Retrospective analysis of glycemic control of pregnant accompanied in a university hospital located at Bragança Paulista – SP, Brazil

Abstract

Aim: To analyze the records of pregnant women diagnosed with GDM in a high-risk outpatient clinic, tracing the epidemiological profile of patients and verifying the treatment efficacy. Method: Analysis of patients medical records who were on a diet with caloric intake adequate to initial weight of prenatal care, with fasting blood glucose measurements, 2 hours in the postprandial period, at 11:00 p.m. and at 3:00 a.m. hours. We also collected data on parity, gestational age, blood glucose after GTT, caloric intake, age and ethnicity. Results: The majority of 60 pregnant women had a mean age of 31 years, belonged to Caucasian ethnicity, and had 31 weeks of gestation. Most were primigravidae, mean value of glucose one hour after oral glucose overload was significantly higher than that observed in fasting, and it was repeated after two hours. The increase in postprandial blood glucose was significant when compared to values of fasting glycaemia, as well as values observed at 11:00 p.m. However, comparing the glycaemia value in the dosage performed at 03:00 a.m. with fasting blood glucose values, no statistically significant difference was observed. Conclusion: This study confirmed the effectiveness of treatment instituted in evaluated Service, since glycaemia was regularized at the end of hospitalization, in most cases without need for insulin, but only with adequacy of caloric intake and habits change.