血糖控制和患有1型糖尿病的女性先天性形风险
Ida Holte Thorius1, Janne Petersen, Lise Lotte N Husemoen
1Departments of Endocrinology and Obstetrics, Center for Pregnant Women With Diabetes, Rigshospitalet, and the Department of Clinical Medicine and the Section of Biostatistics, Department of Public Health, University of Copenhagen, Copenhagen, Novo Nordisk A/S, Søborg, and the Copenhagen Phase IV Unit, Department of Clinical Pharmacology, and the Center for Clinical Research and Prevention, Copenhagen University Hospital, Frederiksberg, Denmark.
孕妇1型糖尿病和怀孕结果:患有1型糖尿病的妇女在第一季度血红蛋白A 1C (HbA1C) 水平较高与子女先天性形风险增加有曲线关系,没有明确的值.
科学领域:
- 生殖医学 生殖医学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 怀孕期间的1型糖尿病对后代构成风险.
- 母亲的血糖控制对于预防先天性异常至关重要.
研究的目的:
- 调查母亲血糖控制与1型糖尿病妇女后代先天性形风险之间的关联.
- 为了确定血红蛋白A 1C (HbA1C) 值是否存在,从而增加形风险.
主要方法:
- 多国观察队列研究,对1型糖尿病女性的1,908名活产后代进行了观察.
- 使用欧洲先天性异常监测标准识别的先天性形.
- 使用斜线的后勤回归模型分析了第一季度HbA1C和形风险之间的关联.
主要成果:
- 11.9%的后代患有先天性形;2.1%患有严重的形.
- 较高的第一季度HbA1C水平显示出曲线的关联与增加的形风险.
- 没有特定的HbA1C值被确定为显著增加的风险.
结论:
- 患有1型糖尿病的女性的第一季度HbA1C水平升高与先天性形风险的曲线增长有关.
- 风险随着HbA1C的升高而增加,没有明显的安全值.
相关概念视频
Diabetes Mellitus: Type 2 and Gestational
Pathophysiology of 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,...
Diabetes Mellitus: Overview and Type I Subtype
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: Symptoms, Diagnosis, and Complications
Diabetes: Management and Pharmacotherapy
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Oral Hypoglycemic Agents: Biguanides and Glitazones


