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glycosuriaFrom: Robert Brenner (robbrenner@earthlink.net)Thu Mar 28 14:31:09 1996
I would rather we not ever again check a pregnant woman's urine for >>glucose. Over 50% of pregnant women will spill glucose and nearly 25% >>of gestational diabetics will not. I agree 100%. Let me tell you about a trap I fell into. I had a Class B diabetic who was moderately well controlled with insulin. I was using the old Hollister OB record at the time where there were two columns, one for protein and one for glucose. By about 34 weeks, the titles of the columns were well away from the row for the entry of the day's exam. I saw a 4+ in one of the columns and assumed it was 4+ glucose (you know how you look over those charts in a hurry). Well it was 4+ protein and although the blood pressure was 130/80, I missed the diagnosis and sent the patient home. She presented 2 days later with PROM and seized 1 hour after admission to the hospital. Our present OB charts do not have a column for glucose in the urine. Any "plus" that I see in the urine column is significant.
-- Robert Brenner MD FACOG Baltimore MD Robbrenner@earthlink.net
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