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| Correlation among the decision making behavior of blood glucose management, the blood glucose control, and the neonatal blood glucose level of pregnant women with gestational diabetes mellitus |
| Beijing Friendship Hospital, Capital Medical University, Beijing, 100050 |
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Abstract To analyze the correlation among the decision making behavior of blood glucose management, the blood glucose control, and the neonatal blood glucose level of pregnant women with gestational diabetes mellitus (GDM). Methods: The decision making behavior of blood glucose management of 103 pregnant women with GDM was investigated from August 2022 to August 2023, and according to the investigation results, these women were divided into group A(37 women with good behavior of blood glucose management) and group B (66 women with poor behavior blood glucose management). The clinical data of the women in the two groups were collected. The blood glucose control situation and the neonatal blood glucose level of the women in the two groups were recorded. Pearson correlation was used to analyze the correlation among the decision making behavior of blood glucose management, the blood glucose control, and the neonatal blood glucose level of pregnant women with GDM. Results: The levels of fasting plasma glucose (FPG), 2-hour postprandial plasma glucose (2hPG) and glycosylated hemoglobin (HbAlc) of the women in group B were significantly higher than those of the women in group A. The neonatal FPG and 2hPG levels at 12 and 24 hours after birth in group B were significantly lower than those in group A (all P<0.05). The decision-making behavior of blood glucose management of the women with GDM was negatively correlated with the levels of their FPG, 2 hPG and HbAlc, and was positively correlated with the levels of their neonatal FPG and 2 hPG at 12h and 24h after birth. The levels of FPG, 2hPG and HbAlc of the women with GDM were negatively correlated with their neonatal FPG and 2 hPG at 12h and 24h after birth (all P<0.05). Multivariate logistic regression analysis showed that the low education level and the natural pregnancy of the women with GDM were the influencing factors of their decision-making behavior of blood glucose management (P<0.05). Conclusion: The decision-making behavior of blood glucose management, the maternal blood glucose level and the neonatal blood glucose level of the pregnant women with GDM are closely related. The influencing factors of the decision-making behavior of blood glucose management of the pregnant women with GDM should be paid attention to in clinic, and the publicity and the intervention on the decision-making behavior of blood glucose management of the women should be strengthen.
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