Abstract：Objective To investigate of the effects of daily energy supply on blood sugar management of patients with gestational diabetes mellitus and neonatal weight using different energy coefficients. Methods From October 2016 to June 2017, 85 patients with gestational diabetes mellitus enrolled in the One-day Outpatient for Diabetes of Beijing Luohe Hospital affiliated to Capital Medical University ("our hospital" for short) were selected as the study group, and the patients who calculated the energy supply with the lower limit of the energy coefficient as the study group A (n = 43), the patient who calculated the energy supply with the upper limit of the energy coefficient as the study group B (n = 42); the patients with gestational diabetes mellitus who took the pregnancy test at the same time and did not participate in the One-day Outpatient for Diabetes in our hospital as the control group (n = 50). The glycosylated hemoglobin, the positive rate of urinary ketone body and neonatal weight in the study group and the control group were monitored and followed up. The blood sugar before and 2 hours after meals in One-day Outpatient for Diabetes, urinary ketone body and neonatal weight in group A and group B were monitored. Results The glycated hemoglobin of the study group was significantly lower than that of the control group (P < 0.05). The neonatal weight in the study group was significantly lower than that of the control group (P < 0.05). The blood sugar compliance rate of study group A was higher than that of study group B, and the difference was statistically significant (P < 0.05). The postprandial blood sugar of study group A was lower than that of study group B, the difference was not statistically significant (P > 0.05). The neonatal weight of study group A was significantly lower than that of the study group B, and the difference was statistically significant (P < 0.05). Conclusion One-day Outpatient for Diabetes is beneficial to patients with gestational diabetes to better control blood sugar and reduce the incidence of macrosomia. Taking the lower limit of the energy coefficient to calculate the total calories can ensure the energy needs of pregnant women, and does not increase the incidence of hypoglycemia and the positive rate of ketone body, which is conducive to blood sugar compliance.
韩宇瑜 赵秀伶▲ 马唯 田丹 庞亚茹. 不同能量系数取值对妊娠期糖尿病患者血糖及新生儿体重的影响[J]. 中国医药导报, 2019, 16(3): 93-96.
HAN Yuyu ZHAO Xiuling▲ MA Wei TIAN Dan PANG Yaru. Effect of different energy coefficients on blood sugar in patients with gestational diabetes mellitus and neonatal weight. 中国医药导报, 2019, 16(3): 93-96.
2019, Vol. 16 
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