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糖尿病孕妇先兆子痫发病率高,并有较高的死亡风险。为确定胰岛素依赖性糖尿病(IDDM)妇女妊娠前微白蛋白尿(尿白蛋白排泄为30~300mg/24h)是否可作为预示先兆子痫的一项指标进行前瞻性研究。 74例白人孕妇,孕龄<17周,其中6例孕妇因有流产而被除外。4例孕妇除用胰岛素治疗外,还应用了Levotroxine、氢化可的松和/或抗癫痫药物。 该组孕妇孕前每1~2周到诊所门诊1次,嘱其在家中每日测定血糖4次,根据血糖调整胰岛素剂量,控制餐前血糖在3~6mmol/L水平。根据记录
Diabetic pregnant women have a high prevalence of preeclampsia and a high risk of dying. To determine whether premenopausal microalbuminuria (urinary albumin excretion of 30 to 300 mg / 24h) in women with insulin-dependent diabetes mellitus (IDDM) can be used as a predictor of preeclampsia. 74 white pregnant women, gestational age <17 weeks, of which 6 cases of pregnant women were excluded because of abortion. In addition to insulin treatment, 4 pregnant women also used Levotroxine, hydrocortisone and / or antiepileptic drugs. The group of pregnant women every 1 to 2 weeks before pregnancy clinics 1, told her to measure daily blood sugar at home 4 times, according to blood glucose to adjust the dose of insulin to control pre-prandial glucose in the 3 ~ 6mmol / L level. According to the record