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BACKGROUND Inositol is a hexa-carbon polyol,a naturally soluble vitamin,often found in various foods.AIM To discuss the impact of different stereoisomers of inositol on insulin sensitivity of gestational diabetes mellitus(GDM)patients.METHODS Eighty GDM pregnant women were divided into four groups according to their treatment received:A group(placebo folic acid 400μg/d),B group[myo-inositol(MI)1500 mg,twice a day],C group[D-chiro-inositol(DCI)250 mg,twice a day],and D group(inositol MI and inositol DCI 1500 mg/250 mg,twice a day).Each patient routinely used dietary guidance adjustments and did some safe and effective aerobic exercise in addition to receiving placebo or inositol from GDM diagnosis to delivery.Triglyceride,total cholesterol,fasting plasma glucose,oral glucose tolerance test postprandial glucose(2 h postprandial blood glucose),fasting insulin,fasting plasma glucose,and glycosylated hemoglobin levels and Homeostasis Model Assessment-insulin resistance(HOMA-IR)and Homeostasis Model Assessment-insulin sensitivity index(HOMA-ISI)scores were determined before treatment and 8 wk after treatment onset.Adverse maternal and infant outcomes,including hypoglycemia,excessive amniotic fluid,premature infants,macrosomia,fetal distress etc.,were also recorded.RESULTS There was no statistical difference in the baseline data of each group.The levels of 2 h blood glucose,glycosylated hemoglobin,fasting insulin,total cholesterol,and triglyceride in the B,C,and D groups were significantly lower than those in the control group(A group)after treatment(P<0.05).Moreover,compared with the B group,the level of the above indexes in the C and D groups decreased more significantly,and the differences were statistically significant(P<0.05).The HOMA-IR of B,C,and D groups decreased significantly,and the HOMA-ISI increased significantly compared with the A group,and the differences were statistically significant(P<0.05),among which the decrease of HOMA-IR and the increase of HOMA-ISI were more significant in the C and D group com
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篇名 Impact of different stereoisomers of inositol on insulin sensitivity of gestational diabetes mellitus patients
来源期刊 世界临床病例杂志 学科 医学
关键词 Gestational diabetes mellitus MYO-INOSITOL Insulin resistance during pregnancy
年,卷(期) 2021,(3) 所属期刊栏目
研究方向 页码范围 565-572
页数 8页 分类号 R58
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Gestational
diabetes
mellitus
MYO-INOSITOL
Insulin
resistance
during
pregnancy
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世界临床病例杂志
半月刊
2307-8960
北京市朝阳区东四环中路62号楼远洋国际中
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433
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1
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