Effect of improved food exchange method of blood glucose load on blood glucose level and pregnancy outcome of pregnant women with diabetes mellitus
Objective To observe the effect of the improved food exchange method of blood glucose load on the blood glucose level and pregnancy outcome of pregnant women with diabetes.Methods A total of 80 pregnant and lying-in women with gestational diabetes from August 2021 to May 2023 in our hospital were the subjects of this study.The pregnant and lying-in women were divided into two groups according to whether the improved food exchange method based on blood glucose load was implemented.The control group took conventional diet intervention.The study group used the improved food exchange method based on blood glucose load to compare the intervention effects of the two groups of pregnant and lying-in women.Results After intervention,the blood glucose indicators[fasting blood glucose(4.58±0.37)mmol/L,2-hour postprandial blood glucose(7.25±1.35)mmol/L,glycated hemoglobin(5.44±0.25)％],blood lipid indicators[total cholesterol(4.42±0.32)mmol/L,triglycerides(2.12±0.16)mmol/L]of the study group improved compared to the control group before intervention,and the improvement amplitude was greater,with significant data differences(P＜0.05).The maternal and infant weight gain during pregnancy(17.4±2.4)kg,average weekly weight gain(656±125)g,newborn birth weight(3 051±239)g),the rate of cesarean section(5％)and the incidence of maternal adverse fetal pregnancy outcomes(5％)were lower than that of the control group(P＜0.05).Conclusion Compared with the conventional diet intervention,the improved food exchange method based on blood glucose load for pregnant women with diabetes during pregnancy can effectively improve the metabolism of glucose and lipids while ensuring the intake of nutrients,reduce the weight growth of mothers and infants,and reduce the cesarean section rate and the incidence of adverse pregnancy outcomes.
万方数据
维普
