title: The Hyperglycemia and Hyponatremia Response of Patients During Operative Hysteroscopy with 5% Dextrose in Water (D5W)
abstract: In 20 patients undergoing operative hysteroscopy using D5W, the rate of hyperglycemia and hyponatremia was examined. All patients exhibited hyperglycemia during and two hours after the procedure as follows: ten patients had hyperglycemia but with less than 100% increase from the normal level of serum glucose, two patients had between a 100% and 300% increase, and eight patients had more than a 300% increase. The rate of hyponatremia was higher in group three than one (7/8 versus 1/10, P=0.0037). The oral GTT was normal in all of the patients. One explanation of these results is that the difference in absorption of glucose is the cause of different hyperglycemic responses. Can we find a test to distinguish these groups prior to hysteroscopic operation?
authors.affiliation: Dept. of Ob/Gyn - Tehran University of Medical Sciences, Endoscopy and Fertility Research Center, Mirza Kouchek Khan Hospital, P.O. Box 14155-1689, Tehran, Iran.
authors.initials: N
authors.lastname: Moghadami-Tabrizi
authors.initials: K
authors.lastname: Mohammad
authors.initials: H
authors.lastname: Dabirashrafi
authors.initials: K
authors.lastname: Zandimejad