Utjecaj glukoze i adipokina na porođajnu težinu kod trudnica sa šećernom bolesti tipa 1

Aims. The aim of this study was to relate the levels of glucose, insulin, C-peptide, leptin and adiponectin in the maternal and umbilical vein serum to the birth weight in T1DM and healthy pregnancies. Methods. The study included 120 pregnant women divided into 4 groups: 30 suffering from type 1 diabetic pregnancy (T1DM) who gave birth to eutrophic and 30 who gave birth to macrosomic infants ; 30 from Control group (CTRL) who gave birth to eutrophic and 30 who gave birth to macrosomic infants. Serum insulin, C-peptide, leptin and adiponectin levels were quantified by ELISA. Results. Fetal macrosomia is associated with higher level of leptin in the fetal serum in both groups (T1DM: p=0.049 ; CTRL: p=0.031). Fetal levels of glucose and insulin have an influence on birth weight in the Control group (glucose: p=0.002 ; insulin: p=0.015). Adiponectin levels are higher in the maternal (p=0.001) and fetal serum (p