Abstract

    Open Access Research Article Article ID: ACMPH-5-150

    A Prospective study on Impact of Gestational Diabetes Mellitus (GDM) Management on Infants diabetes mellitus (IDM) Burden in Uttar Pradesh India

    Rajesh Jain, Sanjeev Davey, Susanne Olejas and Rachna Jain

    Gestational diabetes mellitus (GDM) is a type of glucose intolerance which is often identified first time in pregnancy. It is important to assess whether in Uttar Pradesh (a largest state of India with one of the highest rate of the infant mortality rate) has also higher Chances of Infants Diabetes Mellitus(IDM) which may attribute it to GDM is an unanswered issue. The Primary objective of this study was to be determine whether the Infants Diabetes Mellitus is associated with GDM and can the GDM Management in Pregnancy Improves Infants Diabetes Mellitus via a Proscpective study approach. A prospective cohort study was done for 2 and half years from October 1, 2016, to March 31, 2019, at 900 GDM screening units as a part of the Gestational Diabetes Prevention and Control Project, Uttar Pradesh approved by the Indian Government in the state of Uttar Pradesh, India, A total of 57018 pregnant women were screened during their 16–32th weeks of pregnancy by impaired oral glucose test (OGTT) as per NHM Guidelines for GDM, 12784 GDM & 7287 Non GDM maternal and perinatal outcomes were followed up in both GDM and non‑GDM categories in the 2 years and 6 months (2016-201) after blood sugar management (September 2016-March 2019) was executed at 900 healthcare facilities, 515532 Pregnant Women have been screened at 16-20 Weeks & 24th-28 weeks of pregnancy as per Guidelines of National health Mission, GOI Guideline. There were more Significant( p< 0.0001) Infant deaths(736) in GDM category(597) as compared to Non GDM category(139). There were more IDM cases, with High Birth weight Babies in GDM cases with No Control of Blood Sugar levels. The Overall Prevalance of IDM cases were only 2.5% in GDM Cases but as the blood sugar levels Increased the Prevalence of IDM cases increased( More after 180mg/dl(8.9%). So there was a significant association between GDM in Mothers and Infants developing Diabetes early in life which suggests GDM Management is Crucial in pregnancy.

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    Published on: Jun 28, 2019 Pages: 35-38

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