Volume 21 Issue 3
Mar.  2023
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ZOU Suzhen, YE Qiong, WU Linlin, NI Juanjuan. Evaluation of the efficacy of individualized nutritional guidance on blood glucose and complications in patients with gestational diabetes mellitus[J]. Chinese Journal of General Practice, 2023, 21(3): 438-441. doi: 10.16766/j.cnki.issn.1674-4152.002902
Citation: ZOU Suzhen, YE Qiong, WU Linlin, NI Juanjuan. Evaluation of the efficacy of individualized nutritional guidance on blood glucose and complications in patients with gestational diabetes mellitus[J]. Chinese Journal of General Practice, 2023, 21(3): 438-441. doi: 10.16766/j.cnki.issn.1674-4152.002902

Evaluation of the efficacy of individualized nutritional guidance on blood glucose and complications in patients with gestational diabetes mellitus

doi: 10.16766/j.cnki.issn.1674-4152.002902
Funds:

 2021KY1184

  • Received Date: 2022-05-24
    Available Online: 2023-04-19
  •   Objective  This study aims to explore the evaluation of the efficacy of individualized nutritional guidance on blood glucose and complications in patients with gestational diabetes mellitus, and to provide a reference for the management of patients with gestational diabetes.  Methods  A total of 110 patients with gestational diabetes admitted to the Second Hospital of Wenzhou Medical University from June 2019 to December 2021 were randomly divided into control group (n=55) and observation group (n=55), according to the random number table method. The control group received routine gestational diabetes regimen, and the observation group received individualized nutritional guidance on the basis of the control group. After 4 weeks of intervention, the compliance rate of gestational diabetes knowledge attainment and nursing satisfaction of the two groups were compared. Fasting blood glucose and 2-hour postprandial blood glucose in the 2 groups were measured, and the pregnancy complications and neonatal complications in the 2 groups were compared.  Results  The knowledge attainment rate of gestational diabetes and nursing satisfaction score in the observation group were significantly better than those in the control group (both P < 0.05). Fasting blood glucose and 2-hour postprandial blood glucose in the observation group were (5.56±0.26) mmol/L, (6.59±0.54) mmol/L, respectively, which were significantly lower than those in the control group (5.73±0.30) mmol/L, (7.28±0.69) mmol/L (both P < 0.05). The incidence of pregnancy complications and neonatal complications in the observation group were 14.55% (8/55) and 10.91% (6/55), respectively, which were lower than 38.18% (21/55) and 34.55% (19/55) in the control group (both P < 0.05).  Conclusion  The effect of individualized nutritional support for patients with gestational diabetes mellitus is excellent, which can effectively control the blood glucose level and reduce complications.

     

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