Effect of Individualized Nutrition Guidance During Pregnancy on Glucose and Lipid Metabolism and Adipokines in Patients with Gestational Diabetes Mellitus
Objective To observe the effect of individualized nutrition guidance during pregnancy on glucose and lipid metabolism and adipokines in patients with gestational diabetes mellitus.Methods A total of 76 patients with gestational diabetes mellitus admitted to our hospital from January 2022 to January 2023 were selected as the research objects.They were divided into control group and observation group by random number method,with 38 patients in each group.The control group was given routine dietary guidance and normal prenatal examination,and the observation group was given individualized nutritional guidance during pregnancy on this basis.The blood glucose index,blood lipid index[total cholesterol(TC),triglyceride(TG),low density lipoprotein cholesterol(LDL-C),high density lipoprotein cholesterol(HDL-C)],pregnancy complications,pregnancy outcome and anxiety and depression scores were compared between the two groups.Results The fasting blood glucose,glycosylated hemoglobin and 2 h postprandial blood glucose in the two groups were lower than those before treatment,and those in the observation group were lower than those in the control group(P＜0.05).TC,TG,LDL-C and HDL-C in the two groups were lower than those before treatment,and those in the observation group were lower than those in the control group(P＜0.05).The incidence of pregnancy complications in the observation group(10.53％)was lower than that in the control group(21.05％)(P＜0.05).The incidence of adverse pregnancy outcomes in the observation group was 13.16％,which was lower than 28.95％in the control group(P＜0.05).The anxiety and depression scores of the two groups were lower than those before treatment,and those of the observation group were lower than those of the control group(P＜0.05).Conclusion Individualized nutrition guidance during pregnancy has a positive effect on glucose and lipid metabolism and adipokines in patients with gestational diabetes mellitus,which can reduce pregnancy complications,improve pregnancy outcomes and adverse psychology,and has an ideal effect.
Individualized nutrition guidance during pregnancyGestational diabetes mellitusGlucose and lipid metabolismAdipokines
万方数据
维普
