Wang Y, Gao W, Wang XJ. Comparative effects of insulin pump and injection on gestational diabetes mellitus pregnancy outcomes and serum biomarkers. World J Clin Cases 2024; 12(18): 3378-3384 [PMID: 38983416 DOI: 10.12998/wjcc.v12.i18.3378]
Corresponding Author of This Article
Xiao-Juan Wang, BMed, Associate Chief Physician, Department of Obstetrics and Gynaecology, Xi'an Central Hospital, No. 161 Xiwu Road, Xincheng District, Xi'an 710003, Shaanxi Province, China. 13991924715@163.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 Clin Cases. Jun 26, 2024; 12(18): 3378-3384 Published online Jun 26, 2024. doi: 10.12998/wjcc.v12.i18.3378
Table 1 Comparison of basic clinical data of two groups
Group
n
Sex
Age (yr)
Course of disease (yr)
Educational background (n)
Male
Female
Junior high school or below
High school
Above high school
Insulin pump group
210
114
96
32.65 ± 9.14
12.45 ± 2.16
50
88
72
Insulin subcutaneous injection group
210
110
100
33.01 ± 9.53
13.04 ± 2.58
46
90
74
Statistical value
-
0.085
0.395
2.541
0.9198
P value
-
0.770
0.693
0.011
0.6313
Table 2 Comparison of levels of blood sugar after treatment in two groups of patients
Group
n
Fasting blood glucose
2 h postprandial blood glucose
Insulin pump group
210
5.67 ± 1.58
8.41 ± 1.27
Insulin subcutaneous injection group
210
6.58 ± 1.07
9.35 ± 1.59
Statistical value
-
6.910
6.694
P value
-
< 0.001
< 0.001
Table 3 Comparison of pain scores of two groups
Group
n
0
1
2
3
4
Insulin pump group
210
126
44
34
6
0
Insulin subcutaneous injection group
210
76
78
42
12
2
Statistical value
-
23.844
P value
-
< 0.001
Table 4 Comparison of pregnancy complications and pregnancy outcomes between the two groups
Group
n
Amniotic fluid contamination
Oligohydramnios
Preeclampsia
Premature rupture of membranes
Macrosomia
Fetal distress
Insulin pump group
210
8
6
6
2
2
2
Insulin subcutaneous injection group
210
14
10
8
26
4
16
Statistical value
-
1.727
1.04
0.296
22.041
0.676
11.376
P value
-
0.189
0.308
0.586
< 0.001
0.411
0.001
Table 5 Comparison of levels of insulin pump group, subcutaneous injection group, secreted frizzled-related protein 5, homocysteine and C1q/TNF-related protein 9
Variable
Insulin pump group (n = 210)
Insulin subcutaneous injection group (n = 210)
t/χ2
P value
SFRP5 (mmol/L)
6.72 ± 1.05
6.08 ± 1.26
5.655
< 0.001
Hcy (mmol/L)
5.27 ± 2.02
7.04 ± 1.48
10.243
< 0.001
CTRP9 (mmol/L)
46.28 ± 8.15
38.86 ± 6.54
10.290
< 0.001
Citation: Wang Y, Gao W, Wang XJ. Comparative effects of insulin pump and injection on gestational diabetes mellitus pregnancy outcomes and serum biomarkers. World J Clin Cases 2024; 12(18): 3378-3384