American Journal of Obstetrics & Gynecology
Volume 191, Issue 3 , Pages 949-953 , September 2004

Diurnal glycemic profile in obese and normal weight nondiabetic pregnant women

  • Yariv Yogev, MD

      Affiliations

    • Department of Obstetrics and Gynecology, St. Luke's-Roosevelt Hospital Center, University Hospital of Columbia University, New York, NY
    • Corresponding Author InformationReprint requests: Y. Yogev, MD, Department of Obstetrics and Gynecology, St. Luke's-Roosevelt Hospital Center, 1000 Tenth Ave, Suite 11A, New York, NY 10019.
    • ,
  • Avi Ben-Haroush, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Rabin Medical Center, Petach Tiqva, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
    • ,
  • Rony Chen, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Rabin Medical Center, Petach Tiqva, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
    • ,
  • Barak Rosenn, MD

      Affiliations

    • Department of Obstetrics and Gynecology, St. Luke's-Roosevelt Hospital Center, University Hospital of Columbia University, New York, NY
    • ,
  • Moshe Hod, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Rabin Medical Center, Petach Tiqva, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
    • ,
  • Oded Langer, MD

      Affiliations

    • Department of Obstetrics and Gynecology, St. Luke's-Roosevelt Hospital Center, University Hospital of Columbia University, New York, NY

References 

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  2. Cousins L, Rigg L, Hollingsworth D, Brink G, Aurand J, Yen SS. The 24-hour excursion and diurnal rhythm of glucose, insulin, and C-peptide in normal pregnancy. Am J Obstet Gynecol. 1980;136:483–488
  3. Phelps RL, Metzger BE, Freinkel N. Carbohydrate metabolism in pregnancy: XVII, diurnal profiles of plasma glucose, insulin, free fatty acids, triglycerides, cholesterol, and individual amino acids in late normal pregnancy. Am J Obstet Gynecol. 1981;140:730–736
  4. Parretti E, Mecacci F, Papini M, Cioni R, Carignani L, Mignosa M, et al. Third-trimester maternal glucose levels from diurnal profiles in nondiabetic pregnancies: correlation with sonographic parameters of fetal growth. Diabetes Care. 2001;24:1319–1323
  5. Yogev Y, Chen R, Ben-Haroush A, Phillip M, Jovanovic L, Hod M. Continuous glucose monitoring for the evaluation of gravid women with type 1 diabetes women. Obstet Gynecol. 2003;101:633–638
  6. Chen R, Yogev Y, Ben-Haroush A, Jovanovic L, Hod M, Phillip M. The use of continuous glucose monitoring in the evaluation of gravid women with gestational diabetes. J Matern Fetal Neonatal Med. 2003;14:256–260
  7. Yogev Y, Ben-Haroush A, Chen R, Kaplan B, Phillip M, Hod M. Continuous glucose monitoring for treatment adjustment in diabetic pregnancies: a pilot study. Diabet Med. 2003;20:558–562
  8. Carpenter MW, Coustan DR. Criteria for screening tests for gestational diabetes. Am J Obstet Gynecol. 1982;144:768–773
  9. Lurie S, Matzkel A, Weissman A, Gotlibe Z, Friedman A. Outcome of pregnancy in class A1 and A2 gestational diabetic patients delivered beyond 40 weeks' gestation. Am J Perinatol. 1992;9:484–488
  10. Von Itallie TB. Health implications of overweight and obesity in the United States. Ann Intern Med. 1985;103:983–992
  11. Langer O, Rodriguez DA, Xenakis EM, McFarland MB, Berkus MD, Arrendondo F. Intensified versus conventional management of gestational diabetes. Am J Obstet Gynecol. 1994;170:1036–1046
  12. Thennadil SN, Rennert JL, Wenzel BJ, Hazen KH, Ruchti TL, Block MB. Comparison of glucose concentration in interstitial fluid, and capillary and venous blood during rapid changes in blood glucose levels. Diabetes Technol Ther. 2001;3:357–364
  13. Langer O. A spectrum of glucose thresholds may effectively prevent complications in the pregnant diabetic patient. Semin Perinatol. 2002;26:196–205
  14. Langer O, Berkus M, Brustman L, Anyaegbunam A, Mazze R. Rationale for insulin management in gestational diabetes mellitus. Diabetes. 1991;40(suppl):186–190
  15. Metzger BE, Coustan DR. Summary and recommendations of the fourth international workshop-conference on gestational diabetes mellitus. Diabetes Care. 1998;21(suppl):B161–B167
  16. Jovanovic-Peterson L, Peterson CM, Reed GF, Metzger BE, Mills JL, Knopp RH, et al. Maternal postprandial glucose levels and infant birth weight: the Diabetes in Early Pregnancy Study: The National Institute of Child Health and Human Development: Diabetes in Early Pregnancy Study. Am J Obstet Gynecol. 1991;164:103–111
  17. de Veciana M, Major CA, Morgan MA, Asrat T, Toohey JS, Lien JM, et al. Postprandial versus preprandial blood glucose monitoring in women with gestational diabetes mellitus requiring insulin therapy. N Engl J Med. 1995;333:1237–1241
  18. Langer O, Levy J, Brustman L, Anyaegbunam A, Merkatz R, Divon M. Glycemic control in gestational diabetes mellitus: How tight is tight enough: small for gestational age versus large for gestational age?. Am J Obstet Gynecol. 1989;161:646–653
  19. Stanley K, Magides A, Arnot M, Bruce C, Reilly C, McFee A, et al. Delayed gastric emptying as a factor in delayed postprandial glycaemic response in pregnancy. BJOG. 1995;102:288–291
  20. Buchanan TA, Metzger BE, Freinkel N, Bergman RN. Insulin sensitivity and B-cell responsiveness to glucose during late pregnancy in lean and moderately obese women with normal glucose tolerance or mild gestational diabetes. Am J Obstet Gynecol. 1990;162:1008–1014
  21. Catalano PM, Huston L, Amini SB, Kalhan SC. Longitudinal changes in glucose metabolism during pregnancy in obese women with normal glucose tolerance and gestational diabetes mellitus. Am J Obstet Gynecol. 1999;180:903–916
  22. Fagulha A, Carvalheiro M, Fagulha I, Gomes L, Paiva S, Marta E. Insulin sensitivity and insulin secretion in lean and obese normal pregnant women. Ann Ist Super Sanita. 1997;33:367–370

 Presented at the Twenty-Fourth Annual Meeting of the Society for Maternal Fetal Medicine, New Orleans, La, February 2-7, 2004.

PII: S0002-9378(04)00659-3

doi: 10.1016/j.ajog.2004.06.059

American Journal of Obstetrics & Gynecology
Volume 191, Issue 3 , Pages 949-953 , September 2004

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