Abstract:

Objective: This study is aimed to comprehend the nutrition and metabolism state of the gestational diabetes mellitus during the third trimester of pregnancy. Methods: Compare the 148 pregnant women with gestational diabetes mellitus with the 150 normal control patients from the age, gestational age, parity. The main testing indicators include BMI changes in value during pregnancy, serum albumin, total cholesterol, triglycerides, Calcium, creatinine level in blood and the birth weight of the fetal. Results: Compared with normal pregnancy,the increasing in value during pregnancy of the GDM is higher, the difference was statistically significant（t =2.85，P =0.006）, and the differences of the years and weeks in pregnancy are not statistically significant. The probability of the fetal macrosomia in GDM is much higher than in the NGT, which is statistically significant（P ＜0.05）. The level of the serum albumin, triglycerides and Calcium of the GDM are significantly different from the NGT, which are statistically significant（P ＜0.05）. But the total cholesterol and creatinine level in blood between the two groups are not signigicantly different. Conclusions: In gestational diabetes mellitus group there are obvious states in Glucose and lipid metabolism. It is of great significance for the gestational diabetes mellitus treatment and the nutrition during pregnancy to monitoring the changes of weight and the related biochemical indicators.

Key words: Diabetes, gestational, Pregnancy trimester, third, Triglycerides, Body mass index, low birth weight