Title: Gestational Diabetes Mellitus, no more nightmares, it can be controlled by little alteration in diet and lifestyle of the mother

Authors: Saxena Vivek*, Saxena Shreshtha

 DOI:  http://dx.doi.org/10.18535/jmscr/v4i7.26

Abstract

Introduction-Gestational diabetes mellitus (GDM) is defined as impaired glucose tolerance with onset or first recognition during pregnancy¹.Proper dietary management and little changes in patient’s lifestyle are very effective for reducing her plasma glucose level.

Aims and objectives-Proper counselling of the patients and flexibility in lifestyle and diet is beneficial to decrease plasma glucose level in GDM patients.

Materials and Methods-Total 54 GDM patients of age >18 years were taken. We had four counselling sessions with them at different intervals and discussed about their lifestyle and diet pattern. The patients were explained how  we can effectively control their plasma glucose level with the little modification in their diet and routine activities.

Results and conclusion-Results were very rewarding as patients could acquire lifestyle of their choice. All the 54 patients were normoglycemic in remaining antenatal period,38 patients were delivered normally and 16 patients underwent caesarean section due to various resions. Regular counselling of the patients regarding their disease and little  alterations in diet and lifestyle, controlled the plasma glucose level much effectively.

Key words- Gestational diabetes mellitus, pregnancy, dietary management

References

 

1.      American Diabetes Association. Diagnosis and Classification of diabetes mellitus. Diabetes   Care 2013;36:suppl (1)s67-74.

2.      International association of Diabetes and Pregnancy Study Groups Consensus Panelled et al. International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregna-ncy. Diabetes Care.2010;33:676-682. 

3.      Hirst JE1, Tran TS, Do MA, Rowena F, Morris JM, Jeffery HE. Women with gestational diabetes in Viatnam:a qualitative study to determine attitudes and health behaviours.BMC pregnancy and childbirth 2012;Vol 1:Number 1:Page 1.

4.      Takashi Sugiyama ,Management of Gestational Diabetes Mellitus .JMAJ 54(5) ,293-300,2011.

5.      Luciana Vercoza Viana, Jorge Luiz Gross and Mirela Jobim Azevedo .Dietary  Intervention in Patients with Gestational Diabetes Mellitus: A Systemic Review and Meta-analysis of Randomized Clinical Trials on Maternal  and Newborn Outcomes. Diabetes Care.2014 Dec;37(12):3345-3355.

6.      V. Laksmi Prasanna ,Dr A. Jyothi Gestational Diabetes and Dietary Management Paripex-Indian Journal Of Research,Vol: 5,Issue:2 February 2016. 

Corresponding Author

Dr Vivek Saxena

Assistant Professor, Department of Medicine,

Peoples College of Medical Sciences and Research Centre, Bhanpur, Bhopal, Madhya Pradesh

Email – This email address is being protected from spambots. You need JavaScript enabled to view it., Mobile – 9827454569