Insulin Treatment of Hypertriglyceridemia During Pregnancy

Objective: This study aims to investigate the efficiency of insulin on the reduction of gestational lipid profiles and try to propose a real-world approach to assist clinicians.Methods: A retrospective, single-centered cohort study of 35 cases was conducted from October 2018 to July 2021 in Shanghai...

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Main Authors: De-cui Cheng, Yao Su, Feifei Li, Xianming Xu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-01-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2021.785756/full
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author De-cui Cheng
Yao Su
Feifei Li
Xianming Xu
author_facet De-cui Cheng
Yao Su
Feifei Li
Xianming Xu
author_sort De-cui Cheng
collection DOAJ
description Objective: This study aims to investigate the efficiency of insulin on the reduction of gestational lipid profiles and try to propose a real-world approach to assist clinicians.Methods: A retrospective, single-centered cohort study of 35 cases was conducted from October 2018 to July 2021 in Shanghai General Hospital. SPSS version 25.0 was performed to analyze the whole data. For continuous variables, a paired-sample t test was carried out on each variable to make a comparison between before and after treatment.Results: The average pre-pregnancy TGs and TCs of these patients were about 3.96 ± 1.42 mmol/L and 4.78 ± 1.18 mmol/L, respectively. The maximum of TG before insulin treatment was up to 64.62 and TC 20.43 mmol/L, which decreased to 17.34 and 4.92 mmol/L after intervention of the insulin drip. TG was noticed to fall by 77% and 12.71% of TG, respectively. The difference of TG and TC between pre-treatment and post-treatment were statistically significant (p < 0.01), while this difference has not been found in the other laboratory tests reports. The outcomes of newborns and mothers with management of insulin were proven to be improved.Conclusion: The use of insulin in the management of gestational hypertriglyceridemia is safe and efficient, and insulin may become a mainstream in the near future to mitigate serum TG and TC levels in the pregnancy period besides regulating the blood glucose level.
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spelling doaj.art-d660235c37b549ae832471260a8f93cc2022-12-22T01:46:47ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122022-01-011210.3389/fphar.2021.785756785756Insulin Treatment of Hypertriglyceridemia During PregnancyDe-cui ChengYao SuFeifei LiXianming XuObjective: This study aims to investigate the efficiency of insulin on the reduction of gestational lipid profiles and try to propose a real-world approach to assist clinicians.Methods: A retrospective, single-centered cohort study of 35 cases was conducted from October 2018 to July 2021 in Shanghai General Hospital. SPSS version 25.0 was performed to analyze the whole data. For continuous variables, a paired-sample t test was carried out on each variable to make a comparison between before and after treatment.Results: The average pre-pregnancy TGs and TCs of these patients were about 3.96 ± 1.42 mmol/L and 4.78 ± 1.18 mmol/L, respectively. The maximum of TG before insulin treatment was up to 64.62 and TC 20.43 mmol/L, which decreased to 17.34 and 4.92 mmol/L after intervention of the insulin drip. TG was noticed to fall by 77% and 12.71% of TG, respectively. The difference of TG and TC between pre-treatment and post-treatment were statistically significant (p < 0.01), while this difference has not been found in the other laboratory tests reports. The outcomes of newborns and mothers with management of insulin were proven to be improved.Conclusion: The use of insulin in the management of gestational hypertriglyceridemia is safe and efficient, and insulin may become a mainstream in the near future to mitigate serum TG and TC levels in the pregnancy period besides regulating the blood glucose level.https://www.frontiersin.org/articles/10.3389/fphar.2021.785756/fullinsulinhypertriacylglycerolemiapregnancyhypercholesterolemiafetus
spellingShingle De-cui Cheng
Yao Su
Feifei Li
Xianming Xu
Insulin Treatment of Hypertriglyceridemia During Pregnancy
Frontiers in Pharmacology
insulin
hypertriacylglycerolemia
pregnancy
hypercholesterolemia
fetus
title Insulin Treatment of Hypertriglyceridemia During Pregnancy
title_full Insulin Treatment of Hypertriglyceridemia During Pregnancy
title_fullStr Insulin Treatment of Hypertriglyceridemia During Pregnancy
title_full_unstemmed Insulin Treatment of Hypertriglyceridemia During Pregnancy
title_short Insulin Treatment of Hypertriglyceridemia During Pregnancy
title_sort insulin treatment of hypertriglyceridemia during pregnancy
topic insulin
hypertriacylglycerolemia
pregnancy
hypercholesterolemia
fetus
url https://www.frontiersin.org/articles/10.3389/fphar.2021.785756/full
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AT yaosu insulintreatmentofhypertriglyceridemiaduringpregnancy
AT feifeili insulintreatmentofhypertriglyceridemiaduringpregnancy
AT xianmingxu insulintreatmentofhypertriglyceridemiaduringpregnancy