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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Studying the Prevalence of Gestational Diabetes Mellitus in Indian Pregnant Women Along with Efficacy and Type of Treatment Provided to Control the Diabetes

Manisha M. Kumbarwar, Gajanan R. Aitwar and Kaizad R. Damania
Page: 220-224 | Received 25 Dec 2023, Published online: 25 Jan 2024

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https://doi.org/10.36478/10.59218/makrjms.2024.4.220.224

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Abstract

Pregnancy is a diabetogenic condition due to progressive increase in the insulin resistance. The diabetogenic effects of pregnancy are due to Insulin resistance since there is production of anti‐insulin hormones like human placental lactogen, cortisol, estriol and progesterone. Also due to increased destruction of insulin by kidney and placenta (insulinase).Gestational Diabetes Mellitus occurs when there is insufficient insulin secretion to counteract the pregnancy‐related decrease in insulin sensitivity. The study was conducted at a tertiary care hospital where 500 pregnant were enrolled for the study. All pregnant women (<24wks) who register for first time were screened by fasting blood sugar levels for Gestational Diabetes Mellitus. Those with normal fasting sugars were further evaluated by glucose tolerance test at 24‐28 weeks. Patients with abnormal levels were identified and referred to Endocrinology Department of Medical College Hospital for further treatment. One hundred five (21%) were diagnosed as Gestational Diabetes Mellitus, thus the prevalence was 21.0% as per IADPSG Criteria. Considering the DIPSI Criteria the prevalence of Gestational Diabetes Mellitus would have been 27 (5.4%). 97(92.4%) had glycaemic control on Medical Nutrition Therapy and Life‐Style Modifications, 8 patients required Insulin therapy. It is feasible to perform the screening for Gestational Diabetes Mellitus by the IADPSG. Elderly participants, with high BMI are at high risk for Gestational Diabetes Mellitus.

How to cite this article:

Manisha M. Kumbarwar, Gajanan R. Aitwar and Kaizad R. Damania. Studying the Prevalence of Gestational Diabetes Mellitus in Indian Pregnant Women Along with Efficacy and Type of Treatment Provided to Control the Diabetes.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.220.224
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.220.224