Ameliorative potential of acupressure on gestational diabetes mellitus: A randomized controlled trial

Fayiz F. El-Shamy 1 , Sanad S. El-Kholy 2 , Mahmoud Labib 3  and Ahmed M. Kabel 4 , 5
  • 1 Department of physical therapy for women’s health, Faculty of physical therapy, Kafrelsheikh university, Kafrelsheikh, Egypt
  • 2 Department of physiology, Faculty of medicine, Kafrelsheikh University, Kafrelsheikh, Egypt
  • 3 Department of physical therapy for internal medicine and geriatrics, Faculty of physical therapy, Kafrelsheikh university, Kafrelsheikh, Egypt
  • 4 Pharmacology department, Faculty of medicine, Tanta university, Tanta, Egypt
  • 5 Department of clinical pharmacy, College of pharmacy, Taif university, Taif, Saudi Arabia
Fayiz F. El-Shamy
  • Department of physical therapy for women’s health, Faculty of physical therapy, Kafrelsheikh university, Kafrelsheikh, Egypt
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, Sanad S. El-Kholy
  • Department of physiology, Faculty of medicine, Kafrelsheikh University, Kafrelsheikh, Egypt
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, Mahmoud Labib
  • Department of physical therapy for internal medicine and geriatrics, Faculty of physical therapy, Kafrelsheikh university, Kafrelsheikh, Egypt
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and Ahmed M. Kabel
  • Corresponding author
  • Pharmacology department, Faculty of medicine, Tanta university, Tanta, Egypt
  • Department of clinical pharmacy, College of pharmacy, Taif university, Taif, Saudi Arabia
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Abstract

Background and aim

Gestational diabetes mellitus (GDM) poses a threat to the mother and child. The aim of this study was to examine the effect of acupressure on the glycemic control and insulin requirement of GDM females.

Materials and methods

Thirty GDM female patients were randomized to either the study group (SG; n=15), which was treated with acupressure and the standard antenatal care, or the control group (CG; n=15), which was treated with the standard antenatal care. Fasting and 2-h post-prandial blood glucose levels, requirement for insulin and insulin resistance were measured at 24 and 36 weeks’ gestation (WG). Also, neonatal outcomes were registered at delivery.

Results

The pre intervention showed no statistically significant differences between SG and CG for baseline characteristics of participants (p>0.05). Within group analyses, after 12 weeks intervention had shown that 75 g oral glucose tolerance test (OGTT), insulin resistance, number of required insulin and measure of utilized insulin were significantly reduced (p<0.05), with significant increase in body mass index (BMI) (p<0.05) in both groups. All outcome measures were not significantly changed (p>0.05) between both groups at 24 and 36 WG. No significant differences (p>0.05) in pregnancy and neonatal outcomes between both groups at labor.

Conclusions

Acupressure may help to reduce gestational diabetes or insulin treatment for overweight female patients with GDM.

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The Journal of Complementary and Integrative Medicine focuses on evidence concerning the efficacy and safety of complementary and alternative medical (CAM) whole systems, practices, interventions and natural health products, including herbal medicines.

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