GTT and CGTT were performed on the pregnant women with positive glucosuria, numbering 371 cases. They were classified into normal pregnant women, pregnant women with renal glucosuria, pregnant women with pseudo-diabetes and with diabetes, respectively, and each of these pregnant women was examined, in accordance with the months of pregnancy, in regard to
131I-triodothyronine resin sponge uptake (RSU), estrogen values in the urine,17KS values in the urine,170H-CS values in the urine and serum insulin. Then, the serum insulin reaction at various stages of pregnancy and the effects exerted by the internal secretional factors were observed.
As a result, the following was known:
The RSU values in normal pregnant wo men decrease in proportion to the increase of the months of pregnancy;
These values in the preg nant women with a renal glucosuria, as compared with normal pregnant women and pseudodiabetic and diabetic pregnant women, would decrease conspicuously from the middle part of the pregnancy.
While the estrogen values in the urin e increase in proportion to the number of the months of pregnancy, such an increase becomes especially noticeable in the middle part indicated in the diabetic pregnant women as compared with normal pregnant women, these values in the pseudo-diabetic and diabetic pregnant women, on the contrary, would somewhat decrease.
In regard to 17KS values in the urine and 17OH CS values in the urine, the values were seen to increase from the latter part of pregnancy. In respect to the 17OH-CS values in the urine, no marked difference was noticed between the pseudo-diabetic and diabetic pregnant women, on the one hand, and normal pregnant women, on the other, while the pregnant women of renal glucosuria, as compared with the former, indicated somewhat higher values.
In contrast to th is, the 17 KS values in the urine were seen to markedly increase in the middle part of pregnancy in the case of the pregnant women with a renal glucosuria, pregnant women with a pseudo-diabetes and diabetes, f. as compared with that of normal pregnant women.
Then, the serum insulin was examined in each of these pregnant women, with the following result.
In the case of the normal pregnant women, the serum insulin reaction was understood to present a somewhat delayed type after the middle part of pregnancy, especially in the latter part of pregnancy.
Compared with this, the serum insulin secretion in the pregnant women with a renal glucosuria, as compared with that of the normal pregnant women, appeared to be rather stimulated, indicating an almost identical serum insulin reaction with healthy women. In the case of the pregnant women with a pseudo-diabetes and diabetes, the serum insulin reaction indicated in the early part of pregnancy was rather of delayed type, but in the middle part, and, especially, in the latter part, of pregnancy, the insulin secretion was seen to be greatly delayed, thereby indicating an insulin reaction resembling the type of a serious case of diabetes.
From the results m entioned above, it was firmly believed that the balance among the variously opposing internal secretional actions and the varying extent of disturbance in the insulin secretion, combined together, would constitute one of the causes of metabolical fluctuations.
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