A Case of Gestational Diabetes Mellitus in the First Pregnancy and Pregestational Diabetes Mellitus in the Second Pregnancy Demonstrating the Clinical Utility of Short-term Hospital Admission

Mikami Yuki, Sawai Maki, Yamano Gen, Maeda Marisa, Nagashima Kazuaki, Iwami Shuichiro, Kobayashi Yuka

doi:10.11213/tonyobyo.65.223

<p>Hyperglycemic disorders in pregnancy are associated with risk to the mother and fetus in the perinatal period. This case report aims to promote glycemic management through a comprehensive approach in cooperation with diabetes physicians, gynecologists, nurses, pharmacists, and registered dietitians to promote safe delivery. The findings of a case report suggest that early hospitalization during which the patient reported and shared problems with the health team improved blood glucose levels. At the development of gestational diabetes mellitus in the patient's first pregnancy, the major problem was poor glycemic control. We recommended one-week hospitalization to allow the patient to receive suitable dietary treatment with the adjustment of her insulin dosage. At the development of pregestational diabetes mellitus in the patient's second pregnancy, the major problems were irregular eating habits and weight gain due to insulin therapy. Thus, we recommended short-term hospitalization. Nutrition education and a well-balanced diet for 10 days helped obtain good glycemic control without changing the insulin dosage and prevented excessive weight gain until delivery. Furthermore, the comparison of the preprandial and 2-hour postprandial glucose levels as well as M₁₀₀ values between pre-admission and post-admission, showed a statistically significant improvement. Thus, short-term admission for patient education had a beneficial effect on glycemic control in a patient with hyperglycemic disorder in pregnancy.</p>

A Case of Gestational Diabetes Mellitus in the First Pregnancy and Pregestational Diabetes Mellitus in the Second Pregnancy Demonstrating the Clinical Utility of Short-term Hospital Admission

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