[Infants of diabetic mothers (IDM). II -- Fibronectin and perinatal morbidity]

G Martín Carballo1, R Codoceo Alquila, G Fernández Cano

  • 1Servicio de Endocrinología, Hospital Infantil La Paz, Madrid.

Insights

Fibronectin levels in umbilical cord blood do not differ between infants of diabetic mothers and healthy newborns. Therefore, fibronectin is not a useful marker for evaluating perinatal complications in these infants.

Area of Science:

  • Neonatal research
  • Endocrinology
  • Biochemistry

Background:

  • Maternal diabetes mellitus can lead to adverse perinatal outcomes.
  • Infants of diabetic mothers (IDM) are at increased risk for various complications.
  • Biomarkers are needed to assess perinatal health in IDM.

Purpose of the Study:

  • To measure fibronectin levels in the umbilical cord blood of IDM.
  • To investigate the correlation between fibronectin levels and perinatal pathology in IDM.

Main Methods:

  • Prospective study design.
  • Inclusion of 58 IDM and 58 control newborns.
  • Measurement of fibronectin levels in umbilical cord blood.

Main Results:

  • No significant difference in fibronectin levels was observed between IDM and control groups.
  • No sex-based differences in fibronectin levels were found.
  • Higher perinatal morbidity was noted in the IDM group, but fibronectin levels did not correlate with these pathologies.

Conclusions:

  • Fibronectin levels in umbilical cord blood are not a reliable indicator for perinatal evaluation in infants of diabetic mothers.
  • Further research may be needed to identify effective biomarkers for IDM complications.
Abstract

Related Concept Videos

Diabetes Mellitus: Overview and Type I Subtype01:22

Diabetes Mellitus: Overview and Type I Subtype

Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Diabetes Mellitus: Type 2 and Gestational01:22

Diabetes Mellitus: Type 2 and Gestational

Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
Pathophysiology of Diabetes01:20

Pathophysiology of Diabetes

Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility, suggesting a...
Diabetes Mellitus: Introduction01:26

Diabetes Mellitus: Introduction

Diabetes mellitus consists of chronic metabolic disorders characterized by persistent hyperglycemia. This elevated blood glucose results from defects in insulin secretion, impaired insulin action, or both. Insulin, produced by pancreatic β-cells, is essential for maintaining glucose homeostasis by facilitating cellular glucose uptake for energy or storage. Disruptions in insulin production or function lead to glucose accumulation in the bloodstream, causing the clinical features and long-term...
Type I Diabetes III: Clinical Manifestations01:19

Type I Diabetes III: Clinical Manifestations

Type 1 diabetes mellitus typically presents with rapid-onset symptoms due to the body’s inability to utilize glucose in the absence of insulin. Since insulin is required for glucose uptake into cells, its deficiency leads to hyperglycemia and cellular energy deprivation, resulting in characteristic clinical features.Polyuria and PolydipsiaOne of the earliest, most prominent symptoms is polyuria (excessive urination). When blood glucose concentrations rise above the renal threshold, the kidneys...
Diabetic Retinopathy01:27

Diabetic Retinopathy

DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...