Endocrine Abstracts

Introduction: Diabetic pregnancy is a high risk pregnancy. The objective of our study was to study the clinical-biological profile of pregnant women with gestational diabetes.

Methods: It was a retrospective study of 82 pregnant diabetic women admitted to the day hospital of the National Nutrition Institute in Tunis for the management of gestational diabetes. All patients received regular follow-up until delivery.

Results: The average age of our population was 33.55 ± 4.3 years. On admission, the mean term was 25.6 ± 8.4 years. Pregnancy was scheduled in 12.6% of the cases. 5% were smoking and 2.6% were hypertensive. The average HbA1c was 6.2 ± 0.5%. Hypochromic microcytic anemia requiring iron supplementation was noted in 48% of cases. The diagnosis of hypothyroidism was made in 4.4% of the population studied at an average term of 10 SA requiring the administration of 25 mg/d of L-Thyroxine. Only three of them required an increase in dose to 50 mg/day. Isolated hypothyroxinemia was noted in 5.2%. All the patients required hygieno-dietetic rules and the use of insulin therapy was noted in 26.3% of the cases.

Conclusion: Regular monitoring is essential when diagnosing gestational diabetes in order to maintain a strict glycemic balance throughout pregnancy and to prevent the appearance or worsening of any micro and macrovascular complications.