妊娠糖尿病的细胞和分子概述:它是可预测和可预防的吗?
Pei-Qi Lim1, Yen-Ju Lai1, Pei-Ying Ling1,2
1Department of Obstetrics and Gynecology, Taiwan Adventist Hospital, Taipei 105, Taiwan.
World journal of diabetes
|December 11, 2023
概括
孕期糖尿病 (GDM) 影响高达20%的怀孕. 了解其分子原因和肥胖等危险因素是制定有效预测和预防策略的关键.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 代谢障碍 代谢障碍 代谢障碍
- 遗传学 遗传学 是一个
背景情况:
- 妊娠期糖尿病 (GDM) 是怀孕期间葡萄糖耐受性受损,影响高达20%的怀孕.
- 失控的GDM带来风险,包括死产,巨和产后出血.
- 识别风险人群和实施预测/预防措施对于产周护理至关重要.
研究的目的:
- 审查GDM的细胞和分子机制.
- 确定GDM的预测措施.
- 探索GDM的预防策略.
主要方法:
- 搜索了Medline和PubMed数据库 (1997-2023) 使用诸如"孕期糖尿病"和"胰岛素抵抗"等术语.
- 仅包括全文文章,不包括1997年以前发表的文章和重复的文章.
- 最终的收录涉及对所选文章的专家审查.
主要成果:
- 确定了孕产妇肥胖,先前存在的糖尿病和PCOS作为危险因素.
- 病理生理学涉及遗传变异,胰腺β细胞功能障碍,胰岛素耐药性 (GLUT4转位失败) 和慢性炎症.
- 产前标志物 (瘦素,腰部和部的比例,微RNA) 和干预措施 (体育活动,饮食) 显示出预测和预防的前景.
结论:
- 这篇评论综合了影响GDM及其分子机制的因素.
- 提供了基于临床证据的预测措施和预防策略的概述.
- 强调有针对性的干预措施对于管理GDM的重要性.
相关概念视频
Diabetes Mellitus: Type 2 and Gestational
2.4K
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...
2.4K
Pathophysiology of Diabetes
949
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,...
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,...
949
Diabetes Mellitus: Overview and Type I Subtype
2.7K
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...
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...
2.7K
Diabetes: Symptoms, Diagnosis, and Complications
554
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
554
Carbohydrate Metabolism
11.2K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
11.2K
Diabetes: Management and Pharmacotherapy
288
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
288


