Page last updated: 2024-11-05

tolbutamide and Diabetes, Gestational

tolbutamide has been researched along with Diabetes, Gestational in 6 studies

Tolbutamide: A sulphonylurea hypoglycemic agent with actions and uses similar to those of CHLORPROPAMIDE. (From Martindale, The Extra Pharmacopoeia, 30th ed, p290)
tolbutamide : An N-sulfonylurea that consists of 1-butylurea having a tosyl group attached at the 3-position.

Diabetes, Gestational: Diabetes mellitus induced by PREGNANCY but resolved at the end of pregnancy. It does not include previously diagnosed diabetics who become pregnant (PREGNANCY IN DIABETICS). Gestational diabetes usually develops in late pregnancy when insulin antagonistic hormones peaks leading to INSULIN RESISTANCE; GLUCOSE INTOLERANCE; and HYPERGLYCEMIA.

Research Excerpts

ExcerptRelevanceReference
" Oral glucose tolerance tests (OGTTs) and frequently sampled intravenous glucose tolerance tests (FSIGTs) were conducted on Latino women with impaired glucose tolerance and a history of gestational diabetes before and after 12 weeks of treatment with 400 mg/day troglitazone (n = 13) or placebo (n = 12)."5.09Response of pancreatic beta-cells to improved insulin sensitivity in women at high risk for type 2 diabetes. ( Azen, SP; Berkowitz, K; Buchanan, TA; Goico, J; Kjos, SL; Marroquin, A; Ochoa, C; Peters, RK; Xiang, AH, 2000)
"We conducted a randomized placebo-controlled study to determine the effects of the thiazolidinedione compound troglitazone on whole-body insulin sensitivity (SI), pancreatic beta-cell function, and glucose tolerance in 42 Latino women with impaired glucose tolerance (IGT) and a history of gestational diabetes mellitus (GDM), characteristics that carry an 80% risk of developing NIDDM within 5 years."5.08Effect of troglitazone on insulin sensitivity and pancreatic beta-cell function in women at high risk for NIDDM. ( Azen, S; Berkowitz, K; Buchanan, TA; Dunn, ME; Goico, J; Kjos, SL; Marroquin, A; Peters, R; Xiang, A, 1996)
"The prevalence of pre-eclampsia was significantly increased in the group of women treated with metformin compared to women treated with sulphonylurea or insulin (32 vs."3.70Oral hypoglycaemic agents in 118 diabetic pregnancies. ( Damm, P; Hellmuth, E; Mølsted-Pedersen, L, 2000)
"So far, gestational diabetes treated with tolbutamide has never been associated with severe hypoglycaemia in the newborn when the mother's diabetes was well controlled."1.30Prolonged elimination of tolbutamide in a premature newborn with hyperinsulinaemic hypoglycaemia. ( Christesen, HB; Melander, A, 1998)

Research

Studies (6)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's3 (50.00)18.2507
2000's2 (33.33)29.6817
2010's1 (16.67)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Brown, J1
Martis, R1
Hughes, B1
Rowan, J1
Crowther, CA1
Berkowitz, K2
Peters, R1
Kjos, SL2
Goico, J2
Marroquin, A2
Dunn, ME1
Xiang, A1
Azen, S1
Buchanan, TA2
Fanelli, CG1
Bolli, GB1
Christesen, HB1
Melander, A1
Xiang, AH1
Peters, RK1
Ochoa, C1
Azen, SP1
Hellmuth, E1
Damm, P1
Mølsted-Pedersen, L1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Effect of Gain on Closed-Loop Insulin[NCT02065895]8 participants (Actual)Interventional2013-12-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Glucose Area Under the Curve (AUC) Breakfast

Glucose Area Under the Curve (AUC) Breakfast defines the total exposure to glucose during breakfast. Breakfast is typically considered the most difficult meal to control; low AUC is desirable.This outcome measure was analyzed for each of the three calibration error values (high error, no error and low error). (NCT02065895)
Timeframe: On day #1, day #2 and day #3 (each day could be 24 hours to 7 days apart from prior one, and completed within 6 week period) 8:00 AM to 2:00 PM on day following admission, with samples obtained every 10-15 minutes, for each sequence of calibration errors

Interventionmmol/l/min (Mean)
HIGH Error66.8
NO Error48.8
LOW Error37.4

Nighttime Time-in-target 5.0-8.33mmol/l (Controller Set-point Plus and Minus 15 mg/dL)

Night-time in target range 5.0-8.33, following the 3 hour controller initialization period blood glucose remained at or near target. (NCT02065895)
Timeframe: On day #1, day #2 and day #3 (each day could be 24 hours to 7 days apart from prior one, and completed within 6 week period) 12:00 AM to 6:00 AM on day following admission, with samples obtained every 10-15 minutes, for each sequence of calibration errors

Interventionpercentage of time in target range (Median)
HIGH Error88
NO Errror100
LOW Error80

Peak and Nadir Postprandial Glucose Concentration

Highest and lowest glucose concentrations obtained during breakfast meal. (NCT02065895)
Timeframe: On day #1, day #2 and day #3 (each day could be 24 hours to 7 days apart from prior one, and completed within 6 week period) 8:00 AM to 12:00 PM on day following admission, with samples obtained every 10-15 minutes, for each sequence of calibration errors

,,
Interventionmmol/l (Mean)
Peak glucose concentrationNadir glucose concentration
Gain Decreased and Target Increased11.36.6
Gain Increased and Target Decreased13.34.5
Nadir Mean11.84.8

Reviews

1 review available for tolbutamide and Diabetes, Gestational

ArticleYear
Oral anti-diabetic pharmacological therapies for the treatment of women with gestational diabetes.
    The Cochrane database of systematic reviews, 2017, 01-25, Volume: 1

    Topics: Acarbose; Administration, Oral; Diabetes, Gestational; Female; Glyburide; Humans; Hypoglycemia; Hypo

2017

Trials

2 trials available for tolbutamide and Diabetes, Gestational

ArticleYear
Effect of troglitazone on insulin sensitivity and pancreatic beta-cell function in women at high risk for NIDDM.
    Diabetes, 1996, Volume: 45, Issue:11

    Topics: Adult; Blood Glucose; Blood Pressure; Body Mass Index; California; Cholesterol, HDL; Cholesterol, LD

1996
Response of pancreatic beta-cells to improved insulin sensitivity in women at high risk for type 2 diabetes.
    Diabetes, 2000, Volume: 49, Issue:5

    Topics: Adult; Chromans; Diabetes Mellitus, Type 2; Diabetes, Gestational; Female; Glucose; Glucose Intolera

2000

Other Studies

3 other studies available for tolbutamide and Diabetes, Gestational

ArticleYear
Sulphonylureas and pregnancy.
    European journal of endocrinology, 1998, Volume: 138, Issue:6

    Topics: Diabetes, Gestational; Female; Half-Life; Humans; Hypoglycemic Agents; Maternal-Fetal Exchange; Preg

1998
Prolonged elimination of tolbutamide in a premature newborn with hyperinsulinaemic hypoglycaemia.
    European journal of endocrinology, 1998, Volume: 138, Issue:6

    Topics: Adult; Diabetes, Gestational; Female; Half-Life; Humans; Hyperinsulinism; Hypoglycemia; Hypoglycemic

1998
Oral hypoglycaemic agents in 118 diabetic pregnancies.
    Diabetic medicine : a journal of the British Diabetic Association, 2000, Volume: 17, Issue:7

    Topics: Abruptio Placentae; Adult; Birth Weight; Cesarean Section; Cohort Studies; Diabetes Mellitus, Type 2

2000