Gestational Diabetes Mellitus
Conditions
Keywords
inositol, gestational diabetes mellitus, obstetric adverse outcomes
Brief summary
Objective: Insulin resistance during normal pregnancy and in gestational diabetes mellitus (GDM) are unknown. New criteria are based on fasting glucose levels since the beginning of pregnancy. Inositol, a putative second messenger of insulin, correlates with the degree of insulin resistance. Dietary supplementation of inositol improves insulin resistance in patients with GDM.
Detailed description
Methods: A randomized double-blind study was carried out in women with GDM. Patients were randomly exposed to inositol and placebo. Increase of BMI, blood glucose at 75 grams oral glucose tolerance test (OGTT), fetal and neonatal adverse outcome, and insulin treatment were correlated to inositol exposure.
Interventions
inositol exposure in early GDM
Sponsors
Study design
Eligibility
Inclusion criteria
* singleton pregnant women * random fasting glucose above 92 mg%
Exclusion criteria
* BMI \>30 * random fasting glucose above 126 mg%
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Insulin therapy in early diagnosis of GDM | 6 months | Inositol supplementation and diet with/without insulin therapy in early GDM |
| altered OGTT | 6 months | OGTT altered at 24-28 wks in inositol and control group |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| delivery and neonatal outcomes | 6 months | prevention of maternal and fetal adverse outcomes deriving from GDM (LGA fetuses, poly-hydramnios, C-section rate, gestational age at delivery, birthweight, birth injuries) |
Countries
Italy