Differential effects of short and long durations of insulin-induced maternal hypoglycemia upon fetal rat tissue growth and glucose utilization

Pediatr Res. 1992 Oct;32(4):436-40. doi: 10.1203/00006450-199210000-00013.

Abstract

We studied the effects of short and long durations of insulin-induced maternal hypoglycemia upon in vivo glucose utilization of several fetal tissues in the rat. Osmotic minipumps filled with insulin were implanted in pregnant rats on d 15 or 18 of gestation (term 21.5 d), and radiolabeled 2-deoxyglucose was used to measure relative glucose utilization rates (rGU) of fetal liver, lung, muscle, kidney, heart, placenta, and brain on d 20 of gestation after 2 or 5 d of hypoglycemia. Maternal plasma glucose concentrations decreased within 24 h of pump placement and remained less than controls throughout gestation. Fetal plasma glucose and insulin concentrations on d 20 were equally reduced after 2 and 5 d of hypoglycemia. Both 2 and 5 d of hypoglycemia were associated with significant reductions in the rGU of fetal liver, lung, and muscle. Reductions in fetal kidney rGU also occurred after 2 and 5 d of hypoglycemia but to a smaller degree. rGU of fetal heart was reduced after 2 d of hypoglycemia, but was normal after 5 d of hypoglycemia. Both 2 and 5 d of hypoglycemia were associated with increased rGU of fetal brain. Five d, but not 2 d of hypoglycemia resulted in decreased fetal weight on d 20 of gestation. However, at term, newborn pups delivered of hypoglycemic mothers weighed significantly less than controls regardless of the timing of minipump placement. Liver, lung, and carcass of these growth-retarded pups weighed less than control tissues, whereas kidney, heart, and brain weights were not affected.(ABSTRACT TRUNCATED AT 250 WORDS)

MeSH terms

  • Animals
  • Blood Glucose / metabolism
  • Deoxyglucose / metabolism
  • Embryonic and Fetal Development
  • Female
  • Fetal Growth Retardation / etiology*
  • Fetal Growth Retardation / metabolism
  • Fetal Growth Retardation / pathology
  • Fetus / metabolism*
  • Fetus / pathology
  • Glucose / metabolism*
  • Hypoglycemia / chemically induced
  • Hypoglycemia / complications*
  • Insulin / blood
  • Maternal-Fetal Exchange
  • Pregnancy
  • Pregnancy Complications / chemically induced
  • Rats
  • Rats, Sprague-Dawley
  • Time Factors

Substances

  • Blood Glucose
  • Insulin
  • Deoxyglucose
  • Glucose