Managing gestational diabetes: the role of patient counselling

Authors

  • Ammulu S.
  • Fasalu Rahiman O. M. Department of Pharmacology, MES Medical College, Malappuram, Kerala, India
  • Muhammed Rasheeq K. P. Department of Pharmacy practice, JDT college of pharmaceutical science, Kozhikode, Kerala, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20190872

Keywords:

Gestational diabetes mellitus, Patient counseling, Pregnancy

Abstract

Background: Unmanaged gestational diabetes mellitus (GDM) increases the risk of neonatal and fetal complications and the risk of congenital malformations. Apart from the medications used, non-pharmacological agents such as diet modification, exercise, and patient education can improve the quality of life in GDM patients. The present study was aimed to evaluate the role of patient counselling in the management of GDM in patents.

Methods: Unmanaged gestational diabetes mellitus (GDM) increases the risk of neonatal and fetal complications and the risk of congenital malformations. Apart from the medications used, non-pharmacological agents such as diet modification, exercise, and patient education can improve the quality of life in GDM patients. The present study was aimed to evaluate the role of patient counseling in the management of GDM in patents.

Results: The result showed that there is a slight increase in the QOL of test population with GDM. i.e., there is no significant progression in the disease condition. The result showed that each domain, physical, psychological, social and environmental conditions were improved a lot when compared with the control group.

Conclusions: Results suggests a positive impact of patient counseling on the management of GDM in patients.

References

Whiting DR, Guariguata L, Weil C, Shaw J. IDF diabetes atlas: global estimates of the prevalence of diabetes for 2011 and 2030. Diab Res Clinic Practice. 2011;94(3):311-21.

Boney CM, Verma A, Tucker R, Vohr BR. Metabolic syndrome in childhood: association with birth weight, maternal obesity, and gestational diabetes mellitus. Pediat. 2005;115(3):e290-6.

McDonald SD, Malinowski A, Zhou Q, Yusuf S, Devereaux PJ. Cardiovascular sequelae of preeclampsia/eclampsia: a systematic review and meta-analyses. Am Heart J. 2008;156(5):918-30.

Chirayath HH. Diabetes management in pregnancy. Reviews in Gynaecol Perinat Prac 2006;6(1-2):106-14.

Redmon B, Caccamo D, Flavin P, Michels R, O’Connor P, Roberts J, Smith S, Sperl-Hillen J. Diagnosis and management of type 2 diabetes mellitus in adults. Institute Clinic Syst Improve 2014;16(7):1-83.

Tabassam N, Sadaqat F, Mahmood KT, Zaka M. Prevention and Management of Gestational Diabetes Mellitus. J Pharmaceut Sci Technol. 2010;2(12):404-410.

Rajput R, Yadav Y, Nanda S, Rajput M. Prevalence of gestational diabetes mellitus and associated risk factors at a tertiary care hospital in Haryana. The Indian J Medical Res. 2013;137(4):728.

Magon N, Seshiah V. Gestational diabetes mellitus: Non-insulin management. Indian J Endocrinol Metabol. 2011;15(4):284-293.

Soheilykhah S, Mogibian M, Rahimi-Saghand S, Rashidi M, Soheilykhah S, Piroz M. Incidence of gestational diabetes mellitus in pregnant women. Int J Reproduct BioMed. 2010;8(2):24-0.

Calou CG, Pinheiro AK, Castro RC, de Oliveira MF, de Souza Aquino P, Antezana FJ. Health related quality of life of pregnant women and associated factors: An integrative review. Health. 2014;6(18):2375.

American Diabetes Association. Standards of medical care in diabetes-2015 abridged for primary care providers. Clinic Diab: Am Diab Ass. 2015;33(2):97.

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Published

2019-02-26

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Section

Original Research Articles