A Prospective Study of Glucose Control with Diet in Women with Gestational Diabetes Mellitus

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A Prospective Study of Glucose Control with Diet in Women with Gestational Diabetes Mellitus

Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 7

Abstract

NTRODUCTION: It is important to identify modifiable factors that may lower gestational diabetes mellitus (GDM) risk. Dietary iron is of particular interest given that iron is a strong prooxidant, and high body iron levels can damage pancreatic β-cell function and impair glucose metabolism. The current study is to determine if prepregnancy dietary and supplemental iron intakes are associated with the risk of GDM. MATERIALS AND METHODS: Study was done in Obstetrics and Gynecology department, MGM Medical College, Jamshedpur. Study duration was 1 years. It was a prospective study comprising of patients who came with raised blood glucose levels on their 1st visit. RESULTS: Prevalence of GDM (2.87%) is observed to be comparable to various other centers. Highest number of GDM cases was observed in age group of 26-30 years (62.96%). Control of glycemia with diet could be achieved in majority of women (53.85%) at 3 months post-partum as reflected by FBS levels. Incidence of Macrosomia (29.63%) and LSCS (77.78%) could not be lessened by glycemic control with diet in women with GDM. CONCLUSION: Prevalence of GDM was comparable to that of other studies. Rate of caesarean section was very high and main indications being foetal distress and cephalopelvic disproportion. Maternal and perinatal morbidity increases as duration of GDM increases. Control of glycemia with dietary treatment can help reduce occurrence of complications in mother and baby. It requires proper compliance, absence of which calls for need of insulin in most of patients with uncontrolled glycemia since first.

Authors and Affiliations

Dr. Ranju Jha, Dr. Umesh khan

Keywords

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EP ID EP377290
DOI 10.9790/0853-1707050508.
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