Aims: The present study aimed to study the pregnancy outcomes, efficacy, and safety of faster aspart among Indian women with gestational diabetes.
Background: In several countries, fast-acting insulin aspart (faster aspart) has been approved for use in pregnancy. There is a lack of data related to maternal glycemic control and fetal and perinatal outcomes with faster aspart in gestational diabetes among the Indian population.
Objective: To compare and evaluate the efficacy and safety of faster aspart in the management of gestational diabetes.
Methods: This retrospective study evaluated the medical records of 60 pregnant women diagnosed with gestational diabetes and managed with faster aspart or insulin aspart at a tertiary care center, between March 2019 and September 2020. Self-monitored blood glucose levels recorded at 4 timepoints (fasting, and 1 hour post breakfast, lunch, and dinner) during 6 consecutive days any time before delivery but after
achieving steady state were analyzed. Pregnancy and neonatal outcomes studied in the cohort.
Results: The mean postprandial glucose value following dinner was significantly lesser in the faster aspart group compared to the insulin aspart group (123.61 +/- 2.52 mg/dL vs. 125.87 +/- 2.98 mg/dL, respectively; p=0.0024). Women in the faster aspart group had significantly lower glycemic variability (fluctuations). Lesser number of hypoglycemic events were noted in the faster aspart group (10 vs. 20; p=0.0595).Conclusion: Faster aspart was associated with better glycemic control compared to insulin aspart among women with gestational diabetes. The MAGE analysis revealed that women in the faster aspart group had significantly lower glycemic variability (fluctuations) at all three mealtimes compared to those in the insulin aspart group. The birth weight, respiratory rate, and pulse rate of the neonates born to mothers on insulin aspart were significantly higher compared to those born to mothers on faster aspart
A. Manikantan Nair Sakunthala: None.
