Al-Ofi Ebtisam A, Mosli Hala H, Ghamri Kholoud A, Ghazali Sarah M
1 Department of Physiology, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
2 Department of Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
J Int Med Res. 2019 Feb;47(2):754-764. doi: 10.1177/0300060518809872. Epub 2018 Nov 15.
The purpose of this study was to investigate the effect of remotely delivered telemedicine dietary advice on monitoring of blood glucose levels and weight gain of women with gestational diabetes mellitus (GDM).
Women with GDM were recruited and randomly allocated into two groups: a Tele-GDM group that received a telemonitoring device, and a control group that was followed-up traditionally. A telemonitoring service calculated the ratio of reaching or exceeding the pregnancy weight gain target (according to pre-pregnancy weight), following Institute of Medicine guidelines for healthy pregnancy weight gain.
The sample comprised 27 women in the Tele-GDM group and 30 in the control group. At the end of pregnancy, the Tele-GDM group showed significantly lower 2-hour postprandial glucose levels than the control group. Most women in the Tele-GDM group reached their recommended range of weight gain at the end of pregnancy. Additionally, the Tele-GDM group showed significantly lower weight gain than the control group.
Telemonitoring can facilitate close monitoring of women with GDM and motivate patients to adopt a healthy lifestyle.
本研究旨在调查远程提供的远程医疗饮食建议对妊娠期糖尿病（GDM）女性血糖水平监测和体重增加的影响。
招募患有GDM的女性并随机分为两组：接受远程监测设备的远程GDM组和传统随访的对照组。远程监测服务根据医学研究所关于健康孕期体重增加的指南，计算达到或超过孕期体重增加目标（根据孕前体重）的比例。
样本包括27名远程GDM组女性和30名对照组女性。在妊娠末期，远程GDM组的餐后2小时血糖水平显著低于对照组。远程GDM组的大多数女性在妊娠末期达到了推荐的体重增加范围。此外，远程GDM组的体重增加显著低于对照组。
远程监测有助于密切监测GDM女性，并激励患者采取健康的生活方式。
