Analysis of risk factors and intervention measures of gestational diabetes mellitus

Objective:To analyze the risk factors and intervention measures of gestational diabetes mellitus,and reduce the incidence of gestational diabetes mellitus.Methods:Three hundred and twenty-six pregnant women were divided into the pregnancy complicated with diabetes mellitus group(case group,54 cases) and non-pregnant diabetes mellitus group(control group,272 cases).The clinical data of pregnant women were collected,the influencing factors of the incidence of gestational diabetes were analyzed using the single factor and multi-factor logistic regression analysis methods.Results:The high fasting blood glucose in early pregnancy,high fasting insulin level,high insulin resistance index,age ≥ 35,high body mass before pregnancy,high body mass index before pregnancy,family history of diabetes mellitus,high body weight increasing in early pregnancy and high body weight increasing in second trimester were the independent risk factors of gestational diabetes mellitus(P<0.05 to P<0.01).Conclusions:Developing diet management and controlling body weight during the health care before pregnancy should be implemented.Controlling body weight,blood lipid and fasting blood glucose should be managed in early pregnancy.