Blood glucose management and pregnancy outcomes in pregnant patients with hyperglycemia under Online+Offline co-care mode
10.3969/j.issn.1006-6187.2024.06.003
- VernacularTitle:线上+线下共同照护模式对妊娠期高血糖患者的血糖管理及妊娠结局影响的研究
- Author:
Wulin WEI
1
;
Yangfang HE
;
Yan CHENG
;
Maoguang YANG
;
Lili NING
;
Hong SHEN
;
Hanqing CAI
Author Information
1. 130041 长春,吉林大学第二医院内分泌科
- Keywords:
Hyperglycemia in pregnancy;
Care mode;
Online+offline Pregnancy outcome;
Blood glucose management
- From:
Chinese Journal of Diabetes
2024;32(6):412-417
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the impact of an integrated online and offline(O+O)co-care model on blood glucose management and pregnancy outcomes in pregnant patients with hyperglycemia.Methods A total of 200 pregnant patients with hyperglycemia(HIP)admitted to the Department of Endocrinology,Second Hospital of Jilin University were enrolled in this study from January 2021 to March 2023.All the participants were divided into two groups according to their diagnosis and treatment approach:routine group(n=102)and nursing group(n=98).General data were collected from the initial visit until delivery for comparative analysis between the two groups,including FPG,2 hPG,HbA1c,body weight,BMI,and daily insulin doses.Logistic regression analysis was used to evaluate the influencing factors for adverse pregnancy outcome in patients with gestational hyperglycemia.Results The care group exhibited higher rates of family history of DM,polycystic ovary syndrome,primipara,gestational diabetes mellitus,and diabetes combined with pregnancy compared to the routine group(P<0.01).The first visit of FPG,2 hPG,HbA1c,△FPG,△2 hPG,△HbA1c,2 hPG compliance rate,HbA1c compliance rate were higher(P<0.01),while the excess rates of △weight,2 hPG at delivery,△BMI and overweight weight gain were lower incare group than in routine group(P<0.05 or P<0.01).FPG,2 hPG and HbA1c were lower at delivery than at first visit in both groups(P<0.01).The nursing group had a lower incidence of adverse pregnancy outcomes including macrosomia and NICU admissions compared to the conventional group(P<0.05 or P<0.01).Logistic regression analysis revealed that the co-care mode was an influential factor for adverse pregnancy outcomes.Conclusions The O+O co-care mode is beneficial for managing blood glucose levels during pregnancy as well as controlling weight gain and reducing the risk of adverse pregnancy outcomes in HIP patients.
