Published: 2021-10-27

Initiative for self-control of blood sugar-diabetes in pregnancy

Aisha Syed Wali, Annum Ishtiaq, Anum Rahim


Our aim was to empower underprivileged women to self-control their blood glucose during pregnancy so that optimum blood glucose values and its monitoring can be achieved as outpatient care. A dedicated clinic was established for women with diabetes in pregnancy (DIP), that was focused on diabetes education and training of women. It was conducted by a team of a nutritionist, a trained midwife and residents. The challenges of unaffordability and language barrier were addressed. DIP clinic helped us cut down the cost of inpatient care. Awareness about DIP and its consequences on the baby motivated women to comply with medical nutrition therapy (MNT) and self-monitoring of blood glucose (SMBG). The women attained ownership and the feeling of fulfilment by taking charge of their blood glucose control for the benefit of their babies.  This was a practical, cost-effective and successful health practice initiative of attaining glycemic targets in a lower middle-income population.


DIP, SMBG, MNT, Gestational diabetes mellitus

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Saeedi P, Petersohn I, Salpea P. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Research Clin Practice. 2019;157:107843.

Raza SA. SAFES guidelines. J Pak Med Association. 2008;58(3):S1-24.

Weinert LS. International Association of Diabetes and Pregnancy Study Groups Recommendations on the Diagnosis and Classification of Hyperglycemia in Pregnancy: Comment to the International Association of Diabetes and Pregnancy Study Groups Consensus Panel. Diabetes Care. 2010;33(7):e97.

American Diabetes Association. Management of Diabetes in Pregnancy: Standards of Medical Care in Diabetes-2018 in Diabetes Care. 2017;41(1):S137-43.

Nasiri-Amiri F, Sepidarkish M, Shirvani MA, Habibipour P, Tabari NSM. The effect of exercise on the prevention of gestational diabetes in obese and overweight pregnant women: a systematic review and meta-analysis. Diabetol Metabolic Syndrome. 2019;11(72):1-14.

Koivusalo SB, Rönö K, Klemetti MM. Gestational Diabetes Mellitus Can Be Prevented by Lifestyle Intervention: The Finnish Gestational Diabetes Prevention Study (RADIEL). Diabetes Care. 2015;39(1):24-30.

Wali AS, Rafique R, Iftikhar S, Ambreen R, Yakoob MY. High proportion of overt diabetes mellitus in pregnancy and missed opportunity for early detection of diabetes at a tertiary care centre in Pakistan. Pak J Med Sci. 2019;36(1):S38-43.