Influence of phased weight control in patients with gestational diabetes mellitus on blood glucose standard
Hu Peng
Xu Rong
Abstract：Objective:To probe into the influence of phased weight control in patients with gestational diabetes on blood sugar standard.Methods:A total of 45 patients with gestational diabetes who were discharged from January 2011 to De-cember 2013 were selected as control group,and 62 patients with gestational diabetes who were discharged from January 2014 to December 2014 were selected as observation group.In addition to the regular diabetes dietary and exercise thera-pies,both groups of patients were treated with multiple daily insulin injection to keep glucose good control,and four times of blood sugar monitoring.The patients in observation group underwent phased weight control.The fasting glu-cose level,2 h postprandial glucose level,the glucose level before dinner,the glucose level before sleeping,and weight gain were compared on the last day of the first,second,and third month since discharging between both groups.The fre-quency of extra food intake,HbA1 c levels,body mass index,and the frequency of hypoglycemia were compared in three months since discharging between both groups.Results:There was no statistically significant difference in fasting glucose level,2 h postprandial glucose level,the glucose level before dinner,bedtime blood glucose at the end of first month and the second month since discharging (P>0.05).The two groups also had similar weight gain at the end of the first month since discharging(P >0.05).However,compared with the control group,the patients in observation group had signifi-cantly lower fasting glucose level,2 h postprandial glucose level,the glucose level before dinner and bedtime blood glu-cose at the end of the third month since discharging(P <0.05).The patients in observation group also had significantly lower weight gain at the end of the second,and the third month since discharging(P <0.05).The patients in observation group had significantly lower frequency of extra food intake,HbA1 c levels,body mass index,and the frequency of hypo-glycemia compared with that in control group.Conclusion:Weight gain affected the glucose control in patients with gesta-tional diabetes.Phased controlling weight could promote glucose control standard in patients with gestational diabetes.
Keywords：diabetespregnancybody mass indexglucose
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1198-1200,1207 )