Effect of Subcutaneous Insulin Injection on Blood Glucose Control and Pregnancy Outcome in Pregnant Women with Diabetes in Different Pregnancy Periods
Objective To compare the effect of subcutaneous insulin injection on blood glucose control and pregnancy outcome in pregnant women with diabetes mellitus(GDM)in different pregnancy periods.Methods Sixty GDM pregnant women admitted to the Obstetrics and Gynecology department of the hospital from January 2021 to December 2022 were selected as the research subjects.All pregnant women were treated with insulin subcutaneous injection,and were divided into 30 cases each at 32 weeks of gestation.The observation group was treated before 32 weeks of pregnancy,the control group was treated after 32 weeks of pregnancy.Compare the blood glucose levels of two groups,and follow up on the delivery method and pregnancy outcome of pregnant women.Results Before treatment,there was no statistically significant difference in the levels of fasting blood glucose(FPG)and 2-hour postprandial blood glucose(2 h PG)between the two groups of postpartum women(P＞0.05);before delivery,the FPG and 2 h PG in the observation group were lower than those in the control group,with statistically significant differences(P＜0.05).The observation group had a longer gestational age than the control group,and the Apgar score of newborns was higher than that of the control group,and the differences between the groups were statistically significant(P＜0.05).The natural delivery rate of 76.67%in the observation group was higher than 50.00%in the control group,with a statistically significant difference(P＜0.05).The incidence rates of adverse outcomes in the observation group were 6.67%for postpartum women and 16.67%for newborns,respectively,which were lower than 26.67%and 43.33%in the control group,with statistically significant differences between the groups(P＜0.05).Conclusion Subcutaneous insulin injection therapy before 32 weeks of pregnancy is beneficial for improving the blood sugar control effect of GDM pregnant women,improving maternal and infant pregnancy outcomes,and increasing the natural delivery rate.It is worth promoting.
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