GDM
Conditions
Keywords
Inositol, GDM
Brief summary
Comparison of different inositol stereoisomears in preventing adverse obstetric outcomes in non-obese pregnant women at high risk for gestational diabetes mellitus.
Detailed description
The investigators compared outcomes from metabolic and obstetric point of view in GDM pregnant non-obese patient with different stereoisomears of inositol supply. Dietary control and placebo or inositol steroisomears were administered starting at the enrolling time (first fasting oral glucose above 92 mg%; usually before 20 weeks gestations') till the delivery and/or pregnancy end/termination. Oral glucose tolerance test results at 24-28 weeks' gestation was evaluated (as glucose values and oGTT screening). Fetal growth, delivery data, obstetric outcomes and necessity of insulin therapy were taken into account.
Interventions
Dietary control plus Myo-inositol
Dietary control plus D-Chiro-Inositol supplementation
Dietary control Supplementation with myo and d-chiro inositol
Dietary control plus folic acid 400 mcg daily
Sponsors
Study design
Eligibility
Inclusion criteria
* pregnancy below 20 weeks gestation BMI below 30 Fasting glucose between 92 and 126 mg% Singleton pregnancy Naturally conceived
Exclusion criteria
* obese patient Fasti g glucose above 126 or below 92
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| OGTT result | 24-28 weeks' gestation | OGTT is the mainstay of obstetric outcomes in GDM |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fetal measurements at third trimester | 28 weeks | Centiles of fetal measurements and amniotic fluid volume |
| Delivery data | 25-42 weeks gestations' | Gestational age at delivery Route of delivery Fetal gender Fetal weight (grams and centiles) Neonatal hypoglycemia |
| Adverse obstetric outcome | from first elevated oral fasting glucose (above 92 mg%) till the end/termination of pregnancy (latter 42 weeks gestation) | Abortion Preterm delivery Polyhydramnios IUGR Macrosomia Fetal distress Preterm delivery pPROM Neonatal morbility (NICU stay, low glucose levels, etc.) Neonatal mortality Cerebral palsy Route of delivery Dystocia Etc. |