The effect of chronic steroid therapy on glucose tolerance in pregnancy.

Abstract:

:We analyzed the records of 26 pregnant patients receiving chronic steroids to assess the combined effect of pregnancy and glucocorticoid administration on glucose tolerance. Five patients (19.2%) developed diabetes mellitus, four of whom required insulin. In a pregnant control group of 1325 patients, 53 patients (4.0%) developed diabetes mellitus, five of whom required insulin. Glucose intolerance was significantly higher in the steroid-treated group (p = 0.003). Comparison with a nonpregnant steroid-treated control group (47 patients, 15% of whom developed diabetes mellitus) showed no significant different (p = 0.23) between the two. All pregnant steroid-treated patients developing diabetes mellitus began steroid therapy after conception, whereas none of the patients receiving steroid therapy before conception developed glucose intolerance (p = 0.012). There does not appear to be an additive effect of steroid treatment and pregnancy on glucose intolerance; however, all patients receiving steroids should undergo periodic glucose screening.

journal_name

Am J Obstet Gynecol

authors

Landy HJ,Isada NB,McGinnis J,Ratner R,Grossman JH 3rd

doi

10.1016/s0002-9378(88)80019-x

subject

Has Abstract

pub_date

1988-09-01 00:00:00

pages

612-5

issue

3

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(88)80019-X

journal_volume

159

pub_type

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