Impact of gestational diabetes and its management on the nutritional balance and quality of life of a population of tunisian women

Chaima Arfa; Chaima Jemai; Brahim Wafa Ben; Mouna Djebbi; Achwak Mehrez; Yasmine Fakhfekh; Yosra Htira; Ali Zohra Hadj; Mami Faika Ben

doi:10.1530/endoabs.99.P53

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Endocrine Abstracts (2024) 99 P53 | DOI: 10.1530/endoabs.99.P53

ECE2024 Poster Presentations Diabetes, Obesity, Metabolism and Nutrition (130 abstracts)

Impact of gestational diabetes and its management on the nutritional balance and quality of life of a population of tunisian women

Chaima Arfa ¹ , Chaima Jemai ¹ , Wafa Ben Brahim ¹ , Mouna Djebbi ¹ , Achwak Mehrez ¹ , Yasmine Fakhfekh ¹ , Yosra Htira ¹ , Zohra Hadj Ali ¹ & Faika Ben Mami ¹

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¹National Institute of Nutrition of Tunis, C

Introduction: Gestational diabetes mellitus (GDM) is the most common endocrinopathy in pregnancy. Its management is based on hygienic and dietary measures associated, if needed, with insulintherapy. Therapeutic goals must be quickly reached in order to limit complications. GDM has some therapeutic and progressive particularities which could alter the quality of life of patients. The aim of our study was to evaluate the nutritional intake of a population of women with GDM and to assess its impact on their quality of life.

Methods: This was a cross-sectional study, carried out at the research unit on diabetes and pregnancy (UR17SPO2) of department C of the national institute of nutrition of Tunis. We included 40 women with gestational diabetes, defined according to ADA 2023. The data collection was carried out using an interview, anthropometric measurements, a dietary survey, and a pre-established questionnaire assessing the impact of GDM on patients’quality of life.

Results: The mean age was 33.6±5.54 years. The average pre-gestational BMI was 27.67±4.93 kg/m². The average energy intake was 2019.08±330.9 kcal/d. The majority of patients (95%) had a hypoglucidic diet (<5 g/kg/d). 55% of Women had protein intake below recommended requirements. All the population had a hyperlipid diet (>1 g/kg/d). The average ratio w6/w3 was 18.64±5.83. We noted insufficient intakes of iron, iodine, calcium, zinc, vitamin D, vitamin B9 and vitamin B12. The average fiber intake was 26.54±6.15 g/d. Most women appreciated the personalized therapeutic education. Following the diet was difficult for 62.5% of patients. 87.5% made diet deviations. Family support was essential for diabetes self-management. The quality life of 77.5% of patients was affected by GDM. Thus, women do not arrive always express their emotions towards the practitioner which can lead to stress or guilt.

Conclusion: Psychological care should be proposed to patients with GDM in order to manage the psychological impact of the disease and improve the quality of life of patients.