Endocrine Abstracts

JOINT3908

Introduction: Gestational diabetes represents a public health issue due to its increased frequency, which has significantly risen since the revision of its diagnostic criteria, as well as its impact on both maternal and fetal health.

Objective: The objective of this study is to identify the clinical profile, screening methods, and management approaches for gestational diabetes.

Materials and Methods: A retrospective descriptive study conducted in the Endocrinology and Metabolic Diseases Department of Ibn Rochd University Hospital – Casablanca, among patients monitored for gestational diabetes.

Results: We included 227 patients in our study, all followed for gestational diabetes, with an incidence of 30% of diabetic pregnancies. The average age was 33.1 years, the average gravidity was 2.9, while the average parity was 2.08. The average BMI before pregnancy was 29.6 kg/m². Screening for gestational diabetes was conducted in the presence of overweight or obesity in 48.8% of patients, a personal history of macrosomia in 12.3% of cases, and a family history of diabetes in 29.5% of cases. Screening for gestational diabetes was carried out through fasting blood glucose in 73% of patients and the oral glucose tolerance test in 17%. The average gestational age at diagnosis was 22.5 weeks. Regarding management, 66.6% of patients were following hygiene-dietary rules, and 33.4% were on intensified insulin therapy with biweekly consultations. Glycemic control was perfect in 53.3% of patients. As for obstetric complications observed: 14.6% had gestational hypertension, 16.7% had macrosomia, 7.2% had a risk of preterm birth, and 4.3% had malformations.

Conclusion: The results of our work highlight the need to improve the screening of gestational diabetes and the management of patients diagnosed with gestational diabetes.