在都灵怀孕和糖尿病:从现实生活数据的光和阴影
Francesca Garino1, Cristina Gottero1, Marcella Balbo1
1S.C. Endocrinologia e malattie Metaboliche, ASL Città di Torino, Italy.
Endocrine, metabolic & immune disorders drug targets
|July 29, 2024
概括
这项研究评估了都灵的糖尿病孕妇,发现外国出生的人患有妊娠糖尿病 (GDM) 的患病率更高,这些女性的意外怀孕明显增加. 需要进一步调查,以了解1型糖尿病 (T1D) 的差异,并为纠正策略提供信息.
科学领域:
- 产科和妇科 产科和妇科
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 该研究涉及从2021年开始在意大利都灵为患有糖尿病的孕妇实施专门途径.
- 它承认都灵日益增长的多元文化,并旨在从这个多元化的角度分析患者数据.
研究的目的:
- 评估在都灵的一个专门途径中糖尿病孕妇的人口和临床特征.
- 评估不同类型糖尿病的患病率和外国出生的患者的比例.
- 分析与种族和糖尿病类型有关的怀孕计划和治疗方法.
主要方法:
- 从2022年10月1日至2023年9月30日期间的女性的计算机化医疗记录中收集了数据.
- 分析包括患者人口统计,糖尿病类型 (GDM,T1D,T2D,DMIP),原产国,妊娠计划状态和治疗方式.
主要成果:
- 该研究包括304名患者,孕期糖尿病 (GDM) 是最常见的 (90%).
- 外国出生的患者占很大一部分,特别是在GDM组 (67%).
- 无计划或被忽视的怀孕在患有GDM和怀孕期间表现为糖尿病 (DMIP) 的妇女中明显高,特别是在外国出生的个人中.
结论:
- 与国家统计数据相比,患者群体在糖尿病类型中表现出不平衡,外国出生的女性在GDM中占比更高.
- 在患有GDM和DMIP的外国出生的妇女中观察到更高的意外怀孕率.
- 建议在意大利其他地区进行进一步的研究,以证实这些发现,并制定有针对性的纠正策略.
相关概念视频
Diabetes Mellitus: Type 2 and Gestational
2.3K
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...
2.3K
Pathophysiology of Diabetes
913
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,...
913
Diabetes Mellitus: Overview and Type I Subtype
2.5K
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...
2.5K
Diabetes: Symptoms, Diagnosis, and Complications
521
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...
521
Oral Hypoglycemic Agents: Biguanides and Glitazones
186
Biguanides, particularly metformin (Glucophage), are insulin sensitizers that enhance glucose uptake, thereby reducing insulin resistance. Unlike sulfonylureas, metformin doesn't prompt insulin secretion, which helps to curb hypoglycemia risk. Metformin is beneficial in treating conditions like polycystic ovary syndrome due to its insulin-resistance reduction capability. The drug's primary action involves curtailing hepatic gluconeogenesis, a significant contributor to high blood...
186
Carbohydrate Metabolism
10.9K
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...
10.9K


