Endocrine Abstracts

Introduction

Diabetic pregnancy is an at-risk pregnancy, hence the importance of perfect glycemic control. The objective of this study is to evaluate glycemic control of pregnant women and these intervening factors.

Materials and methods

Our study is prospective observational and analytical, including 300 patients with diabetic pregnancy followed in the obstetric gynecology department of Ibn Rochd hospital in Casablanca-morocco between November 2019 and November 2020.

Results

The study included 300 patients with an average age of 32.6 years (18–42). 45% had gestational diabetes and 55% had pre-gestational diabetes, of which 5% had planned their pregnancy. The mean pre-conceptional HbA1c was 8%. For treatment, 78% of the patients were on insulin and 22% were following hygienic and dietary rules. All patients were on a basal bolus regimen, 37% of whom were on analogues. Regular self-monitoring was ensured in 32% of patients. Physical activity was practiced in 27% of patients. 90% of the patients ate three meals a day and 66% of the patients ate one to two snacks a day. 40% abused slow sugars and 36% consumed fast sugars. Glycemic control was perfect in 64% of the patients and insufficient in 36%. A significant relationship was found between glycemic control and slow sugar abuse (P < 0.05) as well as type of diabetes (P < 0.02) (better control for pre-gestational diabetes).

Discussion

It is established that an optimized management, in particular a perfect glycemic balance, reduces the risks related to pregnancy. Several factors intervene as demonstrated in our study, namely: eating habits and type of diabetes.