Endocrine Abstracts

Introduction

Pregnant women with diabetes are prone to overeating and decreased physical activity, both sources of glycemic disorder. The objective of our study is to evaluate these dietary beliefs in order to improve the management of diabetes.

Materials and methods

Prospective observational study, including 100 patients with diabetic pregnancy followed in the department of gynecology and obstetrics of the ibn rochd university hospital center in Casablanca between January 2020 and November 2020.

Results

The study included 100 patients with an average age of 30 years, 40.5% had gestational diabetes and 59.5% had pre-gestational diabetes. 78.9% of the patients were on insulin and 21.1% were undergoing hygienic and dietary rules. Glycemic control was perfect in 56.4% of patients. For eating behavior: an abuse of slow sugars was found in 64% of patients with fat abuse in 64.6% and a consumption of fast sugars in 24.6%. 70.8% ate at fixed times while 18% skipped at least one meal. Regarding dietary beliefs, 70% of the patients thought they should eat less to be healthy, 39% thought they could eat the food they wanted, 40% thought they should eat for two and 35% thought that weight gain should not be limite. As for physical activity, it is practiced by 28% of patients, 72% think it helps glycemic control while 20% think it can harm their pregnancy.

Conclusion

Our study shows the dietary beliefs and behavior of pregnant diabetic patients and highlights the need for better information and improved dietary education of these patients.