• The Monthly Diabetes
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• s.254
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• pp.32-33
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• 2011

임신 30주에 이민성 당뇨병을 판정받았습니다. 수치가 160mg/dl 이 넘게 나오는데, 높은 것인가요? 약을 먹을 수도 없는 노릇이구요, 태아에게 영향을 끼치지 않으면서 당뇨병에 좋은 약이나 식품은 없는지요? 임신당뇨 어떻게 관리하는 게 좋을까요?

• The Monthly Diabetes
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• s.256
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• pp.60-61
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• 2011

당뇨병으로 인한 태아의 위험은 당뇨병의 유전요인보다는 임신부의 대사 장애에 의한 것으로 당뇨병 형태에 따른 태아의 위험 차이는 없는 것으로 추축할 수 있다. 그러나 제 1형 당뇨병임신부는 케톤산혈증이 발생할 가능성이 높고 케톤산 혈증이 발생하면 태아 사망의 가능성도 높아진다. 또 제 1형 당뇨병임신부는 당뇨병성 혈관합병증이 동반될 가능성이 많아 자기의 주 수 보다 체중이 미달되는 경우와 조산 및 임신 중 고혈압질환이 발생할 위험성이 높아진다. 제 2형 당뇨병임산부는 임신부가 비만일 경우 거대아 출산 및 임신 중 고혈압질환이 발생할 위험이 높아진다. 그러나 대부분의 합병증은 임신 전과 임신기간 동안 양호한 혈당조절로 감소시킬 수 있다.

• Clinical and Experimental Reproductive Medicine
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• v.36 no.2
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• pp.129-136
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• 2009

The incidence of ectopic pregnancy is increased since in vitro fertilization-embryo transfer (IVF-ET) has started. And because of the possibility of combined pregnancy after IVF-ET, bilateral adnexal area and other portion of pelvis should be examined carefully by transvaginal ultrasonography during follow-up period. The rate of combined pregnancy after IVF is estimated to be as high as 0.2~1%. Since the incidence of combined pregnancies is markedly higher with IVF, special attention to this possibility after ET is warranted. According to a recent report, the occurrence of interstitial pregnancy is estimated to be 1:3600 for all pregnancies achieved with IVF. The prevalence of interstitial pregnancies is 2~4% of ectopic pregnancies. Interstitial pregnancies tend to be diagnosed later than most other ectopic pregnancies, and if uterine rupture occurs, the resulting hemorrhage can be severe. Currently, about 2% to 3% of interstitial pregnancies are thought to carry a maternal death, which is twice that of other tubal gestations. We report a case of simultaneous left tubal and right interstitial pregnancies after IVF-ET with a brief review of literature.

• Journal of the Korea Convergence Society
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• v.12 no.8
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• pp.369-379
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• 2021

This study was a descriptive survey study to compare the stress, depression, fatigue, and sleep quality between pregnant women with gestational diabetes mellitus (GDM) and normal pregnant women. The study subjects were 49 gestational diabetes mellitus women and 51 normal pregnant women who were matching with gestational diabetes mellitus women by age, gestational age and number of births. The data collection was measured using structured questionnaires, numerical scales, and Canopy9 RSA(IEMBIO, Gangwondo, Korea) equipment. As a result of the study, pregnant women with gestational diabetes had higher pre-pregnancy weight(t=3.698, p<.001) and higher stress(t=4.505, p<.001), depression(t=4.564, p<.001), and fatigue(t=3.709, p<.001) during pregnancy, so weight management is important before pregnancy, and stress, fatigue, and depression relief nursing

• The Monthly Diabetes
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• s.189
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• pp.26-28
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• 2005

임신 시에는 태아에게 영양소인 당분을 지속적으로 공급해 주기 때문에 대체로 고혈당을 유지하는 경향으로 신체가 변화된다. 이러한 고혈당이 병적으로 일정 수준을 넘어서면 임신성 당뇨병으로 진단하여 관리 및 치료를 필요로 하게 된다.

• The Monthly Diabetes
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• s.148
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• pp.23-25
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• 2002

임신성 당뇨병은 정도에 관계없이 임신 중에 처음 발생하였거나 진단된 다양한 정도의 당대사 장애를 말한다. 유병률은 인종이나 지역에 따라서 차이가 있으나 국내의 경우는 대략 2-3$\%$정도로 보고되어 있고 최근에 들어서 계속 증가하는 추세에 있다.

• Journal of Nutrition and Health
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• v.41 no.1
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• pp.41-53
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• 2008

Gestational diabetes mellitus (GDM) is defined as glucose intolerance discovered or onset during pregnancy and attention is needed because of increased risk of perinatal morbidties and higher incidence of diabetes afterward. This study was performed to identify dietary factors associated with the development of gestational diabetes mellitus (GDM). Developed food frequency questionnaire containing 192 food items were used to assess nutritional status of 246 control subjects and 104 GDM subjects. Food habits of subjects were examined in the questionnaire. The more irregularity and less variety of meal were found in GDM group compared to control group and GDM group tended to eat rapidly and do not like vegetables and greasy foods. Total score of food habits in GDM was lower than control group, which suggests that GDM group have undesirable food habits. Mean daily energy and carbohydrate intakes of GDM group were higher than those of control group, and percent energy from protein was significantly higher in control. Nutrient density of protein, calcium, phosphorus and vitamin BI of GDM group was significantly lower than those of control group. Therefore dietary quality of GDM group was lower than that of control group. Odds ratio for GDM was high when energy and carbohydrate intakes were high. And when the intakes of rice, noodle, shiruduk, hamburger, boiled egg, steamed pork shank were high, the odds ratio for GDM was high. These results indicate that the amount and frequencies of several foods and dish items were related with the occurrence of GDM subjects. On the whole, GDM subjects consumed more cereals and less vegetables and less legumes. From these results, pregnant women with GDM tended to have unhealthy food habits, and carbohydrate intake was important dietary factors on the onset of GDM.

• Neonatal Medicine
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• v.18 no.1
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• pp.49-58
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• 2011

Purpose: The purpose of this study was to evaluate the relationship between cord blood adiponectin and insulin-like growth factor (IGF)-I and their effect on fetal growth and insulin resistance in mothers with gestational diabetes mellitus (GDM). Methods: Cord blood adiponectin and IGF-I were compared between mothers with GDM (GDM group, N=53) and controls (non-GDM group, N=101). Neonates were classified into three groups of small for gestational age (SGA, N=26), appropriate for gestational age (AGA, N=97), and large for gestational age (LGA, N=31) by birth weight. The association between cord adiponectin and IGF-I levels was evaluated in relation to maternal and neonatal clinical data. Results: Cord adiponectin was lower in the GDM group than in the non-GDM group (P<0.001). There was no significant difference in cord adiponectin among the SGA, AGA, and LGA groups in the GDM group (P=0.228). The cord adiponectin of AGA in the GDM group was significantly lower than that in the non-GDM group (P<0.001). The most powerful predictor affecting cord adiponectin was the result of maternal 75 g oral glucose tolerance test. The cord IGF-I values between the GDM group and the non-GDM group were not different (P=0.834). Neonates with the heavier birth weight had the higher cord IGF-I levels. The most powerful predictor affecting cord IGF-I was birth weight and the next was maternal parity. Conclusion: Both cord blood adiponectin and IGF-I were associated with fetal growth, but IGF-I was a more general and direct factor affecting fetal body size, and adiponectin seemed to have more association with insulin sensitivity than growth.

• Journal of Yeungnam Medical Science
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• v.11 no.2
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• pp.352-362
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• 1994

To evaluate the effects of pregnancy-induced hypertension (PIH) to the iron status of fetuses, umbilical cord blood of 35 newborn infants borne by PIH mothers and of 37 normal term infants delivered at Yeungnam University Hospital from September 1, 1993 to September 30, 1994, were studied. The serum hemoglobin concentration of women with PIH was significantly higher than normal full-term pregnant women. There was no significant difference in serum hemoglobin concetration between women with PIH and normal full-term pregnant women and their newborn infants. There was no significant difference in serum hemoglobin concentration beween infants of women with PIH and normal full-term infants. The serum iron concentration of newborn infants of women with PIH was higher and the serum ferritin concentration of newborn infants of women with PIH was lower than normal full-term infants, but there were no significant difference between the two groups. The serum total iron-binding capactity and unsaturated iron-binding capacity of infants of women with PIH were significantly higher than normal full-term infants. The newborn infants of PIH women seemed that they might have occult depletion of iron store and need meticulous follow up during early neonatal period.

• Journal of Veterinary Clinics
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• v.32 no.2
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• pp.180-182
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• 2015

A 3 year-old pregnant female Yorkshire terrier dog was presented with major complaints of polyuria and polydipsia. Laboratory tests found persistent hyperglycemia and glucosuria. Abdominal ultrasound study found 2 dead fetuses. Ovarian hysterectomy was performed to remove the dead fetuses. After ovarian hysterectomy, the level of blood glucose was returned to normal range. In addition, the clinical signs and urine glucose were all disappeared. Based on findings on laboratory tests and follow-up study, the case was diagnosed as gestational diabetes mellitus. To our best knowledge, this is the first case report describing a gestational diabetes mellitus of dog in Korea.