Prevalence of good glycaemic control and its associated factors among gestational diabetes patients in Bachok, Kelantan

Introduction: The prevalence of GDM has shown an increasing trend from year to year. GDM can be effectively controlled and uncontrolled GDM had been associated with a wide range of morbidities and mortalities to mothers and infants. Hence, it is important to ensure that mothers with GDM have good...

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Main Author:	Rasmi, Muhammad Faiz
Format:	Thesis
Language:	English
Published:	2017
Subjects:	RG Gynecology and obstetrics
Online Access:	http://eprints.usm.my/45272/1/Dr.%20Muhammad%20Faiz%20Rasmi-24%20pages.pdf
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spelling	my-usm-ep.452722020-10-22T03:03:15Z Prevalence of good glycaemic control and its associated factors among gestational diabetes patients in Bachok, Kelantan 2017 Rasmi, Muhammad Faiz RG Gynecology and obstetrics Introduction: The prevalence of GDM has shown an increasing trend from year to year. GDM can be effectively controlled and uncontrolled GDM had been associated with a wide range of morbidities and mortalities to mothers and infants. Hence, it is important to ensure that mothers with GDM have good glycaemic control in order to prevent these negative outcomes. Objectives: To determine the prevalence of good glycaemic control and its associated factors among GDM patients attending antenatal clinic in Bachok. Methodology: This is a cross sectional study with retrospective record review of 129 GDM patients who were diagnosed from June to November 2014 The sociodemographic and medical characteristics of patients were gathered from the antenatal cards and recorded in the case report form. The medical characteristics of interest includes BMI at booking, gestational age when GDM was diagnosed, weight gain until GDM was diagnosed, level of FBG and 2HPP at diagnosis, abortion history, previous history of GDM and history of macrosomic baby. Good Glycaemic Control was defined as either: (i) having at least 75% of the blood sugar profile (BSP) readings within the normal range in two consecutive BSP readings or (ii) those who do not require insulin after two consecutive blood sugar profile (BSP) readings. Data was entered and analysed using SPSS version 22.0.Results: The prevalence of good glycaemic control was 61.2% (95% CI, 0.53, 0.70) (n =79). The mean (SD) age and parity (SD) of patients in this study were 31.2(6.00) and 3.4(2.08) respectively. Multiple logistic regression showed that gestational age at GDM diagnosis (OR= 0.93, 95% CI: 0.87, 1.00, p= 0.048), level of FBG at GDM diagnosis (OR= 0.28, 95% CI: 0.15, 0.50, p= 0.001), previous history of GDM (OR= 0.23, 95% CI: 0.06, 0.84 p= 0.026) and history of macrosomic baby (OR= 10.45, 95% CI: 1.80, 60.69 p= 0.009) were significantly associated with good glycaemic control. Conclusion: The prevalence of good glycaemic control among GDM patients in this study was acceptable. Gestational age at GDM diagnosis, level of FBG at GDM diagnosis, presence of previous GDM history and no history of macrosomic baby were associated with good glycaemic control of GDM. 2017 Thesis http://eprints.usm.my/45272/ http://eprints.usm.my/45272/1/Dr.%20Muhammad%20Faiz%20Rasmi-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RG Gynecology and obstetrics
spellingShingle	RG Gynecology and obstetrics Rasmi, Muhammad Faiz Prevalence of good glycaemic control and its associated factors among gestational diabetes patients in Bachok, Kelantan
description	Introduction: The prevalence of GDM has shown an increasing trend from year to year. GDM can be effectively controlled and uncontrolled GDM had been associated with a wide range of morbidities and mortalities to mothers and infants. Hence, it is important to ensure that mothers with GDM have good glycaemic control in order to prevent these negative outcomes. Objectives: To determine the prevalence of good glycaemic control and its associated factors among GDM patients attending antenatal clinic in Bachok. Methodology: This is a cross sectional study with retrospective record review of 129 GDM patients who were diagnosed from June to November 2014 The sociodemographic and medical characteristics of patients were gathered from the antenatal cards and recorded in the case report form. The medical characteristics of interest includes BMI at booking, gestational age when GDM was diagnosed, weight gain until GDM was diagnosed, level of FBG and 2HPP at diagnosis, abortion history, previous history of GDM and history of macrosomic baby. Good Glycaemic Control was defined as either: (i) having at least 75% of the blood sugar profile (BSP) readings within the normal range in two consecutive BSP readings or (ii) those who do not require insulin after two consecutive blood sugar profile (BSP) readings. Data was entered and analysed using SPSS version 22.0.Results: The prevalence of good glycaemic control was 61.2% (95% CI, 0.53, 0.70) (n =79). The mean (SD) age and parity (SD) of patients in this study were 31.2(6.00) and 3.4(2.08) respectively. Multiple logistic regression showed that gestational age at GDM diagnosis (OR= 0.93, 95% CI: 0.87, 1.00, p= 0.048), level of FBG at GDM diagnosis (OR= 0.28, 95% CI: 0.15, 0.50, p= 0.001), previous history of GDM (OR= 0.23, 95% CI: 0.06, 0.84 p= 0.026) and history of macrosomic baby (OR= 10.45, 95% CI: 1.80, 60.69 p= 0.009) were significantly associated with good glycaemic control. Conclusion: The prevalence of good glycaemic control among GDM patients in this study was acceptable. Gestational age at GDM diagnosis, level of FBG at GDM diagnosis, presence of previous GDM history and no history of macrosomic baby were associated with good glycaemic control of GDM.
format	Thesis
qualification_level	Master's degree
author	Rasmi, Muhammad Faiz
author_facet	Rasmi, Muhammad Faiz
author_sort	Rasmi, Muhammad Faiz
title	Prevalence of good glycaemic control and its associated factors among gestational diabetes patients in Bachok, Kelantan
title_short	Prevalence of good glycaemic control and its associated factors among gestational diabetes patients in Bachok, Kelantan
title_full	Prevalence of good glycaemic control and its associated factors among gestational diabetes patients in Bachok, Kelantan
title_fullStr	Prevalence of good glycaemic control and its associated factors among gestational diabetes patients in Bachok, Kelantan
title_full_unstemmed	Prevalence of good glycaemic control and its associated factors among gestational diabetes patients in Bachok, Kelantan
title_sort	prevalence of good glycaemic control and its associated factors among gestational diabetes patients in bachok, kelantan
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2017
url	http://eprints.usm.my/45272/1/Dr.%20Muhammad%20Faiz%20Rasmi-24%20pages.pdf
_version_	1747821481797091328

Prevalence of good glycaemic control and its associated factors among gestational diabetes patients in Bachok, Kelantan

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