Influence of individualized diet on glycemic control and pregnancy outcomes in patients with gestational diabetes / 中国基层医药

ABSTRACT

Objective To explore and analyze the influence of individual diet on glycemic control and pregnancy outcomes in patients with gestational diabetes .Methods 80 patients with gestational diabetes were selected as study objects , and according to the time sequence they were divided into control group and observation group,40 cases in each group .The control group was only given routine therapy , the observation group received individualized diet control based on the routine therapy .The blood sugar change and pregnancy outcome were compared between the two groups .Results Compared with before treatment ,the fasting plasma glucose ,postprandial 1h blood sugar,postprandial 2h blood sugar,IRI in the two groups after treatment were decreased ,postprandial 1h insulin value,postprandial 2h insulin value,IFI in the two groups were increased .And those indicators in the observa-tion group were improved more significantly compared with the control group ( t =5.34,5.13,5.24,5.53,5.24, 5.56,5.41,all P <0.05).The incidence rates of premature,macrosomia and cesarean section of the observation group were lower than those of the control group (2.50％vs.10.00％、2.50％vs.10.00％、5.00％vs.22.5％),the differences were statistically significant (χ2 =4.87,5.12,4.87,all P<0.05).The incidence rates of fetal distress, premature rupture of membranes , perinatal death between the two groups had no statistically significant differences (χ2 =0.90,0.77,0.56,all P>0.05).Conclusion Conventional treatment combined with individualized diet can delay the progression of the pregnant women gestational diabetes,lower blood sugar level,improve the pregnancy outcome.