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Medical nutrition treatment of women with gestational diabetes mellitus by a telemedicine system based on smartphones
Author(s) -
Yang Ping,
Lo Wenpin,
He Zonglin,
Xiao Xiaomin
Publication year - 2018
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.13669
Subject(s) - medicine , gestational diabetes , postprandial , group b , obstetrics , gestational age , diabetes mellitus , pregnancy , analysis of variance , telemedicine , fetus , gestation , endocrinology , health care , genetics , economic growth , economics , biology
Aim To explore whether WeChat platform‐based treatment of women with gestational diabetes mellitus (GDM) reduces the risk of perinatal complications and explore factors affecting gestational age at delivery. Methods Pregnant women with GDM ( n = 107) and normal glucose tolerance ( n =50, group C) according to oral glucose tolerance test (OGTT) results during gestational weeks 24–28 were included. Women with GDM were divided into groups A ( n =57) and B ( n =50) according to informed consent. According to GDM treatment norms, group B was given routine outpatient treatment and health education guidance. In addition to the interventions in group B, group A was given access to both a smartphone‐based telemedicine system and articles providing continuous health education. The PBG level in groups A and B was compared, as were differences in maternal and fetal outcomes. Data were analyzed by t ‐test, analysis of variance ( anova ), chi‐square test and multiple linear regression, with P < 0.05 considered significant. Results Fasting blood glucose (FBG) and 2‐h postprandial blood glucose (PBG) were significantly lower and premature delivery was significantly less likely in group A than in group B (all P < 0.05). Compared with group B, caesarean section was more likely in group A ( P < 0.05). Pregnancy‐induced hypertension had a higher incidence in group B than in group C ( P < 0.05). Gestational age at delivery was associated with OGTT2h, premature fetal membrane rupture and self‐monitoring of blood glucose. Conclusion GDM treatment based on the WeChat platform effectively reduces FBG and 2‐h PBG and may improve pregnancy outcomes. However, 1‐h PBG was not affected by treatment. Obstetricians should consider the OGTT2h value to increase gestational age at delivery.