Endocrine Abstracts

Introduction: Gestational diabetes or gestational diabetes is an increase in blood sugar levels that appears during pregnancy and disappears after delivery. It has an impact on the health of both mother and child.

Our objective: was to detect predisposing factors for remission in patients followed for gestational diabetes after delivery on a hygienic diet, versus on insulin therapy.

Patients and Methods: Our work is a case-control study including 182 patients with gestational diabetes followed at the Endocrinology-Diabetology department between January 2016 and January 2022. Diabetes is screened in the postpartum period at 6 to 8 weeks by HGPO75 g, divided into two groups: G1 (Diabetes has disappeared after pregnancy) and G2 (Diabetes has persisted after pregnancy). To do this work, we used SPSS software.

Results: The study included 182 patients, 46.18%, Diabetes disappeared after pregnancy (G1) and remained more or less on a hygienic-dietary diet with a good clinical course, G2, Diabetes persisted after pregnancy 52.12%, and are on insulin therapy. A pre-pregnancy BMI (<25 kg/m²) of 25.4% (G1) and 29.8% (G2), P (=0.06). A mean post-pregnancy GAJ of 0.94 g/I(G1), 1.8 g/I(G2), a mean pregnancy weight gain of 0.27 kg/Sa(G1), 0.39 kg/Sa (G2), P(0.08), a hypertension of 12.3%(G1), 21.9% (G2), P(0.8), and a lost follow-up of 1.12%(G1), 1.1% (G2), with a good remission for patients doing physical activity, with a normal BMI and a normal HbA1C.

Discussion and Conclusion: Remissions are not uncommon in our patients, with a good balance of diabetes and good weight monitoring. It is therefore essential to screen for them and also to look for those lost to follow-up.