Abstract

Purpose: To compare the Lipid peroxidation and Total antioxidant status in women with gestational diabetes mellitus and normal pregnancy in our environment. Materials & Methods: This was a 2-year, cross sectional, case control study of 25 gestational diabetes mellitus (GDM) and 75 matched normal pregnant women at Ladoke Akintola University of Technology (LAUTECH) Teaching Hospital, Osogbo, Nigeria. The study protocol was reviewed and approved by our Institutional Ethical Review Committee and all participants gave their consents. The fasting serum of recruited patients were analysed for lipid peroxidetion product malondialdehyde(MDA), based on MDA reaction with thiobarbituric acid (TBA), with rapid, sensitive and specific Thiobarbituric Acid (TBA) assay, while the Total Anti-oxidant status (TAS) was determined using the capacity of the biological fluids to inhibit the production of thiobarbituric acid reactive substances (TBARS) from sodium benzoate under the influence of the free oxygen radicals derived from Fenton’s reaction. Results: The mean serum MDA was significantly higher in the GDM group (3.64 nmol/mL) than the value recorded (1.33 nmol/ mL) in the control group (P vs. 0.66 nmol/mL) was noticed in the GDM group (P

Highlights

  • The World Health Organisation defined gestational diabetes mellitus (GDM) as carbohydrate intolerance resulting in hyperglycaemia of variable severity with onset or first recognition that usually during the second half of pregnancy

  • The fasting serum of recruited patients were analysed for lipid peroxidetion product malondialdehyde(MDA), based on MDA reaction with thiobarbituric acid (TBA), with rapid, sensitive and specific Thiobarbituric Acid (TBA) assay, while the Total Anti-oxidant status (TAS) was determined using the capacity of the biological fluids to inhibit the production of thiobarbituric acid reactive substances (TBARS) from sodium benzoate under the influence of the free oxygen radicals derived from Fenton’s reaction

  • A total of 100 patients were recruited for study, of which 25 were women diagnosed with gestational diabetes mellitus and 75 were normal pregnant women (Controls)

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Summary

Introduction

The World Health Organisation defined gestational diabetes mellitus (GDM) as carbohydrate intolerance resulting in hyperglycaemia of variable severity with onset or first recognition that usually during the second half of pregnancy. It affects 3% - 10% of pregnancies, depending on the population studied [1]. Pregnancy is a physiological condition characterised by various potentially diabetogenic hormonal changes due to increase in glucocorticoids, human placental lactogen and oestrogens This can result in insulin resistance and it may be the first life challenge of a woman’s ability to respond to a physiological stress and to detect those at greater risk of developing diabetes in the future. Oxidative stress which is a general term used to describe the steady state level of oxidative damage to cell, tissue or organ, caused by the elevated reactive oxygen species (ROS) [4], has been associated with type 2 diabetes mel-

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