Influence of maternal and fetal glucokinase mutations in gestational diabetes

被引:82
作者
Spyer, G
Hattersley, AT
Sykes, JE
Sturley, RH
MacLeod, KM
机构
[1] Postgrad Med Sch, Dept Diabet & Vasc Med, Exeter, Devon, England
[2] Royal Devon & Exeter Hosp, Dept Obstet & Gynecol, Exeter EX2 5DW, Devon, England
关键词
glucokinase mutation; gestational diabetes; fetal birth weight;
D O I
10.1067/mob.2001.113127
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
We report 2 insulin-treated pregnancies in a mother with hyperglycemia resulting from a glucokinase gene mutation. The inheritance of a glucokinase mutation in 1 child reduced his intrauterine growth (birth weight less than first percentile) by reducing fetal insulin secretion, We discuss the implications for obstetric management of patients with glucokinase mutations.
引用
收藏
页码:240 / 241
页数:2
相关论文
共 3 条
[1]   USE OF FETAL ULTRASOUND TO SELECT METABOLIC THERAPY FOR PREGNANCIES COMPLICATED BY MILD GESTATIONAL DIABETES [J].
BUCHANAN, TA ;
KJOS, SL ;
MONTORO, MN ;
WU, PYK ;
MADRILEJO, NG ;
GONZALEZ, M ;
NUNEZ, V ;
PANTOJA, PM ;
XIANG, A .
DIABETES CARE, 1994, 17 (04) :275-283
[2]   A high prevalence of glucokinase mutations in gestational diabetic subjects selected by clinical criteria [J].
Ellard, S ;
Beards, F ;
Allen, LIS ;
Shepherd, M ;
Ballantyne, E ;
Harvey, R ;
Hattersley, AT .
DIABETOLOGIA, 2000, 43 (02) :250-253
[3]   Mutations in the glucokinase gene of the fetus result in reduced birth weight [J].
Hattersley, AT ;
Beards, F ;
Ballantyne, E ;
Appleton, M ;
Harvey, R ;
Ellard, S .
NATURE GENETICS, 1998, 19 (03) :268-270