Diabetes Management Delivery and Pregnancy Outcomes in Women with Gestational Diabetes Mellitus during the First Wave of the 2020 COVID-19 Pandemic: A Single-Reference Center Report
Objectives. The COVID-19 pandemic has forced a rapid adaptation of healthcare services to secure care for many patient groups. This includes women with gestational diabetes mellitus (GDM). We evaluated the impacts of the first COVID-19 wave on parameters such as the GDM treatment, glycemic control,...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2021/5515902 |
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| _version_ | 1849304575450808320 |
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| author | Magdalena Wilk Paulina Surowiec Bartłomiej Matejko Albert Wróbel Joanna Zięba-Parkitny Katarzyna Cyganek Hubert Huras Maciej T. Małecki |
| author_facet | Magdalena Wilk Paulina Surowiec Bartłomiej Matejko Albert Wróbel Joanna Zięba-Parkitny Katarzyna Cyganek Hubert Huras Maciej T. Małecki |
| author_sort | Magdalena Wilk |
| collection | DOAJ |
| description | Objectives. The COVID-19 pandemic has forced a rapid adaptation of healthcare services to secure care for many patient groups. This includes women with gestational diabetes mellitus (GDM). We evaluated the impacts of the first COVID-19 wave on parameters such as the GDM treatment, glycemic control, and pregnancy outcomes. Methods. In this retrospective study from a reference diabetes center (Krakow, Poland), we compared patient data from two different time periods: the first wave of the COVID-19 pandemic (March 2020–June 2020) and the preceding five months (October 2019–February 2020). Data was collected from the medical records and telephone surveys. Results. We included 155 consecutive women (group N1=73 and group N2=82 from the COVID-19 pandemic period and non-COVID-19 period, respectively). During the COVID-19 pandemic, almost half of all GDM women (N1=36, 49.3%) used telemedicine as a method of contacting their diabetic specialists while this tool was not utilized in the earlier period. Moreover, these patients reported difficulties in performing blood glucose self-control more often (N1=20, 27.4%, vs N2=7, 8.5%; p≤0.01) and spent less time on diabetes education than the control group on average (N1=39, 53.4%, vs N2=9, 9.8% below 2 hours of training; p≤0.01). Most analyzed glycemic parameters and pregnancy outcomes were similar. Differences were found with respect to the incidence of prolonged labor (N1=12, 16.4%, vs N2=3, 3.7%; p≤0.01) and preeclampsia (N1=0 vs N2=7, 8.5%; p=0.01). Conclusion. In this single-center observational study, the first wave of the COVID-19 pandemic did not seem to have a negative impact on pregnancy outcomes in GDM women, despite the difficulties in diabetes management delivery. |
| format | Article |
| id | doaj-art-3e560f908de04bf99122d0c5a822aade |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-3e560f908de04bf99122d0c5a822aade2025-08-20T03:55:41ZengWileyJournal of Diabetes Research2314-67452314-67532021-01-01202110.1155/2021/55159025515902Diabetes Management Delivery and Pregnancy Outcomes in Women with Gestational Diabetes Mellitus during the First Wave of the 2020 COVID-19 Pandemic: A Single-Reference Center ReportMagdalena Wilk0Paulina Surowiec1Bartłomiej Matejko2Albert Wróbel3Joanna Zięba-Parkitny4Katarzyna Cyganek5Hubert Huras6Maciej T. Małecki7Department of Metabolic Diseases, Jagiellonian University Medical College, Krakow, PolandDepartment of Metabolic Diseases, Jagiellonian University Medical College, Krakow, PolandDepartment of Metabolic Diseases, Jagiellonian University Medical College, Krakow, PolandStudents’ Scientific Group, Department of Metabolic Diseases, Jagiellonian University Medical College, Krakow, PolandUniversity Hospital, Krakow, PolandDepartment of Metabolic Diseases, Jagiellonian University Medical College, Krakow, PolandUniversity Hospital, Krakow, PolandDepartment of Metabolic Diseases, Jagiellonian University Medical College, Krakow, PolandObjectives. The COVID-19 pandemic has forced a rapid adaptation of healthcare services to secure care for many patient groups. This includes women with gestational diabetes mellitus (GDM). We evaluated the impacts of the first COVID-19 wave on parameters such as the GDM treatment, glycemic control, and pregnancy outcomes. Methods. In this retrospective study from a reference diabetes center (Krakow, Poland), we compared patient data from two different time periods: the first wave of the COVID-19 pandemic (March 2020–June 2020) and the preceding five months (October 2019–February 2020). Data was collected from the medical records and telephone surveys. Results. We included 155 consecutive women (group N1=73 and group N2=82 from the COVID-19 pandemic period and non-COVID-19 period, respectively). During the COVID-19 pandemic, almost half of all GDM women (N1=36, 49.3%) used telemedicine as a method of contacting their diabetic specialists while this tool was not utilized in the earlier period. Moreover, these patients reported difficulties in performing blood glucose self-control more often (N1=20, 27.4%, vs N2=7, 8.5%; p≤0.01) and spent less time on diabetes education than the control group on average (N1=39, 53.4%, vs N2=9, 9.8% below 2 hours of training; p≤0.01). Most analyzed glycemic parameters and pregnancy outcomes were similar. Differences were found with respect to the incidence of prolonged labor (N1=12, 16.4%, vs N2=3, 3.7%; p≤0.01) and preeclampsia (N1=0 vs N2=7, 8.5%; p=0.01). Conclusion. In this single-center observational study, the first wave of the COVID-19 pandemic did not seem to have a negative impact on pregnancy outcomes in GDM women, despite the difficulties in diabetes management delivery.http://dx.doi.org/10.1155/2021/5515902 |
| spellingShingle | Magdalena Wilk Paulina Surowiec Bartłomiej Matejko Albert Wróbel Joanna Zięba-Parkitny Katarzyna Cyganek Hubert Huras Maciej T. Małecki Diabetes Management Delivery and Pregnancy Outcomes in Women with Gestational Diabetes Mellitus during the First Wave of the 2020 COVID-19 Pandemic: A Single-Reference Center Report Journal of Diabetes Research |
| title | Diabetes Management Delivery and Pregnancy Outcomes in Women with Gestational Diabetes Mellitus during the First Wave of the 2020 COVID-19 Pandemic: A Single-Reference Center Report |
| title_full | Diabetes Management Delivery and Pregnancy Outcomes in Women with Gestational Diabetes Mellitus during the First Wave of the 2020 COVID-19 Pandemic: A Single-Reference Center Report |
| title_fullStr | Diabetes Management Delivery and Pregnancy Outcomes in Women with Gestational Diabetes Mellitus during the First Wave of the 2020 COVID-19 Pandemic: A Single-Reference Center Report |
| title_full_unstemmed | Diabetes Management Delivery and Pregnancy Outcomes in Women with Gestational Diabetes Mellitus during the First Wave of the 2020 COVID-19 Pandemic: A Single-Reference Center Report |
| title_short | Diabetes Management Delivery and Pregnancy Outcomes in Women with Gestational Diabetes Mellitus during the First Wave of the 2020 COVID-19 Pandemic: A Single-Reference Center Report |
| title_sort | diabetes management delivery and pregnancy outcomes in women with gestational diabetes mellitus during the first wave of the 2020 covid 19 pandemic a single reference center report |
| url | http://dx.doi.org/10.1155/2021/5515902 |
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