Endocrine Abstracts

Introduction: Diabetic pregnancy is a high-risk pregnancy, hence the importance of perfect glycemic control. The objective of this study is to assess glycemic control in pregnant women as well as the factors involved.

Patients and methods: Retrospective study, including 449 patients with diabetic pregnancies followed at the Endocrinology-Diabetology department between January 2016 and January 2022. To do this work, we used SPSS software.

Results: The study included 449 patients with a mean age of 32 years, 19.82% had type 1 diabetes, 39.64% had type 2 diabetes and 40.53% had gestational diabetes. The mean preconception HbA1c was 8.5%. For treatment, 62.47% of patients were on insulin and 37.53% on hygienic and dietary rules. Physical activity was practiced in 58.12% of patients, 41.88% of patients were sedentary. 5.8% are on a free diet and consume fast sugars. Glycemic control was perfect in 49.32% of patients while it was insufficient in 50.68%. A significant relationship was found between glycemic control and adherence to treatment (P<0.05) as well as the type of diabetes (P<0.02).

Discussion and conclusion: It has been established that optimized management, including perfect glycemic control, reduces the risks associated with pregnancy, several factors intervene as demonstrated in our study, namely: eating habits and the type of diabetes.