RESEARCH ARTICLE Br J Med Health Res. 2016;3(9) ISSN: 2394-2967 Please cite this article as: Singh S et al., Pregnancy Outcome As Influenced by Dietary Versus Insulin Management Among Gdm Mothers. British Journal of Medical and Health Research 2016. BJMHR British Journal of Medical and Health Research Journal home page: www.bjmhr.com Pregnancy Outcome As Influenced by Dietary Versus Insulin Management Among Gdm Mothers Sandhya Singh 1 * and Asna Urooj 2 1.Head Clinical Dietitian, Dept. of Nutrition and Dietetics, Apollo Hospitals, Bangalore. New No. 2, Old No. 21/2, 14th Cross, 3rd Block, Jayanagar, Bangalore - 560 011 2.Professor, DOS in Food Science and Nutrition, University of Mysore, Mysore. DOS in Food Science and Nutrition, University of Mysore, Mysore - 570 006. ABSTRACT Gestational diabetes is a metabolic disorder characterized by carbohydrate intolerance first during pregnancy associated with foetal and maternal complications. The aim of the study is to assess the pregnancy outcome as influenced by dietary versus insulin management among GDM mothers. A total of 102 pregnant women, visiting the antenatal clinic of Apollo Hospitals, Bangalore were recruited for the study, classified as control and GDM groups based on the blood glucose levels using IADPSG guidelines, each group consisted of 51subjects. GDM group was further classified as diet managed group (n=23) and insulin managed group (n=28) depending on the modes of management. Biochemical profile was analyzed and recorded in both groups. Non-significantly higher term weight and a lower gestation week of delivery (37 ±1.51 weeks) and significantly higher HbA1c (6.5±1.02%) was observed in the insulin managed group when compared to the diet managed group, while, total cholesterol and triglyceride levels were significantly higher in the diet managed group (p<0.03 and 0.007) respectively. Caesarean section was common in both groups. The mean birth weight of the infants in both groups was comparable (2.9±0.3 and 2.8±0.52 kg). Whereas, significantly higher serum bilirubin levels were observed in infants born to insulin managed women (9 ±4.78 mg/dl), indicating a poor morbidity status in these infants. Medical nutrition therapy and insulin initiation are the two modes of blood glucose management in GDMs which aids in preventing complications and influencing near to normal pregnancy outcome. Keywords: Gestational Diabetics, Morbidity status, Caesarean section, Antenatal clinic *Corresponding Author Email: sandhyasingh228@yahoo.com Received 22 August 2016, Accepted 19 September 2016