A Prospective study on Impact of Gestational Diabetes Mellitus (GDM) Management on Infants diabetes mellitus (IDM) Burden in Uttar Pradesh India

Abstract

Gestational diabetes mellitus (GDM) is a type of glucose intolerance which is often identified first time in pregnancy. It is important to assess whether in Uttar Pradesh (a largest state of India with one of the highest rate of the infant mortality rate) has also higher Chances of Infants Diabetes Mellitus(IDM) which may attribute it to GDM is an unanswered issue. The Primary objective of this study was to be determine whether the Infants Diabetes Mellitus is associated with GDM and can the GDM Management in Pregnancy Improves Infants Diabetes Mellitus via a Proscpective study approach. A prospective cohort study was done for 2 and half years from October 1, 2016, to March 31, 2019, at 900 GDM screening units as a part of the Gestational Diabetes Prevention and Control Project, Uttar Pradesh approved by the Indian Government in the state of Uttar Pradesh, India, A total of 57018 pregnant women were screened during their 16–32th weeks of pregnancy by impaired oral glucose test (OGTT) as per NHM Guidelines for GDM, 12784 GDM & 7287 Non GDM maternal and perinatal outcomes were followed up in both GDM and non‑GDM categories in the 2 years and 6 months (2016-201) after blood sugar management (September 2016-March 2019) was executed at 900 healthcare facilities, 515532 Pregnant Women have been screened at 16-20 Weeks & 24th-28 weeks of pregnancy as per Guidelines of National health Mission, GOI Guideline.