Outcome of pregnant diabetic patients in Benghazi (Libya) from 1984 to 1991
During the period from 1 June 1984 to 1 June 1991, 988 pregnant diabetic patients were treated by a team of physicians and obstetricians in Benghazi Diabetic Clinic. Twelve patients were insulin-dependent (type 1) and 976 patients were non-insulin-dependent (type 2). Ninety patients were diagnosed f...
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| Veröffentlicht in: | Diabetes research and clinical practice 1993-07, Vol.21 (1), p.39-42 |
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| creator | Kadiki, O.A. Reddy, M.Rama Subba Sahli, M.A. Shawar, H. Rao, S. |
| description | During the period from 1 June 1984 to 1 June 1991, 988 pregnant diabetic patients were treated by a team of physicians and obstetricians in Benghazi Diabetic Clinic. Twelve patients were insulin-dependent (type 1) and 976 patients were non-insulin-dependent (type 2). Ninety patients were diagnosed for the first time during pregnancy. Thirty-nine patients defaulted. Eight hundred and seventy-six patients were treated with insulin and 112 patients were controlled by diet. The average daily insulin dose was 40.12 units. The majority, 64.5%, delivered vaginally and 35.5% by caesarean section. Rates of abortion, intra-uterine death and still birth were 7.99%, 3.28% and 2.6%, respectively. The mean birth weight was 3.78 ± 0.89 kg. Congenital anomalies of infants were 3.4%. Perinatal morality was 11.44%. Poor metabolic control has been associated with increased rates of abortion, intra-uterine death and congenital anomalies. It was concluded that team approach and multiple insulin injections could improve the outcome of pregnancy in developing countries to near current western standards. |
| doi_str_mv | 10.1016/0168-8227(93)90095-M |
| format | Article |
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Twelve patients were insulin-dependent (type 1) and 976 patients were non-insulin-dependent (type 2). Ninety patients were diagnosed for the first time during pregnancy. Thirty-nine patients defaulted. Eight hundred and seventy-six patients were treated with insulin and 112 patients were controlled by diet. The average daily insulin dose was 40.12 units. The majority, 64.5%, delivered vaginally and 35.5% by caesarean section. Rates of abortion, intra-uterine death and still birth were 7.99%, 3.28% and 2.6%, respectively. The mean birth weight was 3.78 ± 0.89 kg. Congenital anomalies of infants were 3.4%. Perinatal morality was 11.44%. Poor metabolic control has been associated with increased rates of abortion, intra-uterine death and congenital anomalies. It was concluded that team approach and multiple insulin injections could improve the outcome of pregnancy in developing countries to near current western standards.</description><identifier>ISSN: 0168-8227</identifier><identifier>EISSN: 1872-8227</identifier><identifier>DOI: 10.1016/0168-8227(93)90095-M</identifier><identifier>PMID: 8253020</identifier><identifier>CODEN: DRCPE9</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Abortion, Spontaneous - epidemiology ; Adult ; Biological and medical sciences ; Birth Weight - physiology ; Diabetes ; Diabetes Mellitus, Type 1 - drug therapy ; Diabetes Mellitus, Type 1 - epidemiology ; Diabetes Mellitus, Type 1 - physiopathology ; Diabetes Mellitus, Type 2 - epidemiology ; Diabetes Mellitus, Type 2 - physiopathology ; Diseases of mother, fetus and pregnancy ; Dose-Response Relationship, Drug ; Female ; Fetal Death - epidemiology ; Gynecology. Andrology. Obstetrics ; Humans ; Incidence ; Insulin - therapeutic use ; Libya ; Libya - epidemiology ; Medical sciences ; Middle Aged ; Pregnancy ; Pregnancy in Diabetics - epidemiology ; Pregnancy in Diabetics - physiopathology ; Pregnancy Outcome - epidemiology ; Pregnancy. Fetus. Placenta</subject><ispartof>Diabetes research and clinical practice, 1993-07, Vol.21 (1), p.39-42</ispartof><rights>1993</rights><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c481t-6d6572b365abadf44966d6cf4514ec1861867a03f3e75ddb59c15605bf3681f63</citedby><cites>FETCH-LOGICAL-c481t-6d6572b365abadf44966d6cf4514ec1861867a03f3e75ddb59c15605bf3681f63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0168-8227(93)90095-M$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,778,782,3539,27907,27908,45978</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3744771$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8253020$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kadiki, O.A.</creatorcontrib><creatorcontrib>Reddy, M.Rama Subba</creatorcontrib><creatorcontrib>Sahli, M.A.</creatorcontrib><creatorcontrib>Shawar, H.</creatorcontrib><creatorcontrib>Rao, S.</creatorcontrib><title>Outcome of pregnant diabetic patients in Benghazi (Libya) from 1984 to 1991</title><title>Diabetes research and clinical practice</title><addtitle>Diabetes Res Clin Pract</addtitle><description>During the period from 1 June 1984 to 1 June 1991, 988 pregnant diabetic patients were treated by a team of physicians and obstetricians in Benghazi Diabetic Clinic. Twelve patients were insulin-dependent (type 1) and 976 patients were non-insulin-dependent (type 2). Ninety patients were diagnosed for the first time during pregnancy. Thirty-nine patients defaulted. Eight hundred and seventy-six patients were treated with insulin and 112 patients were controlled by diet. The average daily insulin dose was 40.12 units. The majority, 64.5%, delivered vaginally and 35.5% by caesarean section. Rates of abortion, intra-uterine death and still birth were 7.99%, 3.28% and 2.6%, respectively. The mean birth weight was 3.78 ± 0.89 kg. Congenital anomalies of infants were 3.4%. Perinatal morality was 11.44%. Poor metabolic control has been associated with increased rates of abortion, intra-uterine death and congenital anomalies. It was concluded that team approach and multiple insulin injections could improve the outcome of pregnancy in developing countries to near current western standards.</description><subject>Abortion, Spontaneous - epidemiology</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Birth Weight - physiology</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 1 - drug therapy</subject><subject>Diabetes Mellitus, Type 1 - epidemiology</subject><subject>Diabetes Mellitus, Type 1 - physiopathology</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Diabetes Mellitus, Type 2 - physiopathology</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Dose-Response Relationship, Drug</subject><subject>Female</subject><subject>Fetal Death - epidemiology</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Incidence</subject><subject>Insulin - therapeutic use</subject><subject>Libya</subject><subject>Libya - epidemiology</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pregnancy</subject><subject>Pregnancy in Diabetics - epidemiology</subject><subject>Pregnancy in Diabetics - physiopathology</subject><subject>Pregnancy Outcome - epidemiology</subject><subject>Pregnancy. Fetus. Placenta</subject><issn>0168-8227</issn><issn>1872-8227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kN9LHDEQgIO06FX9DxTyUEQftiab3y-CiralJ760zyGbnWjkdvdMcgX965vzjnsszDAw880wfAidUPKNEiova-pGt606N-zCEGJE87CHZlSr9qP9Cc12yAH6kvMLIUQyLvbRvm4FIy2ZoV-Pq-KnAfAU8DLB0-jGgvvoOijR46UrEcaScRzxDYxPz-494vN57N7cBQ5pGjA1muMy1WroEfoc3CLD8bYeoj_3d79vfzTzx-8_b6_njeealkb2Uqi2Y1K4zvWBcyNrywcuKAdPtayhHGGBgRJ93wnjqZBEdIFJTYNkh-hsc3eZptcV5GKHmD0sFm6EaZWtkpRSbUwF-Qb0aco5QbDLFAeX3iwldu3QrgXZtSBrmP1waB_q2un2_qoboN8tbaXV-dft3GXvFiG50ce8w5jiXClasasNBtXF3wjJZl9teuhjAl9sP8X___EPUfCKNg</recordid><startdate>19930701</startdate><enddate>19930701</enddate><creator>Kadiki, O.A.</creator><creator>Reddy, M.Rama Subba</creator><creator>Sahli, M.A.</creator><creator>Shawar, H.</creator><creator>Rao, S.</creator><general>Elsevier Ireland Ltd</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19930701</creationdate><title>Outcome of pregnant diabetic patients in Benghazi (Libya) from 1984 to 1991</title><author>Kadiki, O.A. ; Reddy, M.Rama Subba ; Sahli, M.A. ; Shawar, H. ; Rao, S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c481t-6d6572b365abadf44966d6cf4514ec1861867a03f3e75ddb59c15605bf3681f63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Abortion, Spontaneous - epidemiology</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Birth Weight - physiology</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 1 - drug therapy</topic><topic>Diabetes Mellitus, Type 1 - epidemiology</topic><topic>Diabetes Mellitus, Type 1 - physiopathology</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Diabetes Mellitus, Type 2 - physiopathology</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Dose-Response Relationship, Drug</topic><topic>Female</topic><topic>Fetal Death - epidemiology</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Incidence</topic><topic>Insulin - therapeutic use</topic><topic>Libya</topic><topic>Libya - epidemiology</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pregnancy</topic><topic>Pregnancy in Diabetics - epidemiology</topic><topic>Pregnancy in Diabetics - physiopathology</topic><topic>Pregnancy Outcome - epidemiology</topic><topic>Pregnancy. Fetus. Placenta</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kadiki, O.A.</creatorcontrib><creatorcontrib>Reddy, M.Rama Subba</creatorcontrib><creatorcontrib>Sahli, M.A.</creatorcontrib><creatorcontrib>Shawar, H.</creatorcontrib><creatorcontrib>Rao, S.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Diabetes research and clinical practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kadiki, O.A.</au><au>Reddy, M.Rama Subba</au><au>Sahli, M.A.</au><au>Shawar, H.</au><au>Rao, S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcome of pregnant diabetic patients in Benghazi (Libya) from 1984 to 1991</atitle><jtitle>Diabetes research and clinical practice</jtitle><addtitle>Diabetes Res Clin Pract</addtitle><date>1993-07-01</date><risdate>1993</risdate><volume>21</volume><issue>1</issue><spage>39</spage><epage>42</epage><pages>39-42</pages><issn>0168-8227</issn><eissn>1872-8227</eissn><coden>DRCPE9</coden><abstract>During the period from 1 June 1984 to 1 June 1991, 988 pregnant diabetic patients were treated by a team of physicians and obstetricians in Benghazi Diabetic Clinic. Twelve patients were insulin-dependent (type 1) and 976 patients were non-insulin-dependent (type 2). Ninety patients were diagnosed for the first time during pregnancy. Thirty-nine patients defaulted. Eight hundred and seventy-six patients were treated with insulin and 112 patients were controlled by diet. The average daily insulin dose was 40.12 units. The majority, 64.5%, delivered vaginally and 35.5% by caesarean section. Rates of abortion, intra-uterine death and still birth were 7.99%, 3.28% and 2.6%, respectively. The mean birth weight was 3.78 ± 0.89 kg. Congenital anomalies of infants were 3.4%. Perinatal morality was 11.44%. Poor metabolic control has been associated with increased rates of abortion, intra-uterine death and congenital anomalies. It was concluded that team approach and multiple insulin injections could improve the outcome of pregnancy in developing countries to near current western standards.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>8253020</pmid><doi>10.1016/0168-8227(93)90095-M</doi><tpages>4</tpages></addata></record> |
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| subjects | Abortion, Spontaneous - epidemiology Adult Biological and medical sciences Birth Weight - physiology Diabetes Diabetes Mellitus, Type 1 - drug therapy Diabetes Mellitus, Type 1 - epidemiology Diabetes Mellitus, Type 1 - physiopathology Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - physiopathology Diseases of mother, fetus and pregnancy Dose-Response Relationship, Drug Female Fetal Death - epidemiology Gynecology. Andrology. Obstetrics Humans Incidence Insulin - therapeutic use Libya Libya - epidemiology Medical sciences Middle Aged Pregnancy Pregnancy in Diabetics - epidemiology Pregnancy in Diabetics - physiopathology Pregnancy Outcome - epidemiology Pregnancy. Fetus. Placenta |
| title | Outcome of pregnant diabetic patients in Benghazi (Libya) from 1984 to 1991 |
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