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Spontaneous glycosuria during pregnancy and the puerperium
ABSTRACT8 Smyth, Francis Scott, and Olney, Mary B.: 13: 772, 1938.
553 Diabetes
and Pregnancy,
J.
Pedixt.
Personal studies together with critical consideration of the literature lead the writers to conclude that under rigid control, pregnancy in a diabetic woman may take a satisfactory course and yield a normal child. It is difficult to prove that the infantile insulin production has any effect on the maternal blood sugar. When the maternal diabetes has not been adequately controlled, the newborn infant may present temporary symptoms referable to hypoglycemia, which may persist up to t,hree weeks and may require parenteral glucose administration. In some instances the hypoglycemia seemed to he correlated to a hypertrophy or hyperplasia of the T,angerhans Islets as ascertained at necropsy. Relative macrosomia. advanced bone age, and a more mature genital tract suggest a pituitary effect. With further advance of information on endocrine relationships, it might become possible to account, for mild as well as the fatal hypoglycemia of the newborn. Fetal glyrogen storage hppertrophv is postulated by the writers as possible etiolngy for some of the pathology found post mortem. HTVXI EIIRENFEST.
Hector, A. G., and Giove, J. L.: Spontaneous Glycosuria During Pregnancy the Puerperium, Bol. Sot. chilena de ohst. y ginec. 3: 367, 1938.
and
From an extensive study the authors conclude that glyeoauria is not ver! frequent in pregnancy. It was found in only 2.85 per cent of the cases observed, occurring generally ‘in the middle third of pregnancy. It was present more frequently in multiparas than in primiparas. A low renal threshold for glucose appears with pregnancy and disappears with parturit,ion. Lactosuria during pregnancy is very rare and occasionally may follow glycosuria hut is absolutely independent. Lactosuria in the puerperium is more frequent. The authors found it in 69 out of 100 cases. It, is very transitory, disappearing usually from ten to twelve days after the child is horn. MSRlO
Gray, C. H.:
Ketonemia
in Diabetes
and Pregnancy,
T,ancet
.4.
CASTALT.0.
2: 66.5, 1938.
Tn the diabetic patient a close agreement was found between the degree of ketonemia and ketonuria as well as with the clinical condition. In pregnancy 1 per rent of 3,090 patients showed a positive Rothera test for ketone bodies in the urine. Blood ketones varied within normal limits even in 5 cases of eclampsia. There is a greater labilitp to ketosis in pregnancy as shown by 17 positive Rotbera tests in 27 pregnant patients following a fourteen-hour fast as compared with no positive tests in 27 nonpregnant patients. CARL P. HCRER.
Mortara, F.: Experimental Research on the Functional of Functioning Glomeruli During Pregnancy, Monit.
Alteration in the Number O&et. ginec. 8: 487, 1936.
From experimental studies on laboratory animals the author came to the conclusion that the numher of functioning glomeruli ordinarily represent 38 per cent of the kidney substance, but that during pregnancy t,hia amount, is increa.sed to 1,etwenn 55 per cent and 60 per cent. MARIO
Tamburell, Gynec.
G. : An Unusual & Obst.,
l’he author After nancies. the possibility
Meeting
Case of Hematuria of May
in Pregnancy,
Trans.
A.
C~STALLO.
Sicilian
Sot.
14, 1937.
describes a case of bilateral renal hematuria recurring in five preghaving excluded, by history, clinical and laboratory examination, of a previous kidney disease, tubercular lesion, calculi, renal ptosis,
553 Diabetes
and Pregnancy,
J.
Pedixt.
Personal studies together with critical consideration of the literature lead the writers to conclude that under rigid control, pregnancy in a diabetic woman may take a satisfactory course and yield a normal child. It is difficult to prove that the infantile insulin production has any effect on the maternal blood sugar. When the maternal diabetes has not been adequately controlled, the newborn infant may present temporary symptoms referable to hypoglycemia, which may persist up to t,hree weeks and may require parenteral glucose administration. In some instances the hypoglycemia seemed to he correlated to a hypertrophy or hyperplasia of the T,angerhans Islets as ascertained at necropsy. Relative macrosomia. advanced bone age, and a more mature genital tract suggest a pituitary effect. With further advance of information on endocrine relationships, it might become possible to account, for mild as well as the fatal hypoglycemia of the newborn. Fetal glyrogen storage hppertrophv is postulated by the writers as possible etiolngy for some of the pathology found post mortem. HTVXI EIIRENFEST.
Hector, A. G., and Giove, J. L.: Spontaneous Glycosuria During Pregnancy the Puerperium, Bol. Sot. chilena de ohst. y ginec. 3: 367, 1938.
and
From an extensive study the authors conclude that glyeoauria is not ver! frequent in pregnancy. It was found in only 2.85 per cent of the cases observed, occurring generally ‘in the middle third of pregnancy. It was present more frequently in multiparas than in primiparas. A low renal threshold for glucose appears with pregnancy and disappears with parturit,ion. Lactosuria during pregnancy is very rare and occasionally may follow glycosuria hut is absolutely independent. Lactosuria in the puerperium is more frequent. The authors found it in 69 out of 100 cases. It, is very transitory, disappearing usually from ten to twelve days after the child is horn. MSRlO
Gray, C. H.:
Ketonemia
in Diabetes
and Pregnancy,
T,ancet
.4.
CASTALT.0.
2: 66.5, 1938.
Tn the diabetic patient a close agreement was found between the degree of ketonemia and ketonuria as well as with the clinical condition. In pregnancy 1 per rent of 3,090 patients showed a positive Rothera test for ketone bodies in the urine. Blood ketones varied within normal limits even in 5 cases of eclampsia. There is a greater labilitp to ketosis in pregnancy as shown by 17 positive Rotbera tests in 27 pregnant patients following a fourteen-hour fast as compared with no positive tests in 27 nonpregnant patients. CARL P. HCRER.
Mortara, F.: Experimental Research on the Functional of Functioning Glomeruli During Pregnancy, Monit.
Alteration in the Number O&et. ginec. 8: 487, 1936.
From experimental studies on laboratory animals the author came to the conclusion that the numher of functioning glomeruli ordinarily represent 38 per cent of the kidney substance, but that during pregnancy t,hia amount, is increa.sed to 1,etwenn 55 per cent and 60 per cent. MARIO
Tamburell, Gynec.
G. : An Unusual & Obst.,
l’he author After nancies. the possibility
Meeting
Case of Hematuria of May
in Pregnancy,
Trans.
A.
C~STALLO.
Sicilian
Sot.
14, 1937.
describes a case of bilateral renal hematuria recurring in five preghaving excluded, by history, clinical and laboratory examination, of a previous kidney disease, tubercular lesion, calculi, renal ptosis,