HIỆU QUẢ ĂN TIẾT CHẾ TRÊN THAI PHỤ ĐÁI THÁO ĐƯỜNG THAI KỲ

Abstract

Gestational diabetes mellitus (GDM) is a common metabolic disorder, accounting for
2-20% during pregnancy, and is on the rise in Vietnam. Nutrition dietary therapy is able
to manage more than 80% of cases. Methods: a prospective longitudinal study was
conducted on 154 pregnant women attending the antenatal clinic in Thu Duc district
hospital in a year. All pregnant women took the intolerance test for 75 grams of glucose
- 2 hours according to diagnostic criteria of the World Health Organization (2013).
Results: The rate of GDM women, who can control glucose blood level after 3 weeks
in outpatient department by self-catering diet along with health care instruction was
90.3% [95% CI: 86.2 to 94.0]. Factors related to glycemic control included: 2- hour hyperglycemia
in 75g glucose tolerance test [OR = 5.24 correction (from 1.11 to 24.77%),
p = 0.04]. No association was found between glycemic control results after 3 weeks of
treatment with some pregnancy outcomes such as fetal macrosomia ≥ 4000 g, preterm
birth <37 weeks and caesarean. Conclusion: Proper dietary therapy was effective in
controlling blood glucose levels in GDM outpatients.