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| Influence of nutrition group consultation and individualized guidance for pregnant women with gestational diabetes mellitus on their blood glucose level and adverse pregnancy outcomes |
| Beijing Ditan Hospital, Capital Medical University, Beijing, 100015 |
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Abstract To explore the influence of nutrition group consultation and individualized guidance for pregnant women with gestational diabetes mellitus (GDM) on their blood glucose level and adverse pregnancy outcomes. Methods: 73 pregnant women with GDM from January 2020 to January 2021 were selected and were analyzed retrospectively. 33 women in the study group were given nutrition group consultation and individualized guidance, and 40 women in the control group were given tradition propaganda and education of gynecology and obstetrics. The blood glucose level, the nutrition-related biochemical indexes values, the newborn weight, and the incidence of adverse pregnancy outcomes of the women were compared between the two groups. Results: After intervention, there was no significant difference in the fasting blood glucose level (5.14±0.42mmol/L vs. 5.30±0.55mmol/L) of the women between the two groups. The blood glucose level at postprandial 2h (6.43±0.63mmol/L) of the women in the study group was significantly lower than that (7.13±0.84 mmol/L) of the women in the control group. The values of nutrition-related biochemical index, such as albumin level (49.18±23.26g/L) of the women in the study group was significantly higher than that (39.88±4.75 g/L) of the women in the control group (all P＜0.05). The neonatal weight, the rates of cesarean section and adverse neonatal outcomes of the women in the study group were 3416.97±575.70g, 39.4%, and 3.0%, respectively, and which had no significantly different from those (3322.00±343.95g, 52.5%, and 7.5%, respectively) of the women in the control group (P＞0.05). Conclusion: Personalized nutrition group consultation for the pregnant women with GDM can improve their 2h postprandial blood glucose level and nutritional biochemical index value of albumin.
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