Iranian Journal of

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Background: Noticing to high prevalence and complications rates of Diabetes Mellitus and its effect on quality of life, and also considering low quality of life, can cause low self-care and increase complications among these patients. The goal of this study is comparing the effect of multimedia education with live successful experiments on quality of life in type 2 diabetic patients.

Methods: This is a semi experimental study. First 160 type 2 diabetic patients were selected First 160 type 2 diabetic patients were selected and then randomly allocated into two tests and one control groups. Research tools were self-statement demographic and WHO-QOL Brief questionnaires which were completed before interventions. For first test group educational classes with multimedia method (group discussion, educational film and slides) were hold in 5 sessions each in 45 minutes. For second test group education was based on narrating of live successful experiments by the patients who controlled their diabetes and answer to questions of the patients. After 3 month WHO-QOL Brief questionnaires which were completed again. All data were analyzed with SPSS version 20 software.

Results: There was no significant difference in means of quality of life among three groups before interventions (p= 0.194). There was significant difference in means of quality of life among three groups after interventions (p= 0.04). There were significant differences between the means of quality of life in first test group (P≤0.001) and second test group (P≤0.001) before and after interventions.

Conclusion: Qualities Of Life in first and second test group were increased more than control one. 

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Background: Insulin is first choice for gestational diabetes control, but its needed to frequent injections; one thing that is difficult for pregnant women, so interest to metformin consumption is increased. Metformin easily crosses the placenta and its fetal blood levels is equivalent to the level of the mother's blood. Metformin also easily cross the brain barrier and enter the brain. Possible side effects of metformin compared to insulin on fetus brain development was concerned to design of present study.  

Methods: In this cross-sectional prospective trial, gestational diabetes women were recruited randomly to insulin (64 patients) and metformin (64 patients) groups and compared for pregnancy and neonatal outcome and also six-month-old infancy developmental indexes. The results considered significant if P value was ≤ 0.05.
Results: Six-month body mass index of insulin group women was significantly more than metformin group(P=0.05), but there was not any significant difference in cesarean section, preterm labor, dystocia, preeclampsia and still birth rate between two groups. Also neonatal characteristics, need to admission and six-month-old infancy developmental indexes according to Ages stages questionnaire were no different between two groups.
Conclusion: Metformin consumption in compare to insulin was not associated with maternal, neonatal and six-month-old infancy developmental indexes side effects.