normals both in normotensives and PIHs indicating a rapid elimination of glucose from the plasma with both oral and intravenous GTTs. A mechanism by the maternal tissue to take up higher amount of glucose for maintaining a high concentration gradient across the placenta in IUGR is being suggested.(author). |
Author | Krishnaswamy, Kamala Raman, Leela |
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Keywords | Oral glucose tolerance tests Pregnancy induced hypertension and Kinetic data analysis Metabolic clearance rate and intrauterine growth retardation Area under the curve Half life Human Progeny Fetal hypotrophy Glucose Maternal diseases Metabolism In utero |
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References | O'Sullivan, Snyder, Sporer, Dandrow, Gharles (bib3) 1970; 31 Lind, Billewicz, Brown (bib1) 1973; 80 Singh (bib4) 1976; 83 Abell (bib7) 1979; 86 Gibaldi, Perrier (bib10) 1975 Spellacy (bib12) 1975 Khouzami, Ginsberg, Daiholen, Johnson (bib8) 1981; 130 Kalkhoff, Jacobson, Lamper (bib13) 1970; 31 Nelson (bib9) 1944; 152 Snedecor, Cochran (bib11) 1967 Widdas (bib16) 1961; 17 Cooper, Granat, Sharf (bib2) 1979; 53 Lyengar, Rao, Kumar (bib6) 1983; 21 Chesley, Annitto, Cosgrove (bib14) 1969; 101 Krishnaswamy (bib17) 1983; 4 Raman, Rao (bib5) 1978; 68 Raman (bib15) 1982 O'Sullivan (10.1016/S0271-5317(88)80017-4_bib3) 1970; 31 Nelson (10.1016/S0271-5317(88)80017-4_bib9) 1944; 152 Gibaldi (10.1016/S0271-5317(88)80017-4_bib10) 1975 Lind (10.1016/S0271-5317(88)80017-4_bib1) 1973; 80 Raman (10.1016/S0271-5317(88)80017-4_bib5) 1978; 68 Spellacy (10.1016/S0271-5317(88)80017-4_bib12) 1975 Chesley (10.1016/S0271-5317(88)80017-4_bib14) 1969; 101 Raman (10.1016/S0271-5317(88)80017-4_bib15) 1982 Kalkhoff (10.1016/S0271-5317(88)80017-4_bib13) 1970; 31 Singh (10.1016/S0271-5317(88)80017-4_bib4) 1976; 83 Widdas (10.1016/S0271-5317(88)80017-4_bib16) 1961; 17 Cooper (10.1016/S0271-5317(88)80017-4_bib2) 1979; 53 Krishnaswamy (10.1016/S0271-5317(88)80017-4_bib17) 1983; 4 Khouzami (10.1016/S0271-5317(88)80017-4_bib8) 1981; 130 Snedecor (10.1016/S0271-5317(88)80017-4_bib11) 1967 Lyengar (10.1016/S0271-5317(88)80017-4_bib6) 1983; 21 Abell (10.1016/S0271-5317(88)80017-4_bib7) 1979; 86 |
References_xml | – volume: 31 start-page: 24 year: 1970 end-page: 28 ident: bib13 article-title: Pregesterone, pregnancy and the augmented insulin response publication-title: J. Clin. Endocrin. contributor: fullname: Lamper – volume: 53 start-page: 495 year: 1979 end-page: 499 ident: bib2 article-title: Glucose intolerance during pregnancy II: A comparative study of diagnostic screening methods publication-title: Obst. Gynecol. contributor: fullname: Sharf – volume: 83 start-page: 123 year: 1976 end-page: 131 ident: bib4 article-title: Carbohydrate metabolism in preeclampsia publication-title: Br. J. Obst. Gynecol. contributor: fullname: Singh – start-page: 419 year: 1967 end-page: 446 ident: bib11 article-title: In statistical methods contributor: fullname: Cochran – volume: 86 start-page: 214 year: 1979 end-page: 221 ident: bib7 article-title: The significance of abnormal glucose tolerance (Hyperglycemia and hypoglycemia) in pregnancy publication-title: Brit. J. Obst. Gynec. contributor: fullname: Abell – volume: 21 start-page: 233 year: 1983 end-page: 239 ident: bib6 article-title: Glucose and free fatty acid response to intravenous glucose during pregnancy publication-title: Int. J. Obst. Gynecol. contributor: fullname: Kumar – start-page: 42 year: 1975 end-page: 57 ident: bib12 publication-title: Maternal and fetal metabolic interrelationships in carbohydrate metabolism in pregnancy contributor: fullname: Spellacy – volume: 17 start-page: 107 year: 1961 end-page: 111 ident: bib16 article-title: Transport mechanisms in the fetus publication-title: Med. Bulls. contributor: fullname: Widdas – volume: 80 start-page: 1033 year: 1973 end-page: 1039 ident: bib1 article-title: Serial study of changes occuring in the oral glucose tolerance test during pregnancy publication-title: J. Obset. Gynecol. Brit. Comn. With. contributor: fullname: Brown – volume: 31 start-page: 33 year: 1970 end-page: 37 ident: bib3 article-title: Intravenous glucose tolerance test and its modification in pregnancy publication-title: J. Clin. Endocrinol. Metab. contributor: fullname: Gharles – start-page: 28 year: 1982 end-page: 37 ident: bib15 publication-title: Nutrition in pregnancy and lactation in Post graduate Obstetrics and Gynecol contributor: fullname: Raman – volume: 130 start-page: 423 year: 1981 end-page: 428 ident: bib8 article-title: The glucose tolerance test as a means of identifying IUGR publication-title: Am. J. Obst. Gynec. contributor: fullname: Johnson – volume: 68 start-page: 954 year: 1978 end-page: 959 ident: bib5 article-title: Glucose tolerance test in normal and toxemic mothers publication-title: Ind. J. Med. 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Gynecol. doi: 10.1016/0020-7292(83)90086-3 contributor: fullname: Lyengar – volume: 152 start-page: 375 year: 1944 ident: 10.1016/S0271-5317(88)80017-4_bib9 article-title: Photometric adaptation of the Somogyi method for determination of glucose publication-title: J. Biol. Chem. doi: 10.1016/S0021-9258(18)71980-7 contributor: fullname: Nelson – volume: 80 start-page: 1033 year: 1973 ident: 10.1016/S0271-5317(88)80017-4_bib1 article-title: Serial study of changes occuring in the oral glucose tolerance test during pregnancy publication-title: J. Obset. Gynecol. Brit. Comn. With. doi: 10.1111/j.1471-0528.1973.tb02976.x contributor: fullname: Lind – volume: 130 start-page: 423 year: 1981 ident: 10.1016/S0271-5317(88)80017-4_bib8 article-title: The glucose tolerance test as a means of identifying IUGR publication-title: Am. J. Obst. Gynec. doi: 10.1016/0002-9378(81)90319-7 contributor: fullname: Khouzami – year: 1975 ident: 10.1016/S0271-5317(88)80017-4_bib10 contributor: fullname: Gibaldi – start-page: 42 year: 1975 ident: 10.1016/S0271-5317(88)80017-4_bib12 contributor: fullname: Spellacy – volume: 53 start-page: 495 year: 1979 ident: 10.1016/S0271-5317(88)80017-4_bib2 article-title: Glucose intolerance during pregnancy II: A comparative study of diagnostic screening methods publication-title: Obst. Gynecol. contributor: fullname: Cooper – volume: 101 start-page: 886 year: 1969 ident: 10.1016/S0271-5317(88)80017-4_bib14 article-title: Long term follow up study of eclamptic women publication-title: Am. J. Obst. Bynec. doi: 10.1016/0002-9378(68)90270-6 contributor: fullname: Chesley – start-page: 419 year: 1967 ident: 10.1016/S0271-5317(88)80017-4_bib11 article-title: In statistical methods contributor: fullname: Snedecor – volume: 68 start-page: 954 year: 1978 ident: 10.1016/S0271-5317(88)80017-4_bib5 article-title: Glucose tolerance test in normal and toxemic mothers publication-title: Ind. J. Med. Res. contributor: fullname: Raman – volume: 17 start-page: 107 year: 1961 ident: 10.1016/S0271-5317(88)80017-4_bib16 article-title: Transport mechanisms in the fetus publication-title: Med. Bulls. doi: 10.1093/oxfordjournals.bmb.a069882 contributor: fullname: Widdas – volume: 4 start-page: 295 year: 1983 ident: 10.1016/S0271-5317(88)80017-4_bib17 article-title: Drug metabolism and pharmacokinetics in malnutrition publication-title: Trends in Pharmacol. Sci. doi: 10.1016/0165-6147(83)90411-X contributor: fullname: Krishnaswamy – volume: 86 start-page: 214 year: 1979 ident: 10.1016/S0271-5317(88)80017-4_bib7 article-title: The significance of abnormal glucose tolerance (Hyperglycemia and hypoglycemia) in pregnancy publication-title: Brit. J. Obst. Gynec. doi: 10.1111/j.1471-0528.1979.tb10596.x contributor: fullname: Abell – start-page: 28 year: 1982 ident: 10.1016/S0271-5317(88)80017-4_bib15 contributor: fullname: Raman – volume: 31 start-page: 33 year: 1970 ident: 10.1016/S0271-5317(88)80017-4_bib3 article-title: Intravenous glucose tolerance test and its modification in pregnancy publication-title: J. Clin. Endocrinol. Metab. doi: 10.1210/jcem-31-1-33 contributor: fullname: O'Sullivan – volume: 31 start-page: 24 year: 1970 ident: 10.1016/S0271-5317(88)80017-4_bib13 article-title: Pregesterone, pregnancy and the augmented insulin response publication-title: J. Clin. Endocrin. doi: 10.1210/jcem-31-1-24 contributor: fullname: Kalkhoff – volume: 83 start-page: 123 year: 1976 ident: 10.1016/S0271-5317(88)80017-4_bib4 article-title: Carbohydrate metabolism in preeclampsia publication-title: Br. J. Obst. Gynecol. doi: 10.1111/j.1471-0528.1976.tb00793.x contributor: fullname: Singh |
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Snippet | Data on oral and I.V. glucose tolerance tests in normal pregnant women and pregnancy induced hypertensives (PIH) were subjected to kinetic analysis to obtain... Extract: Data on oral and I.V. glucose tolerance tests in normal pregnant women and pregnancy induced hypertensives (PIH) were subjected to kinetic analysis to... |
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SubjectTerms | Area under the curve Biological and medical sciences blood composition blood pressure carbohydrate metabolism circulatory disorders composicion de la sangre composition du sang crecimiento croissance desarrollo embrionario developpement embryonnaire Diseases of mother, fetus and pregnancy embryonic development femme gestacion gestation growth Gynecology. Andrology. Obstetrics Half life Medical sciences Metabolic clearance rate and intrauterine growth retardation metabolisme des glucides metabolismo de carbohidratos mujeres Oral glucose tolerance tests pregnancy Pregnancy induced hypertension and Kinetic data analysis Pregnancy. Fetus. Placenta presion sanguinea pression sanguine trastornos circulatorios trouble circulatoire women |
Title | Kinetics of glucose metabolism in mothers with intrauterine growth retardation |
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