The Influence of Self-Control on the Course and Outcomes of Gestational Diabetes Mellitus

Gestational diabetes mellitus is characterized by an increased risk of fetal macrosomia and obstetric complications during childbirth, as well the development type 2 in mother after pregnancy. Timely diagnosis treatment hyperglycemia pregnancy reduces adverse outcomes. The first step towards tight glucose control self-monitoring glycemia. Aim: to evaluate effectiveness regular glycemic using a Satellite express glucometer calibrated on capillary whole blood patients with gestational (GDM) outpatient practice. Material methods. 96-week prospective observational non-interventional study included 150 GDM. In women confirmed GDM, was measured satellite glucometer. At each visit, further tactics for GDM were determined based results glycemia (data from diary). Until 34th week pregnancy, endocrinologist consulted frequency 1 time weeks form medical appointment telephone contact. After 34 consultation per week. 6–12 delivery, oral tolerance test performed assess degree carbohydrate metabolism disorder. Results. participation 138 (92%) ended 12 (8%) dropped out ahead schedule. Spontaneous abortions noted who 0–1 times day, independent births more often observed 3–4 these also had stable indices. 9 gave birth children weighing 4000 g or more. weight rest at did not exceed 3500 g. Conclusion. A well-controlled course adequate dynamic observation allows delivery be carried within generally accepted terms without worsening its