Health Condition 1: O244- Gestational diabetes mellitus
Conditions
Interventions
Intervention1: Educational intervention + routine standard care
: An educational intervention among pregnant women at risk of developing gestational diabetes, focusing on diet and exercise.
Component
Sponsors
Dr Farha Mohammed
Eligibility
Inclusion criteria
Inclusion criteria: All adult pregnant women from Mangalore Taluk who consent to participate in the study, less than or equal to 12 weeks of gestation with singleton pregnancy, and at least one or more risk factors for the development of GDM The risk factors are as follows: BMI at first visit 23kg per m2, Age more than or equal to 25 years, First-degree relative with diabetes, Previous pregnancy with gestational diabetes mellitus, Previous pregnancy with large baby, Previous pregnancy with preeclampsia/eclampsia, History of PCOD or diseases with impaired fasting glucose
Exclusion criteria
Exclusion criteria: Individuals unwilling to participate in the study, Individuals found to have RBS values more than 200mg/dL at first visit, Prepregnancy diagnosis of Diabetes Mellitus, History of severe hyperemesis in the first trimester, Individuals on medications that interfere with glucose metabolism (eg. Metformin, steroids), History of recurrent first trimester spontaneous abortions, History of stillbirth, History of significant antepartum or postpartum haemorrhage in previous pregnancies, Multiple gestations in current pregnancy, Severe psychiatric disorder or cognitive impairment, Any renal, liver or thyroid dysfunction, Women in whom physical activity is an absolute contraindication during pregnancy as recommended by ACOG (heart disease, restrictive lung disease, incompetent cervix, pregnancies at risk of premature labour, placenta previa, gestational hypertension, severe anemia), Individuals without access to a smartphone
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ·Incidence of GDM in intervention arm and control arm ·Mean difference in physical activity scores between intervention arm and control arm ·Pattern of change in dietary habits pre-intervention and post-intervention ·Comparison of gestational weight gain between intervention arm and control armTimepoint: 24 to 28 weeks of gestation | — |
Secondary
| Measure | Time frame |
|---|---|
| NILTimepoint: NIL | — |
Countries
India
Contacts
Public ContactFarha Mohammed
Kasturba Medical College, Mangalore
Outcome results
None listed