Fetal vascular responses to maternal glucose administration in streptozocin-induced ovine diabetes mellitus

Jan E. Dickinson, Bruce A. Meyer, Sue M. Palmer

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective: To assess the impact of administration of a glucose load to the pregnant diabetic ewe on fetal biochemistry and umbilical-placental perfusion. Methods: Six pregnant ewes were rendered glucose intolerant by the administration of streptozocin at 85-90 days gestation. An intravenous glucose load was administered to the 6 diabetic ewes and 4 control animals at 125-130 days gestation. Assessment of the fetal responses to this glucose load was made by cardiovascular monitoring, biochemical evaluation and measurement of fetal blood flows by the radioactive microsphere technique. Results: In the fetus of the diabetic ewe the arterial pH progressively decreased from 7.36 ± 0.04 to 7.10 ± 0.09 (p < 0.05) 180 minutes after the maternal glucose load. These fetuses displayed a consistent and significant reduction in arterial oxygen tension compared to controls, with a decrease in pO2 from 14.9 ± 3.3 mmHg at baseline to 11.3 + 3.7 mmHg after 180 minutes. Umbilical-placental blood flow did not alter significantly in the fetus of the diabetic ewe following glucose administration, although in the control fetuses there was a significant reduction from baseline after 60 minutes. Blood flow to the fetal brain and kidney were significantly elevated in the fetus of the diabetic ewe compared to control at all times, suggesting a metabolic adaptation to preserve oxygen delivery may be present. Conclusions: Maternal hyperglycemia produces profound metabolic alterations in the ovine fetus which are unaccompanied by significant alterations in umbilical-placental blood flow. In the chronically hyperglycemic pregnant ewe, a glucose load produces a major disturbance of fetal homeostasis.

Original languageEnglish (US)
Pages (from-to)325-333
Number of pages9
JournalJournal of Obstetrics and Gynaecology Research
Volume24
Issue number5
StatePublished - Oct 1998

Fingerprint

Streptozocin
Blood Vessels
Sheep
Diabetes Mellitus
Mothers
Fetus
Glucose
Umbilicus
Oxygen
Pregnancy
Fetal Blood
Microspheres
Hyperglycemia
Biochemistry
Arterial Pressure
Homeostasis
Perfusion
Kidney
Brain

Keywords

  • Diabetes
  • Ovine
  • Streptozocin
  • Umbilical-placental blood flow

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Fetal vascular responses to maternal glucose administration in streptozocin-induced ovine diabetes mellitus. / Dickinson, Jan E.; Meyer, Bruce A.; Palmer, Sue M.

In: Journal of Obstetrics and Gynaecology Research, Vol. 24, No. 5, 10.1998, p. 325-333.

Research output: Contribution to journalArticle

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