New modalities in the treatment of pregnancies complicated by diabetes: Drugs and devices

被引:8
作者
Chitayat, Lironn [1 ]
Jovanovic, Lois [1 ]
Hod, Moshe [2 ]
机构
[1] Sansum Diabet Res Inst, Santa Barbara, CA 93105 USA
[2] Tel Aviv Univ, Rabin Med Ctr, Helen Schneider Hosp Women, Perinatal Div, Petah Tiqwa, Israel
关键词
Artificial pancreas; Diabetes mellitus; Glucose monitoring; Glyburide; Insulin; Metformin; Pregnancy; SUBCUTANEOUS INSULIN INFUSION; GLYCEMIC CONTROL; PLASMA-GLUCOSE; HUMAN PLACENTA; CARBOHYDRATE-METABOLISM; LISPRO; GLYBURIDE; METFORMIN; WOMEN; THERAPY;
D O I
10.1016/j.siny.2008.09.001
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The development of drugs and devices in the treatment of pregnancies complicated by diabetes is in constant forward progression to compensate for pancreatic beta cell insufficiency. Maternal hyperglycemia during pregnancy is of particular interest due to the severe consequences that surface when a fetus is in development. The drugs that are currently recommended for use during pregnancy include rapid-acting insulin analogs lispro and aspart for meal-related bolus insulin and intermediate-acting NPH for basal insulin. Oral anti-diabetic agents are not recommended for use during pregnancy. Better control may be achieved with the incorporation of real-time glucose sensors and new insulin pumps with hopes of improving pregnancy outcome. (C) 2008 Published by Elsevier Ltd.
引用
收藏
页码:72 / 76
页数:5
相关论文
共 50 条
[1]  
Al-Agha R, 2008, DIABETES, V57, pA751
[2]   The postprandial glucose profile in the diabetic pregnancy [J].
Ben-Haroush, Avi ;
Yogev, Yariv ;
Chen, Rony ;
Rosenn, Barak ;
Hod, Moshe ;
Langer, Oded .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2004, 191 (02) :576-581
[3]   Insulin lispro and regular insulin in pregnancy [J].
Bhattacharyya, A ;
Brown, S ;
Hughes, S ;
Vice, PA .
QJM-AN INTERNATIONAL JOURNAL OF MEDICINE, 2001, 94 (05) :255-260
[4]   Transfer of insulin lispro across the human placenta - In vitro perfusion studies [J].
Boskovic, R ;
Feig, DS ;
Derewlany, L ;
Knie, B ;
Portnoi, G ;
Koren, G .
DIABETES CARE, 2003, 26 (05) :1390-1394
[5]   COMPLICATIONS AND FETAL-OUTCOME IN DIABETIC PREGNANCY - INTENSIFIED CONVENTIONAL VERSUS INSULIN PUMP THERAPY [J].
BURKART, W ;
HANKER, JP ;
SCHNEIDER, HPG .
GYNECOLOGIC AND OBSTETRIC INVESTIGATION, 1988, 26 (02) :104-112
[6]  
CARTA Q, 1986, DIABETES METAB, V12, P121
[7]  
Chen R, 2003, J Matern Fetal Neonatal Med, V14, P256, DOI 10.1080/jmf.14.4.256.260
[8]   METABOLIC CONTROL AND PROGRESSION OF RETINOPATHY - THE DIABETES IN EARLY-PREGNANCY STUDY [J].
CHEW, EY ;
MILLS, JL ;
METZGER, BE ;
REMALEY, NA ;
JOVANOVICPETERSON, L ;
KNOPP, RH ;
CONLEY, M ;
RAND, L ;
SIMPSON, JL ;
HOLMES, LB ;
AARONS, JH .
DIABETES CARE, 1995, 18 (05) :631-637
[9]  
COETZEE EJ, 1984, S AFR MED J, V65, P635
[10]   RELATIONSHIP OF FETAL MACROSOMIA TO MATERNAL POSTPRANDIAL GLUCOSE CONTROL DURING PREGNANCY [J].
COMBS, CA ;
GUNDERSON, E ;
KITZMILLER, JL ;
GAVIN, LA ;
MAIN, EK .
DIABETES CARE, 1992, 15 (10) :1251-1257