Jeraiby Mohammed
Department of Biochemistry, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia.
Int J Gen Med. 2021 Nov 23;14:8583-8589. doi: 10.2147/IJGM.S335914. eCollection 2021.
Pregnancies in women with type 1 diabetes mellitus (T1DM) are associated with an increased risk of poor outcomes for mothers and their infants.
To assess the awareness of preconception care among women with T1DM and their self-management status in the southern region of Saudi Arabia.
This study is a cross-sectional study that was done on 187 women participated of childbearing age with T1DM who were seen in diabetic centers between June 2019 and September 2020. Pre-pregnancy care and disease management were assessed via a questionnaire.
The prevalence of preconception awareness of diabetes management was 66.9%. Several factors significantly influenced the level of awareness, including education level (= 0.001) and HbA1c (= 0.014). In multivariate analysis, the lower educational level turns out to be a significant risk factor for low awareness (OR = 3.71, 95% CI [1.65, 8.31], = 0.001). Additionally, compared to controlled DM, uncontrolled diabetes had a twofold increased risk of low awareness (OR = 2.03, 95% CI [1.08, 3.81], = 0.027).
The awareness level was significantly correlated with a high educational level and better glycemic control. Meanwhile, it was not significantly correlated with diabetes duration.
1型糖尿病（T1DM）女性怀孕与母亲及其婴儿不良结局风险增加相关。
评估沙特阿拉伯南部地区T1DM女性对孕前保健的知晓情况及其自我管理状况。
本研究为横断面研究，对2019年6月至2020年9月期间在糖尿病中心就诊的187名育龄T1DM女性进行。通过问卷调查评估孕前保健和疾病管理情况。
糖尿病管理孕前知晓率为66.9%。几个因素显著影响知晓水平，包括教育程度（P = 0.001）和糖化血红蛋白（HbA1c）（P = 0.014）。在多变量分析中，较低的教育程度是知晓率低的显著危险因素（比值比[OR]=3.71，95%置信区间[CI][1.65, 8.31]，P = 0.001）。此外，与糖尿病得到控制的患者相比，未得到控制的糖尿病患者知晓率低的风险增加两倍（OR = 2.03，95% CI [1.08, 3.81]，P = 0.027）。
知晓水平与高教育程度和更好的血糖控制显著相关。同时，与糖尿病病程无显著相关性。
