ECE2017 Eposter Presentations: Diabetes, Obesity and Metabolism Diabetes therapy (52 abstracts)
Hôpital Delafontaine, Saint Denis, France.
This study assessed the dietary and medical knowledge before and after a group workshop viewing a 5-min animation film in patients with gestational diabetes (GD) (https://www.youtube.com/watch?v=Maf-Uos9oLQ). This animation movie (without speech) explains the course of the patients suffering from GD by emphasizing the stakes, the diet and the medical measures.
Patients and methods: This is a prospective self-assessment study of 10 questions in 100 consecutive pregnant women.
Results: Seventy-four out of 100 subjects were included with their clinical data. Diagnosis was based on the mean blood glucose after a 75 g load charge test: T0 0.92 g/l (n=47) T1 1.75 g/l (n=46), T2 1.53 g/l (n=46). Patients were characterized by a mean age of 32 years, 6% with type 1 or 2 diabetes, G3P1, 91% of foreign origin, predominantly from the Maghreb (59%), mainly unemployed with an average pre-pregnancy BMI of 28 kg/m2, a mean weight gain of 8 kg during pregnancy, a 42% history of diabetes in the family, a 12% history of personal DG, a 11% history of macrosomia and 24% insulin use. For 71/74, we collected information on delivery accounting for 7% of macrosomia. The analysis of the 100 questionnaires revealed an average correct score of 6.3/10 before and 8.6/10 after the workshop. Before the workshop (99/100), patients were unaware of the presence of sugar in bread, the number of dairy products to be consumed daily, the importance of physical activity, and the possibility of using insulin if blood glucose was too high. After the workshop (98/100), the score improvement was mainly relevant for these four topics.
Conclusion: Our animation film is a simple pedagogical tool that allows us to improve the state of knowledge in an efficient manner.