LATENT DIABETES MELLITUS

CLINICAL DIABETES MELLITUS

DR. M. I. DRURY

Commentary : There were 8 cases of Latent D.M. (1 SB) alxd 3 cases of Clirdcal D.M.

(1 NND)--see tables. Of 7 new cases of Latent D.M. 4 were diagnosed after delivery. In 3 of these

there were indications for a G.T.T. before delivery--one had a family history of D.M. arm two others had previously delivered big babies.

25

Reg

. N

o.

Age

Parity

Fam

ily

Pre

gnan

cies

H

isto

ry

befo

re D

.M.

of

and

wei

ghts

D

iabe

tes

in l

bs.

LA

TE

NT

D

IAB

ET

ES

M

EL

LIT

US

M

atu

rity

at

Rea

son

for

Pre

gnan

cies

fi

rst

visi

t T

est

and

af

ter

to D

iabe

tic

Obs

tetr

ical

R

esu

lt

D.M

. C

lini

c tr

eatm

ent

Med

ical

tr

eatm

ent

Del

iver

y In

fan

t lb

. oz

.

Cor

tiso

ne

G.T

.T.

6/52

la

ter

]329

6

B32

4

N36

2

to

B98

2

B99

0

B17

82

N25

05

B33

37

3O

27

35

43

28

32

33

31

3 +a

Neg

ativ

e 2

ab.

Po

stp

artu

m

2 L

(1

=9

lb.

) be

caus

e b

aby

1

NN

D

wei

ghed

11

lb.

2 hr

. = 1

81

2½ h

r. =

144

1+

o P

osit

ive

--

Po

stp

artu

m

(fat

her)

(L

aten

t D

.M.

diag

nose

d 19

64)

2 +0

N

egat

ive

2 L

G

lyc.

at

36

(nor

mal

wts

) w

eeks

(al

so

obes

e)

2 hr

. =2

00

2~

hr.

= 1

50

7 +o

Neg

ativ

e 7L

2 =

10

lb.

Bab

y w

eigh

ts

3 +0

Pos

itiv

e 3

L

Po

stp

artu

m

(nor

mal

wts

) F

.H.

Pos

itiv

e an

d b

aby

9~

lb.

2 +0

N

egat

ive

2 L

A

t 43

wee

ks

(10

lb.

9.13

) fo

r G

lyc.

an

d

big

babi

es.

2 h

r.=

22

0

2½ h

r.=

18

0

1+o

Neg

ativ

e 1

L

3/7

afte

r (7

.12)

de

live

ry

beca

use

of w

t.

of b

aby

--1

0.6

2

hr.

=2

00

2½

hr.

= 1

40

8 +1

? 8L

A

t 24

wee

ks

Wts

. no

rmal

fo

r G

lyc.

Po

stp

artu

m

2 L

P

ost

par

tum

P

.O.M

. an

d d

rip

at 3

8 w

eeks

1 L

37

wee

ks

P.O

.M.

at 3

7½ w

eeks

1 L

P

ost

par

tum

1 L

P

ost

par

tum

1 L

43

wee

ks

P.O

.M.I

.D.I

. 15

½ h

rs.

1 L

P

ost

par

tum

1 S

B

Po

stp

artu

m

Adm

. at

38

wee

ks f

or

indu

ctio

n b

y

P.O

.M.

afte

r V

ersi

on.

Fre

sh S

B

Spo

ntan

eous

Spo

ntan

eous

Spo

ntan

eous

Spon

tane

ous

Spo

ntan

eous

Spo

ntan

eous

(S

houl

der

dyst

ocia

)

Spo

ntan

eous

Spo

ntan

eous

11

0 L

8 6

L

5 14

L

9 1

L

9 8

L

10 1

3 L

10

6 L

7 14

S

B

Neg

ativ

e

Neg

ativ

e

Def

ault

ed

Pos

itiv

e

Pos

itiv

e

Def

ault

ed

Def

ault

ed

Neg

ativ

e

CL

INIC

AL

D

IAB

ET

ES

M

EL

LIT

US

Reg

. N

o.

Age

P

arit

y

Preg

nanc

ies

befo

re

onse

t of

D

iabe

tes

Out

com

e an

d w

eigh

t

Dur

atio

n of

D

iabe

tes

(yea

rs)

Wh

ite'

s C

lass

ifi-

ca

tion

Pre

g-

Mat

urit

y na

ncie

s at

fir

st

afte

r vi

sit

to

onse

t of

D

iabe

tic

Obs

tetr

ical

D

iabe

tes

Clin

ic

trea

tmen

t Control

Non

- pregnant

dose

Max

imum

dose

whe

n p

reg

nan

t C

ompl

icat

ions

D

eliv

ery

Infa

nt

t,o

18

85

8 +~

1 L

(7.

10)

lab

. 1

SB

(0.

12)

B

3L

1

NN

D

1010

20

~-

o __

7

B

$ L

995

4+e

10

84

14

P.O

.M.

faile

d to

in

duce

lab

our

Cae

sare

an se

ctio

n (r

epea

t)

14

Pri

mar

y C

aesa

rean

se

ctio

n fo

r pl

acen

ta

pra

evia

an

d a

eci-

de

ntal

hae

mor

rhag

e at

84

wee

ks.

20

Rep

eat C

aesa

rean

se

ctio

n at

37

wee

ks

Goo

d

Goo

d

10

Len

te

40 L

ento

40 u

nits

as

Act

rapi

d B

/D

86 L

ente

12

8L

ente

100

Uni

ts a

s A

ctra

pid

B/D

Cae

sare

an

sect

ion

Pla

cent

a p

raev

la C

aesa

rean

A

.P.H

. se

ct/o

n

M.8

.4

L.

MA

.10

MN

D

Aut

opsy

: A

sphy

xia.

P

ulm

onar

y di

seas

e of

ne

wbo

rn.

B

4 L

G

ood

--

Cae

sare

an

M.0

.14

(I M

ongo

l)

sect

ion

--L

.