Metabolic control with diet vs insulin in patients with gestational diabetes and obesity

Objective: To identify the degree of metabolic control achieved in pregnant patients diagnosed with Gestational Diabetes and Obesity treated with diet, compared to those treated with insulin. Methodology: Observational, retrospective, longitudinal and descriptive study, carried out from January to December 2021. Metabolic control was evaluated monthly during pregnancy based on the treatment received (diet vs insulin with 23 patients in each group). Results: Of the 23 patients who started on the diet, only 30.4% finished in a controlled manner under the same diet-only regimen. In contrast, of the 23 who started with insulin, 86.9% ended up controlled.