Objectives. The COVID-19 pandemic has forced a rapid adaptation of healthcare services to secure care for many patient groups. This includes women with gestational diabetes mellitus (GDM). We evaluated the impacts of the first COVID-19 wave on parameters such as the GDM treatment, glycemic control, and pregnancy outcomes. Methods. In this retrospective study from a reference diabetes center (Krakow, Poland), we compared patient data from two different time periods: the first wave of the COVID-19 pandemic (March 2020–June 2020) and the preceding five months (October 2019–February 2020). Data was collected from the medical records and telephone surveys. Results. We included 155 consecutive women (group and group from the COVID-19 pandemic period and non-COVID-19 period, respectively). During the COVID-19 pandemic, almost half of all GDM women (, 49.3%) used telemedicine as a method of contacting their diabetic specialists while this tool was not utilized in the earlier period. Moreover, these patients reported difficulties in performing blood glucose self-control more often (, 27.4%, vs , 8.5%; ) and spent less time on diabetes education than the control group on average (, 53.4%, vs , 9.8% below 2 hours of training; ). Most analyzed glycemic parameters and pregnancy outcomes were similar. Differences were found with respect to the incidence of prolonged labor (, 16.4%, vs , 3.7%; ) and preeclampsia ( vs , 8.5%; ). Conclusion. In this single-center observational study, the first wave of the COVID-19 pandemic did not seem to have a negative impact on pregnancy outcomes in GDM women, despite the difficulties in diabetes management delivery.

中文翻译：

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2020 年 COVID-19 第一波疫情期间妊娠期糖尿病女性的糖尿病管理、分娩和妊娠结局：单一参考中心报告


目标。 COVID-19 大流行迫使医疗保健服务迅速调整，以确保为许多患者群体提供护理。这包括患有妊娠糖尿病（GDM）的女性。我们评估了第一波 COVID-19 对 GDM 治疗、血糖控制和妊娠结局等参数的影响。方法。在这项来自参考糖尿病中心（波兰克拉科夫）的回顾性研究中，我们比较了两个不同时间段的患者数据：第一波 COVID-19 大流行（2020 年 3 月至 2020 年 6 月）和之前五个月（2019 年 10 月至 2020 年 6 月）。 2020 年 2 月）。数据是从医疗记录和电话调查中收集的。结果。我们连续纳入了 155 名女性（分别来自 COVID-19 大流行时期和非 COVID-19 时期的组）。在 COVID-19 大流行期间，几乎一半的 GDM 女性（ ， 49.3%）使用远程医疗作为联系糖尿病专家的方法，而该工具在早期并未使用。此外，这些患者更常报告难以自我控制血糖（ ， 27。4%，对比, 8.5%; ）并且平均在糖尿病教育上花费的时间少于对照组（ , 53.4%, 对比， 9.8% 的培训时间低于 2 小时； ）。大多数分析的血糖参数和妊娠结局相似。延长产程的发生率存在差异（， 16。4%，对比, 3.7%; ）和先兆子痫（ vs, 8.5%; ）。结论。在这项单中心观察性研究中，尽管糖尿病管理分娩存在困难，但第一波 COVID-19 大流行似乎并未对 GDM 女性的妊娠结局产生负面影响。