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Control of gestational diabetes
Author(s) -
AlNajashi S.S.
Publication year - 1995
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(95)02352-d
Subject(s) - medicine , glycemic , gestational diabetes , pregnancy , regimen , plasma glucose , diabetes mellitus , obstetrics , gestational age , complication , gestation , statistical significance , prospective cohort study , metabolic control analysis , group b , endocrinology , biology , genetics
Objective: The purpose of the study was to determine the best regimen for metabolic control of gestational diabetes. Methods: A prospective study was conducted over a period of 5 years in 355 diabetic women delivered at the King Fahd Hospital of the University, Al‐Khobar, Saudi Arabia, between January 1987 and December 1991. The patients were divided into three groups according to their mean plasma glucose levels during pregnancy: good control was defined as a mean plasma glucose level of less than 120 mg/dl (group A); moderate control as a mean plasma glucose level between 120 and 140 mg/dl (group B); and poor control as a mean plasma glucose level in excess of 140 mg/dl (group C). The t‐test was used for statistical analysis. Results: Antenatal and neonatal complications were much higher in groups B and C than in group A, the overall complication rate being five times higher in group C than in group A. Conclusion: The data indicate that good glycemic control is one determinant of maternal and fetal complications in pregnancies complicated by gestational diabetes.