---

Gestational diabetes mellitus (GDM) is the most common metabolic disorder during pregnancy which is associated with 3 to 4 folds of increase in the risk of maternal and fetal morbidity, if it is not diagnosed early (1). Gestational diabetes occurs from 1% to 14%, and 90% of pregnancy-related diabetes has been related to gestational diabetes (2). Glucose challenge test (GCT) and glucose tolerance test (GTT) are recommended by American Diabetes Association (ADA) for screening and diagnosing of gestational diabetes (3). In this cross-sectional study, the subjects were the pregnant women during 24-28 weeks of gestation referred to Khatam-o-allanbia laboratory of Arak city in 2009. First, we explained the aim of the project and then obtained the written consent. After being fast for at least 8-12 hours, five ml of their venous blood was drown. For GCT, the blood samples were obtained one hour after consumption of 50g of glucose powder. The Individuals whose GCT was equal or higher than 130 mg/dl were introduced for GTT in the future days. After 8-12 hours of being fast, blood samples were taken to perform GTT. Then after eating 100 grams of glucose powder, their 1, 2 and 3 hour -venous blood samples were drown to perform glucose test, using glucose testing kit of Pars Azmun Company and Mindary BS-300 autoanalyser. The average age of referred pregnant women is 27.37±10.24 year. Of 417, 403 (96.64%) have normal fasting plasma glucose (≤ 99 mg/dl) and 14 (3.36%) have abnormal fasting plasma glucose (≥ 100 mg/dl). When normal GCT is considered ≥140 mg/dl and ≥130 mg/dl, 357 (85.61%) and 308 (73.56%) have normal GCT and 60 (14.39%) and 109 (26.14%) have abnormal GCT, respectively. The Average of fasting plasma glucose (FPG) and GCT are 83.86 (73-243) and 118.32 (140-351) mg/dl, respectively. In 9 (64.29%) of women with abnormal FPG, the GCT test is also abnormal. By performing GTT for the women whose GCT was equal or higher than 130 mg/dl, 24 (5.76%) were identified with gestational diabetes and introduced for treatment. If 140 mg/dl was considered as a cutoff point of GCT, four women (0.94%) would falsely be non-diabetic. Based on this study, the prevalence of GDM is 5.74% that is not so high, compared to the range of 4.8 to 7.4% of the country (4). A study conducted by Soheilykhah et al. on 1071 pregnant women with GCT of ≥ 130 mg /dl, 31.9% of the women had abnormal GCT. After doing GTT, 110 patients (10.2%) have been diagnosed with gestational diabetes (2) that is higher than the prevalence of other studies in Iran. Due to results of this study and other studies, it seems that the GCT is not a reliable test for screening gestational diabetes. On the other hand, if GCT is going to be used, further studies are required to review the current Cutoff point of this test. Key words: Glucose challenge test (GCT), Fasting plasma glucose (FPG), Gestational diabetes.

---

Abstract Background and Objective: Diabetes mellitus is associated with cardiomyopathic changes, can be mediated by an oxidative stress. We aimed to study the effects of regular aerobic training and arbutin supplementation on total oxidant status (TOS) and total antioxidant (TAS) status in the cardiac tissue of diabetic rats. Material and Methods: fourty-two male Wistar rats with an average weight of 195 to 220 gr were randomly divided into 6 groups (7 rats per group) of control, diabetes, Arbutin, diabetes + Arbutin, diabetes + aerobic training and diabetes + aerobic training + Arbutin. Swimming training protocol consisted of 5 days/week for 6 weeks and each session was 5-36 min/day. Diabetes was induced with alloxan intraperitoneally and Arbutin (50 mg/kg) was administered subcutaneously. Results: Induced- diabetes significantly increased TOS and decreased TAS in rat heart tissue (P = 0.000). Six weeks of supplementation with Arbutin, aerobic training and combination of aerobic training and Arbutin supplementation were associated with a significant decrease in TOS (88%, 91% ,103% Respectively ) and increase in TAS (33% ,62% ,67% Respectively ). Conclusion: Compared to arbutin, aerobic training can be more effective in creating adaptation in the antioxidant defense system. Keywords: Aerobic Training, Arbutin, Total Oxidant Status, Total Antioxidant Status, Diabetes.

---

---

The aim of this study is to investigate the effect of 6 weeks of intermittent exercise on the serum level of nitric oxide, insulin resistance and some lipid profiles in male diabetic rats. Materials and methods: In this experimental study, 60 anesthetized rats (200±20) were randomly divided into 6 groups of 10:1-control-healthy, 2-sham, 3-periodic, 4-periodic+saline, 5-diabetic and 6- Diabetes + interval training were divided. Diabetes was induced by intraperitoneal injection of nicotinamide-streptozotocin. The subjects trained on the treadmill for 6 weeks, 5 sessions a week. 48 hours after the last training session, slaughter was performed and then glucose, insulin, nitric oxide, LDL, HDL, TG and cholesterol levels were measured. One-way variance test and Tukey's post hoc test were used for data analysis(p<0.05). Results: Induction of diabetes increased glucose and insulin resistance and decreased insulin and nitric oxide in the diabetic group compared to the control group. After 6 weeks of intermittent training in the diabetes group + intermittent training, the amount of glucose and insulin resistance decreased compared to the diabetes group, but the nitric oxide level increased compared to the diabetes group. But it had no effect on insulin levels. Also, 6 weeks of intermittent training had no significant effect on the amount of lipid factors in different groups(p<0.05). Conclusion: According to the results of the present study, it seems that interval training can create a protective effect against vascular diseases in diabetic patients by reducing insulin resistance and increasing nitric oxide, and as a result, improving vascular function.