Gestational Diabetes Mellitus
Conditions
Interventions
Intervention group:Individual intensive behavioural interventions
Control group:Standard health promotion
Sponsors
Tongji University Obstetrics and Gynaecology Hospital (Shanghai First Maternity and Infant Hospital)
Eligibility
Sex/Gender
Female
Age
20 Years to 45 Years
Inclusion criteria
Inclusion criteria: 1. Singleton pregnancy; 2. Aged 20 to 45 years; 3. Gestational week at initial check-up= 5.1 mmol/L; 5b. a history of gestational diabetes mellitus; 5c. BMI >= 28 kg/m2; 5d. age >= 35 years; 5e. First-degree relative with diabetes. 6.Provides informed consent.
Exclusion criteria
Exclusion criteria: 1. Taking weight/glycemic control drugs during the 3 months before pregnancy; 2. Pre-pregnancy diabetes mellitus: Pre-pregnancy diabetes mellitus should be diagnosed if it is not diagnosed before pregnancy and if the blood glucose elevation reaches any of the following criteria during pregnancy, a. FPG >= 7.0 mmol/L; b. Accompanied by typical symptoms of hyperglycemia or hyperglycemic crisis, with arbitrary blood glucose >= 11.1 mmol/L; c.HbA1c >= 6.5% 3. Patients with contraindications to exercise during pregnancy (refer to the "Draft Expert Consensus on Exercise in Pregnancy" published by the Chinese Association of Maternal and Child Health and Diabetes in Pregnancy Committee 2021), or are unable to comply with exercise interventions due to trauma or orthopedic conditions. 4. Patients with special dietary habits who are unable to comply with nutritional interventions such as vegans, patients with a history of food allergy; 5. Shift work (night shift) by nature of work.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| gestational diabetes mellitus; | — |
Secondary
| Measure | Time frame |
|---|---|
| birth weight;Trajectory of weight change during pregnancy;drug treatment for GDM ;Fetal growth trajectory;mode of delivery;Sleep quality;Quality of life;Mental health;Body composition;Postpartum blood glucose level;Gestational age;pregnancy complications;gestational hypertension;glucose level during pregnancy;prenatal lipids;thyroid function;inflammation status; | — |
Countries
China
Contacts
Public ContactSu Xiujuan
Tongji University Obstetrics and Gynaecology Hospital (Shanghai First Maternity and Infant Hospital)
Outcome results
None listed