Self-Blood Glucose Management of Diabetes in Pregnancy

Introduction: Gestational diabetes mellitus (GDM) is diagnosed by elevated blood glucose in pregnancy though the definition has changed repeatedly since its first description in the 1960’s. The most frequently reported perinatal consequence of GDM is macrosomia (usually defined as a neonate weighing over 4 kg) which can increase the risk of caesarean section and shoulder dystocia. For the mother, there are also potential longer-term consequences including an increased risk of type 2 diabetes post-pregnancy and/or in later life. The investigators of a large international Hyperglycemia and Adverse Pregnancy Outcome (HAPO) study aimed to identify a cut-point in the continuum to decide the blood glucose level (BGL) thresholds that should be used to define GDM. Objective: To assess the incidence rate of gestational diabetes in pregnancy among the elderly primi mother. To assess the health seeking behavior of gestational diabetes in elderlyprimimothers. To associate the demographic variables of gestational diabetes in elderly primi mothers. Materials and Methods: A Descriptive research study was to assess the incidence and Health seeking behavior of gestational diabetes in pregnancy among the elderly primi mother. The target population for the study includes all antenatal women (12-36 weeks of gestation) who attend the antenatal clinics of AVBRH Out Patient Department. Sample consists of sub set of units that compose accessible population. In this study sample size was 100 elderly primi mother of selected area of community of Wardha. A tool is an instrument or equipment used for collection of data. A blue print was prepared prior to the construction of knowledge questionnaire based on which items were developed. Results: A finding shows that (41%) were having good, (40%) were having very good, (17%) were having average and (2%) were having excellent knowledge score. The minimum score was 05 and maximum score was 14, the mean score for the test was 8.93 ± 2.23 and mean percentage of knowledge was 59.54%. There was no significant association in relation to age, education, occupation, No.of gravida, income etc.

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Implementation of an Intrapartum Glucose Management Protocol for Diabetes in Pregnancy

American Journal of Obstetrics and Gynecology ◽

10.1016/j.ajog.2021.11.444 ◽

2022 ◽

Vol 226 (1) ◽

pp. S261

Author(s):

Patrick Schneider ◽

Erin Cleary ◽

Wasi Khatri ◽

Keri Cooper ◽

Keiko Smith ◽

...

Keyword(s):

Diabetes In Pregnancy ◽

Management Protocol ◽

Glucose Management ◽

In Pregnancy

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Comparison 0f venous plasma glucose versus capillary blood glucose for the screening of diabetes in pregnancy

10.26226/morressier.59d5184cd462b80296ca3f13 ◽

2017 ◽

Author(s):

Channa Zenab

Keyword(s):

Blood Glucose ◽

Plasma Glucose ◽

Capillary Blood ◽

Capillary Blood Glucose ◽

Diabetes In Pregnancy ◽

In Pregnancy ◽

Venous Plasma

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Insulin dependent diabetes in pregnancy: Impact of maternal blood glucose control on the offspring

Journal of Paediatrics and Child Health ◽

10.1111/j.1440-1754.1993.tb00433.x ◽

1993 ◽

Vol 29 (1) ◽

pp. 20-23 ◽

Cited By ~ 5

Author(s):

B. PERSSON ◽

U. HANSON

Keyword(s):

Blood Glucose ◽

Glucose Control ◽

Blood Glucose Control ◽

Maternal Blood ◽

Insulin Dependent Diabetes ◽

Diabetes In Pregnancy ◽

Insulin Dependent ◽

In Pregnancy

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Screening for Diabetes in Pregnancy: Is a random blood glucose enough?

Diabetic Medicine ◽

10.1111/j.1464-5491.1987.tb00854.x ◽

1987 ◽

Vol 4 (2) ◽

pp. 160-163 ◽

Cited By ~ 22

Author(s):

N. I. Jowett ◽

A. K. Samanta ◽

A. C. Burden

Keyword(s):

Blood Glucose ◽

Diabetes In Pregnancy ◽

Random Blood Glucose ◽

In Pregnancy

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Initiative for self-control of blood sugar-diabetes in pregnancy

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20214292 ◽

2021 ◽

Vol 8 (11) ◽

pp. 5481

Author(s):

Aisha Syed Wali ◽

Annum Ishtiaq ◽

Anum Rahim

Keyword(s):

Blood Glucose ◽

Diabetes Education ◽

Blood Glucose Control ◽

Cost Effective ◽

Nutrition Therapy ◽

Self Control ◽

Diabetes In Pregnancy ◽

Middle Income ◽

Taking Charge ◽

In Pregnancy

Our aim was to empower underprivileged women to self-control their blood glucose during pregnancy so that optimum blood glucose values and its monitoring can be achieved as outpatient care. A dedicated clinic was established for women with diabetes in pregnancy (DIP), that was focused on diabetes education and training of women. It was conducted by a team of a nutritionist, a trained midwife and residents. The challenges of unaffordability and language barrier were addressed. DIP clinic helped us cut down the cost of inpatient care. Awareness about DIP and its consequences on the baby motivated women to comply with medical nutrition therapy (MNT) and self-monitoring of blood glucose (SMBG). The women attained ownership and the feeling of fulfilment by taking charge of their blood glucose control for the benefit of their babies. This was a practical, cost-effective and successful health practice initiative of attaining glycemic targets in a lower middle-income population.

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1280-PUB: The Impact of Proactive and Personalized Strategies in the Self-Monitoring of Blood Glucose in Women with Diabetes in Pregnancy: The Experience of the Cohort Cuido Mi Embarazo in Mexico

Diabetes ◽

10.2337/db21-1280-pub ◽

2021 ◽

Vol 70 (Supplement 1) ◽

pp. 1280-PUB

Author(s):

LUIS ALBERTO MARTINEZ-JUAREZ ◽

JULIETA LOMELIN-GASCON ◽

JANINNE ORTEGA-MONTIEL ◽

ALEJANDRO EFRAÍN BENITEZ-HERRERA ◽

DIANA REYES-GÓMEZ ◽

...

Keyword(s):

Blood Glucose ◽

The Self ◽

Diabetes In Pregnancy ◽

Self Monitoring ◽

The Impact ◽

In Pregnancy

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Maternal and neonatal glycaemic control after antenatal corticosteroid administration in women with diabetes in pregnancy: A retrospective cohort study

PLoS ONE ◽

10.1371/journal.pone.0246175 ◽

2021 ◽

Vol 16 (2) ◽

pp. e0246175

Author(s):

Jeremy F. Tuohy ◽

Frank H. Bloomfield ◽

Caroline A. Crowther ◽

Jane E. Harding

Keyword(s):

Cohort Study ◽

Blood Glucose ◽

Glycaemic Control ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Antenatal Corticosteroid ◽

Diabetes In Pregnancy ◽

Neonatal Hypoglycaemia ◽

Corticosteroid Administration ◽

In Pregnancy

Objective To describe maternal and neonatal glycaemic control following antenatal corticosteroid administration to women with diabetes in pregnancy. Design Retrospective cohort study Setting A tertiary hospital in Auckland, New Zealand Population Women with diabetes in pregnancy who received antenatal corticosteroids from 2006–2016. Methods Corticosteroid administration, maternal and neonatal glycaemia data were retrieved from electronic patient records. Demographic data were downloaded from the hospital database. Relationships between variables were analysed using multivariate analysis. Main outcome measures Maternal hyperglycaemia and neonatal hypoglycaemia Results Corticosteroids were administered to 647 of 7317 of women with diabetes (8.8%) who gave birth to 715 babies. After an initial course of corticosteroids, 92% and 52% of women had blood glucose concentrations > 7 and > 10 mmol/L respectively. Median peak blood glucose concentration of approximately 10 mmol/L occurred 9 hours after corticosteroid administration and hyperglycaemia lasted approximately 72 hours. Thirty percent of women gave birth within 72 hours of the last dose of corticosteroids. Babies of women who were hyperglycaemic within 24 hours of birth were more likely to develop hypoglycaemia (< 2.6 mmol/L, OR 1.51 [95% CI 1.10–2.07], p = 0.01) and severe hypoglycaemia (≤ 2.0 mmol/L, OR 2.00 [95% CI 1.41–2.85], p < 0.0001) than babies of non-hyperglycaemic mothers. There was no association between maternal glycaemia within 7 days of the last dose of corticosteroids and neonatal hypoglycaemia. Conclusions Hyperglycaemia is common in women with diabetes in pregnancy following antenatal corticosteroid administration. Maternal hyperglycaemia in the 24 hours prior to birth is associated with increased risk of neonatal hypoglycaemia. Limitations included the retrospective study design, so that not all data were available for all women and babies and the glucose testing schedule was variable.

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