Effect of shared medical appointments on blood glucose levels and self-management behavior in patients with gestational diabetes mellitus

WANG Wanying; HAN Tingting; LU Xiaofan; XU Chong; ZHANG Ying; QI Yalan; YIN Huaping; ZOU Huiling; SUN Yu

doi:10.7619/jcmp.20241312

Journal of Clinical Medicine in Practice > 2024 > 28(16): 109-113, 120. > DOI: 10.7619/jcmp.20241312

WANG Wanying, HAN Tingting, LU Xiaofan, XU Chong, ZHANG Ying, QI Yalan, YIN Huaping, ZOU Huiling, SUN Yu. Effect of shared medical appointments on blood glucose levels and self-management behavior in patients with gestational diabetes mellitus[J]. Journal of Clinical Medicine in Practice, 2024, 28(16): 109-113, 120. DOI: 10.7619/jcmp.20241312

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Effect of shared medical appointments on blood glucose levels and self-management behavior in patients with gestational diabetes mellitus

1.
Department of Endocrinology, Suqian Hospital Affiliated to Xuzhou Medical University, Suqian, Jiangsu, 223800
2.
Department of Gynecology and Obstetrics, Suqian Hospital Affiliated to Xuzhou Medical University, Suqian, Jiangsu, 223800

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Received Date: March 28, 2024
Revised Date: May 13, 2024

Graphical Abstract

Abstract

Abstract

Objective
To investigate the impact of the Shared Medical Appointment (SMA) model on blood glucose levels and self-management behaviors in patients with gestational diabetes mellitus (GDM).
Methods
A total of 87 pregnant women diagnosed with GDM at the Obstetrics and Gynecology and Endocrinology Outpatient Departments of the Affiliated Suqian Hospital of Xuzhou Medical University from October 2021 to October 2022 were enrolled and divided into treatment group (n=44) and control group (n=43). The treatment group received SMA-based GDM management, while the control group underwent routine outpatient follow-up. Baseline data, flash glucose monitoring (FGM)-related indicators before and after treatment, and self-management behavior scale scores were compared between the two groups.
Results
No statistically significant differences were observed between the two groups in age, body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), fasting blood glucose (FBG), blood urea nitrogen (BUN), creatinine (Cr), uric acid (UA), triglycerides (TG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), and glycated hemoglobin (HbA1c) (P>0.05). After treatment, the time in range (TIR) of glucose was higher in the treatment group than that in the control group, while mean amplitude of glycemic excursions (MAGE), standard deviation of blood glucose (SDBG), coefficient of variation (CV), and mean blood glucose (MBG) were lower in the treatment group (P < 0.05). Within the treatment group, post-treatment TIR was higher, and MAGE, CV, SDBG, and MBG were lower than pre-treatment levels (P < 0.05). In the control group, post-treatment TIR was higher, and SDBG and MBG were lower than pre-treatment levels (P < 0.05). After treatment, the total score and scores for dietary management, exercise management, medication management, and blood glucose monitoring management in the self-management behavior scale were significantly higher in the treatment group than in the control group (P < 0.05). In the treatment group, post-treatment scores for all self-management behaviors were higher than pre-treatment levels, while post-treatment total scores and scores for medication management and blood glucose monitoring management in the control group were higher than pre-treatment levels (P < 0.05).
Conclusion
SMA management model can comprehensively improve blood glucose levels and enhance self-management behavior capabilities in GDM patients.
- gestational diabetes,
- shared medical appointments,
- self-management behavior,
- flash glucose monitoring,
- blood sugar level,
- management mode

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References

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