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June 1956

Renal Glycosuria in Pregnant Diabetic: Patients

Author Affiliations

Salt Lake City

AMA Arch Intern Med. 1956;97(6):758-761. doi:10.1001/archinte.1956.00250240110010

Pregnancy in diabetic patients has been the subject of an extensive medical literature in recent years. Numerous descriptions have been presented of the course of diabetes during pregnancy, the types of obstetric and metabolic complications encountered, and the incidence and effects of various fetal abnormalities. Among the metabolic changes which can cause serious difficulty in the management of diabetes during pregnancy is renal glycosuria. Although numerous authors briefly mention the occurrence of renal glycosuria during diabetic pregnancy,* none has described in detail the difficulties it causes, and, indeed, this is not mentioned in a recently published discussion of the management of diabetes and pregnancy.15

Our attention has been called forcibly to this phenomenon by its observation in two patients in whom hypoglycemia and ketosis were serious problems during pregnancy.

CLINICAL MATERIAL AND METHODS  Ten pregnant diabetic patients, seen from 1949 to 1955, comprise the clinical material for this report.

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