Volume 21 Issue 7
Jul.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(7): 1175-1178
ZHANG Changying, CHEN Xueli, FENG Yunren, SHI Liang, HE Yuan. Study on the correlation between micronutrient intake during pregnancy and glycemic control outcomes in patients with gestational diabetes[J]. Chinese Journal of General Practice, 2023, 21(7): 1175-1178. doi: 10.16766/j.cnki.issn.1674-4152.003078
Citation: ZHANG Changying, CHEN Xueli, FENG Yunren, SHI Liang, HE Yuan. Study on the correlation between micronutrient intake during pregnancy and glycemic control outcomes in patients with gestational diabetes[J]. Chinese Journal of General Practice, 2023, 21(7): 1175-1178. doi: 10.16766/j.cnki.issn.1674-4152.003078
shu

Study on the correlation between micronutrient intake during pregnancy and glycemic control outcomes in patients with gestational diabetes

doi: 10.16766/j.cnki.issn.1674-4152.003078
  • 1.

    Obstetrical Department of Xinchang People ' s Hospital, Shaoxing, Zhejiang 312500, China

Funds:

 20191IX007

  • Received Date: 2023-03-13
    Available Online: 2023-08-28
    Abstract
  •   Objective  To analyze the correlation between micronutrients intake during pregnancy and the effect of blood glucose control in patients with gestational diabetes (GDM), and to provide a basis for clinical supplementation of micronutrients.  Methods  From May 2020 to January 2023, 100 GDM patients who underwent regular prenatal examinations at Xinchang People ' s Hospital and 100 pregnant women with normal blood glucose levels during the same period of prenatal examination were selected as the GDM group and the control group for the study (all were 27 to 35 weeks of gestation). Basic information and dietary intake status of the study subjects were obtained through questionnaire surveys and 24-hour dietary review methods. Binary logistic regression analysis was used to investigate the effect of micronutrient intake on blood glucose control in GDM pregnant women.  Results  Compared with the control group, the total dietary energy, protein, and fat intake of the GDM group were (2 217.65±156.09) kcal, (97.24±11.42) g, and (66.23±7.83) g, respectively, which were higher than those in the control group [(2 163.44±113.24) kcal, (86.43±9.82) g, (61.77±6.33) g, all P < 0.05]; Binary logistic regression showed that high protein, high fat and low carbohydrate energy supply ratio were risk factors for blood glucose control in GDM pregnant women (OR=2.462, 2.533, 2.126, P < 0.05); Vitamin A, vitamin B1, vitamin B2, vitamin B6, vitamin D, vitamin E, zinc, iron, copper, and selenium were protective factors for glycemic control in pregnant women with GDM (OR=0.451, 0.237, 0.184, 0.760, 0.228, 0.081, 0.871, 0.311, 0.073, 0.105, P < 0.05).  Conclusion  The diet structure of GDM pregnant women is unreasonable, the intake of protein and fat is too high, and the intake of carbohydrate is too low. Increased micronutrient intake is associated with better control of blood glucose in GDM pregnant women. clinical emphasis should be placed on micronutrient supplementation to reduce the incidence of gestational diabetes.

     

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