Insulin in obstetrics: a main parameter in the management of pregnancy.

Abstract:

:Insulin plays a central role in human pregnancy. Maternal insulin sensitivity decreases with advancing gestation in order to provide glucose and possibly other nutrients for feto-placental growth and energy needs. Moreover, alterations of insulin metabolism are clearly involved in the development of gestational diabetes. In recent years, hyperinsulinaemia has been also proposed as a possible pathogenic factor in the development of gestational hypertension and preeclampsia; furthermore it has also been postulated that there is an involvement of insulin sensitivity in fetal growth restriction. These intriguing data have stimulated our interest in summarizing the physiopathological mechanisms by which the pancreatic hormone could be involved in obstetrics.

journal_name

Hum Reprod Update

authors

Ciampelli M,Lanzone A,Caruso A

doi

10.1093/humupd/4.6.904

subject

Has Abstract

pub_date

1998-11-01 00:00:00

pages

904-14

issue

6

eissn

1355-4786

issn

1460-2369

journal_volume

4

pub_type

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