Wang Y, Song M, Qi BR. Effects of insulin aspart and metformin on gestational diabetes mellitus and inflammatory markers. World J Diabetes 2023; 14(10): 1532-1540 [PMID: 37970132 DOI: 10.4239/wjd.v14.i10.1532]
Corresponding Author of This Article
Bang-Ruo Qi, MD, Lecturer, Department of Obstetrics and Gynecology, Sanya Women and Children’s Hospital Managed by Shanghai Children’s Medical Center, No. 339 Yingbin Road, Jiyang District, Sanya 572099, Hainan Province, China. bangruoqi@126.com
Research Domain of This Article
Obstetrics & Gynecology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Diabetes. Oct 15, 2023; 14(10): 1532-1540 Published online Oct 15, 2023. doi: 10.4239/wjd.v14.i10.1532
Table 1 Efficacy evaluation criteria
Efficacy grade
Evaluative criteria
Markedly effective
After treatment, clinical symptoms disappeared and blood sugar decreased obviously
Effective
After treatment, clinical symptoms improved and blood sugar decreased
Ineffective
After treatment, clinical symptoms did not improve, and blood sugar did not decrease, or even worsened
Table 2 Comparison of baseline data
Factors
CG (n = 62)
OG (n = 62)
χ2
P value
Age, yr
≤ 30
38
41
0.314
0.575
> 30
24
21
Gestational age, yr
≤ 30
34
30
0.517
0.472
> 30
28
32
Maternal category
Primipara
38
36
0.134
0.714
Multipara
24
26
Educational level
Below junior college
27
25
0.133
0.716
Junior college and above
35
37
Table 3 Comparison of therapeutic effect
Groups
CG (n = 62)
OG (n = 62)
χ2
P value
Markedly effective
25 (40.32)
32 (51.61)
Effective
19 (30.65)
25 (40.32)
Ineffective
18 (29.03)
5 (8.06)
Total effective rate
44 (70.97)
57 (91.94)
9.021
0.003
Table 4 Comparison of adverse pregnancy outcomes
Groups
Adverse pregnancy outcomes
Premature delivery
Induced labor
Cesarean section
Total incidence rate
CG (n = 62)
5 (8.06)
3 (4.84)
31 (50.0)
39 (62.90)
OG (n = 62)
2 (3.23)
1 (1.61)
8 (12.90)
11 (18.33)
χ2
26.270
P value
< 0.0001
Table 5 Comparison of pregnancy complications
Groups
Pregnancy complications
Pregnancy hypertension
Polyhydramnios
Hypoglycemia
Ketoacidosis
Total incidence rate
CG (n = 62)
5 (8.06)
5 (8.06)
4 (6.45)
2 (3.23)
16 (25.81)
OG (n = 62)
1 (1.61)
2 (3.23)
1 (1.61)
0
4 (6.45)
χ2
8.585
P value
0.003
Citation: Wang Y, Song M, Qi BR. Effects of insulin aspart and metformin on gestational diabetes mellitus and inflammatory markers. World J Diabetes 2023; 14(10): 1532-1540