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Glycemic qualification rate and frequency of self-monitoring blood glucose glycemic qualification rate and frequency of self-monitoring blood glucose (SMBG) in women with gestational diabetes mellitus (GDM).

Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Science, Beijing, 100730, China. Zhengzhou Central Hospital Affiliated to Zhengzhou University, No. 16 Tongbai North Road, Zhongyuan District, Zhengzhou, Henan Province 450007, China. Shenyang Maternity and Child Health Hospital, No. 41 Shenzhou Road, Shenhe District, Shenyang, Liaoning Province 110000, China. QuanZhou Women's and Children's Hospital, No. 700 Fengze Street, Quanzhou, Fujian Province 362000, China. Shenyang Women's and Children's Hospital, No. 87 Danan Street, Shenhe District, Shenyang, Liaoning Province 110011, China. Xiamen Maternal and Child Health Hospital, No. 10 Zhenhai Road, Xiamen, Fujian Province 361003, China. Shunyi Women's & Children's Hospital of Beijing Children's Hospital, No. 1 Shunkang Road, Shunyi District, Beijing 101300, China. Jinan Maternity and Child Care Hospital Affiliated to Shandong First Medical University, No. 2 Jianguoxiaojingsan Street, Shizhong District, Jinan, Shandong Province 250001, China. Fuyang People's Hospital, No. 63 Luci Street, Yinzhou District, Fuyang, Anhui Province 236004, China. Beijing Pinggu Hospital, No. 59 Xinping North Road, Pinggu District, Beijing 101200, China. Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Science, Beijing, 100730, China. Electronic address: MaLiangKun@pumch.cn.

Diabetes research and clinical practice. 2020;:108482
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Abstract

AIMS: To explore the relationship between blood glucose (BG) control rate and self-monitoring blood glucose (SMBG) compliance of women with gestational diabetes mellitus (GDM). METHODS Women with GDM (n = 309) were randomized to receive routine clinical prenatal care or additional online management. Follow-up visits were conducted every two weeks (noted here as T) from enrollment to delivery. SMBG records were used for the analysis. RESULTS Both the intervention group and the control group had an increasing BG control rate and decreasing SMBG compliance during the whole follow-up period. Detailed data analysis on separate follow-up periods showed that the SMBG frequency was negatively correlated with the BG control rate in most Ts and that the BG control rate of Tn-1 was negatively correlated with the SMBG frequency of Tn in the adjacent T. Only in the intervention group was T2 SMBG compliance not under the influence of the T1 BG control rate. CONCLUSIONS Our data suggested that regardless of management approach, the BG control rate increased, and the SMBG frequency decreased as gestational weeks increased in women with GDM. Even in separate follow-up periods, the SMBG frequency was negatively correlated with the BG control rate both within one follow-up period and between two adjacent follow-up periods.

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MeSH terms : Patient Compliance