Fetal Outcome of Diabetic Mothers: A Comparison between Gestational Diabetes vs Prenatally Diagnosed Diabetic Women

Objective: To evaluate the fetal outcome among women with gestational diabetes compared with those who are known to be diabetic before pregnancy.Design: Cohort study.Setting: Tertiary referral center.Participants and Methods: Women with gestational diabetes between 34-36ws gestational were followed-up till delivery and outcome was compared with those who are known to be diabetic before pregnancy. All women had glycosylated Hb and Doppler studies of umbilical and middle cerebral arteries.Results: There was a statistically significant difference between both groups as regard BMI, UT.A PI and UM.A PI (p 0.05) and also a highly statistically significant difference as regard, insulin dose, HbA1C, FBS, 2hPPS, APGAR1, APGAR5, neonatal glucose and delivery age but no difference in fetal weight.Conclusion: Fetal outcome in women with GDM seems to be better than women known to be diabetic despite insulin control.