J Korean Diabetes.  2020 Jun;21(2):64-68. 10.4093/jkd.2020.21.2.64.

Glucose Metabolism in Pregnant Women with Normal Glucose Tolerance

Affiliations
  • 1Department of Internal Medicine, Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea

Abstract

Insulin resistance increases from conception into late pregnancy in women with normal glucose tolerance as well as women with gestational diabetes. Increasing insulin resistance during pregnancy permits adequate supply of glucose from the maternal side to the fetus. Understanding normal physiologic changes in glucose metabolism would help understand the pathophysiology of gestational diabetes mellitus.

Keyword

Diabetes, gestational; Hyperglycemia; Insulin resistance

Figure

  • Fig. 1. Interstitial glucose level monitored by continuous glucose monitoring system during pregnancy. (A) Diurnal glucose level of women at 28∼36 weeks’ of gestation. (B) Maternal glucose level after meal according to the presence (■) or absence (●) of obesity at 30 weeks’ of gestation.


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