The Effects of Medical Nutrition and Insulin Therapy on Diabetic Pregnant Women and Their Children ’s Health

Authors

  • Hülya Gökmen Özel Hacettepe University
  • Perihan Arslan Hacettepe University
  • Tamer Mungan GATA , Klinik Biyokimya
  • Şeref Akman GATA , Klinik Biyokimya

Keywords:

GDM, medical nutrition therapy

Abstract

This study was conducted on 55 women with gestatio n a l diabetes mellitus (GDM) who were attended to Zekai Tahir Burak Women Hospital. Although the OGTT was req u ired by World Health Organization between 24th and 28th weeks o f gestation, however in this study OGTT was applied after the 24th week o f gestation. Because in Turkey most o f the pregnant women do not attend to the hospital at early weeks o f gestation (before 28th weeks). GDM were diagnosed by 50 g glucose challenge test (blood glucose 140 mg/dL) or 100 g oral glucose tolerance test (OGTT). Although 49.6 % o f GDM were identifıed in normal BMI, obesity was very high 56.4% (ovenveight, İst, 2nd morbid) in prepregnancy period. The mean weight gain was 10.8 ± 4.6 kg at the end o f pregnancy. The medical n u tritional therapy was given to each GDM women (mean education time 42.5 ± 27.0 min) and they were monitorized by monthly visits. According to the preassessment o f the nutritional status o f pregnants o f GDM, energy (52.7 %>), protein (63.6 %), calcium (30.9 %), iron (40.0 %) and zinc (56.4 %) intakes were 75-100 % o f their daily requirements. After the nutritional education, energy (70.9 %), calcium (72.7 %), iron (58.1 %) and zinc (80.0 %) intakes were increased during pregnancy. During the diagnosis 14.3 % o f women had higher levels than normal range o f HbAlc and at the end o f the pregnancy 33.3 % o f women had higher levels than normal range (p< 0.05). After the nutrition education fasting and 2nd hour postprandial blood glucose levels were fo u n d 95.1 % and 82.6 % GDM women (105 mg/dL a n d 120 mg/dL), respectively. Clinical outcomes and anthropometric measurements were fo u n d normal o f GDM women's babies who were screened during pregnancy. It was concluded that by the following appropriate nutrition counselling, both fasting and postprandial glucose levels were decreased, and the number o f women who had normal glucose levels were increased.

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Published

2007-01-31

How to Cite

1.
Özel HG, Arslan P, Mungan T, Akman Şeref. The Effects of Medical Nutrition and Insulin Therapy on Diabetic Pregnant Women and Their Children ’s Health. Bes Diy Derg [Internet]. 2007 Jan. 31 [cited 2024 Dec. 24];35(1):17-30. Available from: https://beslenmevediyetdergisi.org/index.php/bdd/article/view/383

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