ABSTRACT
OBJECTIVE: To determine whether administrating insulin four times daily, compared to 1-3 times daily, improves maternal and perinatal outcomes of diabetes. METHODS: From August 1998 to April 2004, the 14 pregnant diabetic women were treated with four times daily administration of NPH and insulin-lispro and 15 pregnant diabetic women were treated with 1-3 times daily administration of Mixtard (30% RI, 70% NPH) or NPH. We compared the maternal and fetal complications between two groups. The goals for therapy are to achieve and maintain normoglycemia (premeal whole blood capillary glucose levels of less than 90 mg/dL and 1-hour after-meal levels of less than 120 mg/dL). RESULTS: The pregnant diabetic women who were treated with four times daily administration of NPH and Insulin lispro, instead of 1-3 times daily administration of Mixtard or NPH, resulted in better maternal and fetal outcome. But there was no significant difference between two groups statistically. CONCLUSION: This study reveals that this four times daily administration of NPH and insulin-lispro protocol achieved the glucose target level without maternal hypoglycemic events and helped to reduce the perinatal complications in pregnant diabetic women.
Subject(s)
Female , Humans , Pregnancy , Capillaries , Glucose , Insulin Lispro , InsulinABSTRACT
Subject(s)
Adenoidectomy , Bacteria , Biopsy , Connective Tissue , Dental Pulp Cavity , Emphysema , Head , Intubation, Gastrointestinal , Mediastinum , Molar, Third , Neck , Neck Dissection , Palpation , Skin , Subcutaneous Emphysema , Thorax , Tonsillectomy , ToothABSTRACT
6months); were analyzed by linear measurement to evaluate changes in position (hard tissue B, Pogonion point)and compare relapse both group.The results obtained were as follows ; In view of B-point, the horizontal relapse rate of single mandibular surgery was 10.17%at post-op 1month,12.52%at post-op 3months,13.01%at post-op 6months and two-jaw surgery was 10.23%at post-op 1month,11.84% at post-op 3months,12.97%at post-op 6months. the horizontal relapse rates of Pogonion point were 10.78% at post-op 1month,12.21% at post-op 3months,12.98%at post-op 6months in single mandibular surgery and those were 10.27%at post-op 1month,11.33% at post-op 3months, 12.01%at post-op 6months in two-jaw surgery. In terms of vertical relapse rate, rates of B point were 22.96%at post-op 1month,28.30%at post-op 3months,29.56%at post-op 6months in single mandibular surgery and 21.14%at post-op 1month, 25.45% at post-op 3months,28.86% at post-op 6months in two-jaw surgery.Those of Pogonion point were 26.63%at post-op 1month,28.40% at post-op 3months,29.29% at post-op 6months in single mandibular surgery and 20.20%at post-op 1 month, 25.44% at post-op 3 months, 27.68% at post-op 6months in two-jaw surgery. There were no statistical difference between single mandibular surgery and two-jaw surgery in mandibular stability.
Subject(s)
Humans , Dentofacial Deformities , Malocclusion , Mandible , Osteotomy , Osteotomy, Sagittal Split Ramus , Prognathism , RecurrenceABSTRACT
6months); were analyzed by linear measurement to evaluate changes in position (hard tissue B, Pogonion point)and compare relapse between both groups.
Subject(s)
Chin , Follow-Up Studies , Genioplasty , Osteotomy , RecurrenceABSTRACT