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Glycosylated Haemoglobins and Neonatal Macrosomia

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Gestational Diabetes
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Abstract

The coupling of glucose to haemoglobin is dependent on time, concentration and pH. The optimum pH is 7.4 (Niederau etal., 1980). The process is not catalyzed enzymatically and is relatively slow. Although aldimine is formed by attachment of the sugar to the N-terminal β-chain of haemoglobin, glucose can be split off again by an increase in blood acidity or, for example, by processes occurring during dialysis (Niederau etal., 1980). A stable ketoamine is only formed by a prolonged process of molecular transformation according to Amadori (Fig. 26).

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© 1988 Springer-Verlag/Wien

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Czekelius, P., Rollmann, J. (1988). Glycosylated Haemoglobins and Neonatal Macrosomia. In: Weiss, P.A.M., Coustan, D.R. (eds) Gestational Diabetes. Springer, Vienna. https://doi.org/10.1007/978-3-7091-8925-2_9

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  • DOI: https://doi.org/10.1007/978-3-7091-8925-2_9

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-8927-6

  • Online ISBN: 978-3-7091-8925-2

  • eBook Packages: Springer Book Archive

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