TOLERANCE
TO GLUCOSE IN PRIMARY CARE
R.-M.
Korth Forschung in der Allgemeinmedizin FIDA, Munich, Germany
The
study investigated glucose tolerance and electronic documentation for
data transfer between primary and diabetes care.
Glucose
tolerance was tested in the 21st-28th weeks during pregnancy of healthy
women with normal urine samples. Their
age was 32±6 years and the mean value of capillary glucose was
118±22 mg/dl after oral administration of 50 g glucose (n=201,
1h, ±1S.D.,Reflotron, Roche).
Glucose
values were in the normal range in 173 cases (82±6 to 134±4
mg/dl).
The
cases with elevated capillary glucose (152±14 mg/dl, n=28) showed
144±3 mg/dl (n=15), 153±3 mg/dl (n=7), 163±5 mg/dl
(n=3) and 190±10 mg/dl (n=3). Blood
pressure was 112±10/70+8 mmHg with 65±11 kg body weight.
Nutritional and exercise counselling was delivered and blood glucose was
tested elsewhere 4 weeks later before and after oral intake of 100g glucose
(82±10 mg/dl; 1 h: 141±12 mg/dl; 2 h: 122±23 mg/dl).
The
approach enables anonymous comparisons in social groups, regions and countries.
Future research could test genetic and more metabolic determinants to
prevent vascular complications of patients with risk of diabetes.
J SUBMICROSC. CYTOL. PATHOL., 32 (3), P.434, 2000.
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