Obstetrical Characteristics and Glucose Profile of Singleton Primigravid Women with Gestational Diabetes Mellitus in Meru Mother and Child Health Clinic, Malaysia

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This study aims to explore the baseline obstetric characteristics of singleton, primigravid women with Gestational Diabetes Mellitus (GDM) from an experimental study. A total of 58 subjects with GDM, who were solely on diet control, were recruited from Meru Health Clinic in Selangor. The majority of the subjects (97%) were Malay. The mean age of the subjects was 27.59±3.2 years, with a pre-pregnancy weight of 68.86±17.8 kg, a height of 1.56±0.1 m, and Body Mass Index (BMI) of 28.08±6.7 kg/m2. Most subjects in this study (93%) were diagnosed with GDM at their first Oral Glucose Tolerance Test (OGTT), conducted at a mean gestational age of 18.93±2.8 weeks. The OGTT readings at diagnosis were 5.1±0.6 mmol/L for Fasting Blood Glucose (FBG) and 7.9±1.5 mmol/L for 2-Hour Postprandial (2HPP). The Blood Sugar Profile (BSP) levels were recorded as follows: fasting at 4.8±0.4 mmol/L, pre-lunch at 5.1±0.5 mmol/L, post-lunch at 5.3±0.5 mmol/L, and post-dinner at 5.3±1.5 mmol/L. Macronutrient intake was within the recommended guidelines. The subjects delivered at a mean gestational age of 38.8±1.1 weeks, with a mean birth weight of 2.99±0.4 kg. No incidences of macrosomia were recorded in this study. In conclusion, the subjects underwent early GDM screening, had well-controlled antenatal blood glucose levels, and experienced no adverse pregnancy outcomes.