Rasmi, Muhammad Faiz
(2017)
Prevalence of good glycaemic control and its associated factors among gestational diabetes patients in Bachok, Kelantan.
Masters thesis, Universiti Sains Malaysia.
Abstract
Introduction: The prevalence of GDM has shown an increasing trend from year to
year. GDM can be effectively controlled and uncontrolled GDM had been associated
with a wide range of morbidities and mortalities to mothers and infants. Hence, it is
important to ensure that mothers with GDM have good glycaemic control in order to
prevent these negative outcomes.
Objectives: To determine the prevalence of good glycaemic control and its associated
factors among GDM patients attending antenatal clinic in Bachok.
Methodology: This is a cross sectional study with retrospective record review of 129
GDM patients who were diagnosed from June to November 2014 The sociodemographic
and medical characteristics of patients were gathered from the antenatal
cards and recorded in the case report form. The medical characteristics of interest
includes BMI at booking, gestational age when GDM was diagnosed, weight gain until
GDM was diagnosed, level of FBG and 2HPP at diagnosis, abortion history, previous
history of GDM and history of macrosomic baby. Good Glycaemic Control was defined
as either: (i) having at least 75% of the blood sugar profile (BSP) readings within the
normal range in two consecutive BSP readings or (ii) those who do not require insulin
after two consecutive blood sugar profile (BSP) readings. Data was entered and
analysed using SPSS version 22.0.Results: The prevalence of good glycaemic control was 61.2% (95% CI, 0.53, 0.70) (n
=79). The mean (SD) age and parity (SD) of patients in this study were 31.2(6.00) and
3.4(2.08) respectively. Multiple logistic regression showed that gestational age at GDM
diagnosis (OR= 0.93, 95% CI: 0.87, 1.00, p= 0.048), level of FBG at GDM diagnosis
(OR= 0.28, 95% CI: 0.15, 0.50, p= 0.001), previous history of GDM (OR= 0.23, 95%
CI: 0.06, 0.84 p= 0.026) and history of macrosomic baby (OR= 10.45, 95% CI: 1.80,
60.69 p= 0.009) were significantly associated with good glycaemic control.
Conclusion: The prevalence of good glycaemic control among GDM patients in this
study was acceptable. Gestational age at GDM diagnosis, level of FBG at GDM
diagnosis, presence of previous GDM history and no history of macrosomic baby were
associated with good glycaemic control of GDM.
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