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10.3390/jcm3020480

http://scihub22266oqcxt.onion/10.3390/jcm3020480
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C4449679!4449679!26237386
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suck abstract from ncbi


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pmid26237386      J+Clin+Med 2014 ; 3 (2): 480-90
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  • First Trimester Aneuploidy Screening Markers in Women with Pre-Gestational Diabetes Mellitus #MMPMID26237386
  • Gurram P; Benn P; Grady J; Prabulos AM; Campbell W
  • J Clin Med 2014[Jun]; 3 (2): 480-90 PMID26237386show ga
  • Objective: To investigate whether maternal serum pregnancy associated plasma protein-A (PAPP-A), total ? human chorionic gonadotropin (hCG) levels and nuchal translucency (NT) measurements differ in women with pre-gestational diabetes mellitus (PGDM) compared to non-diabetic controls and to assess whether correction factors are needed for diabetic women in calculation of aneuploidy risks. Study Design: We performed a retrospective study of all women who underwent first trimester aneuploidy screening (11 + 0 to 13 + 6 weeks) from 2005 to 2011. The primary study outcome was the difference in PAPP-A, ?-hCG and NT multiples of median between women with PGDM and non-diabetic women. Results: Of 6741 eligible patients, 103 patients with PGDM were using insulin and 4 patients were using oral hypoglycemic agents; the latter were excluded due to small number. There was 12% reduction of median PAPP-A (p = 0.001) and 18% reduction of median hCG (p = 0.006) in women with PGDM receiving insulin. There was no difference in NT. Conclusions: In women with PGDM receiving insulin, PAPP-A and ?-hCG levels are significantly lower compared to non-diabetic women. This suggests that when calculating risks for aneuploidy, correction factors should be considered to adjust PAPP-A and ?-hCG concentrations to those seen in non-diabetic women.
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