Analysis and Intervention of Factors Affecting Abnormal Postpartum Glucose Tolerance and Gestational Recurrence in Gestational Diabetes

Abstract

ObjectiveTo investigate the influencing factors of abnormal postpartum glucose tolerance and pregnancy recurrence in gestational diabetes mellitus (GDM) and to develop reasonable interventions to prevent postpartum glucose tolerance and recurrence of pregnancy. Methods. Retrospective analysis of clinical data of 238 GDM patients during pregnancy, including age, body mass index (BMI) before and after pregnancy, regular exercise during pregnancy, insulin use, family history of diabetes, fasting blood glucose (FPG) during pregnancy, oral glucose tolerance test (OGTT) 2 h time value, blood lipid index, and whether pregnant again. At the same time, the women were followed up by telephone or home visits to understand and guide the patient’s diet and exercise. The clinical characteristics of the two groups of patients were compared. According to the OGTT test, the recovery of glucose tolerance in pregnant women 6–8 weeks postpartum was divided into the normal postpartum glucose tolerance group and the abnormal group. Logistic multivariate analysis was used to find the influencing factors of postpartum glucose tolerance and recurrence of pregnancy. Results. Between 238 patients of followed-up, 150 pregnant women had abnormal postpartum glucose tolerance, accounting for 63.03%. There were 115 repregnants, of whom 37 (32.17%) had a recurrence of postpartum glucose tolerance. Pre and postpregnancy BMI, insulin use during pregnancy, family history of diabetes, FPG during pregnancy, OGTT 2 h values, and triglyceride (TG) were independent risk factors for abnormal postpartum diabetes and recurrence of pregnancy in GDM patients. Conclusions. Patients with GDM are at high risk of postpartum abnormal glucose tolerance and pregnancy recurrence, which may be influenced by the pregnant woman’s prepregnancy and postpartum BMI, insulin use during pregnancy, family history of diabetes, FPG, OGGT 2 h values during pregnancy, and TG levels. Therefore, health education for pregnant women should be strengthened in the clinic, with guidance on proper diet for weight control, increased exercise, and regular blood glucose screening and monitoring for those at risk.

Is There a Relationship between Adverse Pregnancy Outcomes and Future Development of Atherosclerosis?

“…Moreover, postpartum screening of pGDM patients remains inadequate, necessitating the development of an efficient and easy-to-implement tool that can include both panel genes and metabolic profile analysis to identify patients at high risk for DM and CVD that require more in-depth medical supervision. Earlier research showed that elevated cardiovascular risk in pGDM females in the postpartum period results from an interaction of genetic predisposition and diet [ 37 ].…”

Comparison of home exercise under supervision and self home exercise in pregnant women with gestational diabetes: randomized controlled trial

“…In contrast, minimum-contact home-based interventions are more commonly used in prenatal interventions as they are easier to implement for pregnant women than structured exercise programs [10]. Many women with GDM prefer not to exercise despite the potential bene ts because of a variety of barriers, including a lack of time, child care commitments, exhaustion, and a lack of access to exercise equipment [12]. As a result, by offering an attractive and familiar atmosphere, a supervised homebased exercise training program may be a promising way to encourage exercise adherence and remove barriers to exercise [11,12].…”

“…Many women with GDM prefer not to exercise despite the potential bene ts because of a variety of barriers, including a lack of time, child care commitments, exhaustion, and a lack of access to exercise equipment [12]. As a result, by offering an attractive and familiar atmosphere, a supervised homebased exercise training program may be a promising way to encourage exercise adherence and remove barriers to exercise [11,12]. There are few research examining the e cacy of guided home exercise plans for treating GDM.…”

Retracted: Analysis and Intervention of Factors Affecting Abnormal Postpartum Glucose Tolerance and Gestational Recurrence in Gestational Diabetes

“…This article has been retracted by Hindawi following an investigation undertaken by the publisher [ 1 ]. This investigation has uncovered evidence of one or more of the following indicators of systematic manipulation of the publication process: Discrepancies in scope Discrepancies in the description of the research reported Discrepancies between the availability of data and the research described Inappropriate citations Incoherent, meaningless and/or irrelevant content included in the article Peer-review manipulation …”

“…Tis article has been retracted by Hindawi following an investigation undertaken by the publisher [1]. Tis investigation has uncovered evidence of one or more of the following indicators of systematic manipulation of the publication process:…”