MANAGEMENT OF DIABETES DURING PREGNANCY
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Date
1999
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University of Agricultural Sciences, Dharwad
Abstract
A semi-longitudinal investigation pertaining to management of
diabetes during pregnancy was undertaken during the year 1998-99 to collect
the baseline information regarding the nutritional status by clinical and
dietary methods and also to determine the effect of management practices on
the outcome of pregnancy. Finally, the module was prepared m local language
for the benefit of pregnant diabetic subjects for management of the disorder
during pregnancy.
A total of 16 pregnant subjects of which eight diabetic and eight
non-diabetic were selected by purposive sampling technique from Hubli-
Dharwad cities. The results revealed that the rate of incidence of diabetic
pregnancies (pregestational-0.77% and gestational-0.38%) is found to be
higher in the private clinics than the government hospitals (0.14% each) of
Hubli-Dharwad cities.
Seven of the eight mothers with diabetes had at least one
previous abortion, with the incidence of 47.6 percent. While three of the eight
non-diabetic pregnant subjects had aborted previously with the incidence of
18.75 percent. The nutritional status of both diabetic and non-diabetic
subjects was satisfactory. The energy and carbohydrate intake of the
pregnant diabetic subjects were less than the normal pregnant subjects but
the fibre intake of the diabetic subjects was higher than the non-diabetic
pregnant subjects. Subjects modified their diets which helped them to
maintain near normal blood values. Maximum knowledge scores were
obtained from the selected pregnant subjects who had the family history of
diabetes, who received education regarding disease, diet, and
management.
Majority of the diabetic pregnant subjects followed good
management practices. The mean fasting and post-prandial blood glucose
level during gestational period of the pregnant diabetics were near normal
(130mg% and 210mg% respectively) which lead to similar out comes as that
of non-diabetic pregnant subjects. All the diabetic pregnant subjects returned
to normal blood values after delivery. There were no morbidity and mortality
rate in the present study.
Education module was pronounced acceptable by the subjects
indicating that module could be used as an important tool in the
management of diabetes.
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No . of references 91