ECEESPE2025 ePoster Presentations Diabetes and Insulin (245 abstracts)
1National Institute of Nutrition and Food Technology, Department of Nutritional Diseases C, Tunis, Tunisia; 2National Institute of Nutrition and Food Technology, Department of Nutritional Diseases C, Tunis, Tunisia
JOINT1631
Introduction and objective: Gestational diabetes is a common pregnancy complication that poses unique health challenges, often leading to increased stress for affected women. High stress levels can affect both maternal well-being and pregnancy outcomes. This study aims to examine perceived stress levels and identify factors linked to elevated stress in this population.
Materials and methods: A cross-sectional study was conducted in Department C of the National Institute of Nutrition in Tunis over 7 months. Stress levels were measured using the Perceived Stress Scale (PSS-10), with scores above 27 indicating high stress.
Results: A total of 163 women were included with a mean age of 33.21±4.82 years. The median gestational age was 28.5 weeks±[21.9; 33.3]. Insulin therapy was prescribed for 27.6%of the patients and glycemic control was achieved in 60.1% of them. Macrosomia was the most common complication, affecting 14.1% of fetuses. About one-third of women(32.5%) reported not desiring their pregnancies. The average PSS score was 17.11±6.78. Moderate stress was noted in 58.3% of participants, while 9.8% reported high stress levels. High perceived stress was more prevalent among women with unwanted pregnancies (17% vs. 6.4%; P = 0.03), those undergoing insulin therapy (17.8% vs. 6.8%; P= 0.04), and those at risk of preterm delivery (12.5% vs. 1.4%; P = 0.04). Multivariate analysis identified insulin therapy as a significant risk factor for high stress levels (OR=6.4; 95% CI [1.5, 27.19]).
Conclusion: These findings underscore the importance of targeted psychological support and stress management strategies for pregnant women with gestational diabetes, especially those receiving insulin therapy.