Clinical presentation and management of diabetes mellitus in pregnancy

• Published in: International journal of women's health 2014-01, Vol.6 (default), p.1-10
• Main Authors: Al-Azemi, Nasser, Diejomaoh, Michael F, Angelaki, Elisavet, Mohammed, Asiya T
• Format: Article
• Language: English
• Subjects: Apgar score; Care and treatment; Counseling; Diabetes; Diabetes mellitus; Diagnosis; Diseases; Glucose; Health risk assessment; Hospitals; Hyperglycemia; Hypertension; Induced labor; Insulin; Laboratories; Medical diagnosis; Medical examination; Obesity; Original Research; Preeclampsia; Pregnancy; Pregnant women; Risk factors
• ISSN: 1179-1411; 1179-1411
• DOI: 10.2147/IJWH.S52391

To evaluate the clinical presentation, management, and the outcome of diabetes mellitus in pregnancy. One hundred seventy-one patients with diabetes mellitus admitted between September 1, 2006, and June 30, 2008, to the labor room at Maternity Hospital in Kuwait for induction of labor made up the study population; while an equivalent number of patients without medical complications who also were admitted for induction of labor made up the control group. The patients were assessed at admission, and their medical data were extracted. The study and control patients were monitored through labor/puerperium, and the outcome was documented. Gestational diabetes mellitus was diagnosed in 71.9% of the study patients, a past history of diabetes mellitus was recorded in 81.34% of the study patients, and 49.2% of the patients were admitted at 8-12 weeks of gestation for diabetic control. The mean weight gained in pregnancy was significantly higher for control patients (11.52±5.643 versus [vs] 9.90±5.757 kg/m(2); P