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Background: The evidence-based screening and management of gestational diabetes mellitus has
continued to increase over the past several years. Therefore, our study is aimed to observe fetal and
maternal outcomes in diet controlled mild gestational hyperglycemic patients and to compare them with
normal controls.
Methods: After approval from IRB, 25 healthy females were enrolled as control (GROUP A) from antenatal
clinic. While 31 mildly hyperglycemic females were enrolled from diabetic antenatal clinic, with RBS
between 126-130 mg/dl or deranged fasting sugar level (GROUP B). They were educated for strict diet
controlled nutritional therapy along with 30 minutes of walk thrice weekly. All patients were followed in
antenatal clinics until term. Feto-maternal outcomes were tabulated for 25/31 females who completed the
study, on SPSS 16.
Result: Patients were equally matching in height and weight in both groups. Fetal weight was significantly
more in group B. Though non-significant but numerically more babies were delivered after 37 weeks in group
B. At term there was higher FBS and HbA1C with significant number of surgical deliveries in group B than
group A. HbA1C was significantly more in group B from enrollment towards term but was still less than 6%.
Conclusion: Mild hyperglycemic females on diet control therapy had significantly higher FBS and HbA1C
levels at term, with increased fetal weight and percentage of cesarean deliveries in comparison to normal
healthy controls.
Rabia Arshad, Zahida Sheikh, Kausar Aamir, Nasim Karim, Tahira Asaad. (2019) Pregnancy Consequences In Diet Controlled Mild Gestational Hyperglycemia, The Pakistan Journal of Medicine and Dentistry, Volume 8, Issue-3.
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