Case Study -1 | Kanupriya Khanna

Case study-1

MANAGING GESTATIONAL DIABETES BY DIET: A CASE STUDY

Priya Sharma (name changed) aged 33 years came to me after conceiving through IVF. She conceived in July 2017, and started her pregnancy package with me in October 2017, the second trimester.

Her weight in October 2017, when she came to me first, was 53.6kgs. Every visit or follow up with me, her weight and BP were measured (table no. 1), while her hemoglobin level and blood sugar were noted when the concerned tests were done (on advice of her treating doctor, table no. 2).

Priya was diagnosed with gestational diabetes in December 2017.

Her OGTT (oral glucose tolerance test) done on 25th Dec. 2017 had the following results:
Fasting sugar : 155g/dl
After 2 hours: 199g/dl

She was advised a 1500kcal diabetic diet along with some general dietary guidelines for gestational diabetes.

TABLE no. 1: Weight and blood pressure chart of Priya Sharma

DATE WEIGHT (kgs) B.P. (mm/hg)
06/10/17 53.6 102/65
20/10/17 54.4 100/66
18/11/17 57.5 100/60
20/12/17 59.7 104/72
03/01/18 60.6 112/74
29/01/18 63.5 106/73
13/02/18 64.5 108/72
28/02/18 65.4 100/67
08/03/18 64.9 100/60

TABLE no. 2: Hemoglobin and blood sugar chart of Priya Sharma

DATE 30/09/17 25/12/17 17/02/18
HAEMOGLOBIN (g/l) 10.7 9.5 10.3
BLOOD SUGAR (FASTING) (g/dl) 105 155
BLOOD SUGAR (POST PRANDIAL) (g/dl) 134 199

TABLE no. 3: Blood sugar readings date wise

DATE FASTING

(g/dl)

AFTER BREAKFAST (g/dl) BEFORE LUNCH

(g/dl)

AFTER LUNCH

(g/dl)

BEFORE DINNER

(g/dl)

AFTER DINNER

(g/dl)

28/02/18 104 143 114 130
01/03/18 85 87 87 108 112 132
02/03/18 94 136 94 138 105 124
03/03/18 91 125 97 158 89 144
04/03/18 84 138 95 111 127 121
05/03/18 91 155 67 151 111 135
06/03/18 94 133 113 117 108 133
07/03/18 93 118 89 123 110 129
09/03/18 85 105 82 127 97 134
10/03/18 95 112 83 131 109 113
12/03/18 95 117 83 120 84 145
13/03/18 86 121 90 113 81 128
14/03/18 91 121 106 119 114 121
15/03/18 86 122 88 114 97 121
16/03/18 85 129 92 124 101 143
19/03/18 87 142 85 103 99 119

She followed the prescribed diet and exercise pattern (walking) sincerely and her blood sugar levels came under control.

Her hemoglobin levels also improved significantly.

She delivered a healthy baby girl on 31st March 2018 weighing 3.28kgs.

She sent the following message:

“Thank you Dr. Kanupriya for all your guidance and patience. I was not only able to bring my blood sugar levels under control, but was also able to fulfill my sweet cravings. I am so happy and blessed to have had you guiding me, on my journey of delivering a healthy baby girl. My husband and I shall always be indebted to you.”

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