Gestational diabetes Nutritional, Metabolic, Endocrine
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Participant is willing and able to give informed consent for participation in the study. 2. Female, aged 18 years or above 3. First trimester of pregnancy 4. At risk of GDM, assessed by one of the following: 4.1. Pre-pregnancy obesity (BMI>30kg/m²) 4.2. Previous diagnosis of GDM 4.3. Previous large baby (birth weight >4.5kg) 4.4. A first-degree relative with diabetes 4.5. Belonging to a high-risk ethnic group (South Asian, Chinese, Afro-Caribbean or Middle Eastern)
Exclusion criteria
Exclusion criteria: 1. Severe congenital anomaly found on ultrasound 2. Planned termination 3. Significant pre-pregnancy comorbidity including renal failure, severe liver disease, organ transplant, cardiac failure, psychiatric conditions requiring in-patient admission, history of eating disorder 4. Diagnosed diabetes or gestational diabetes 5. Hyperemesis gravidarum 6. Unable to understand English
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Women's willingness to engage with blood glucose monitoring and dietary and physical activity interventions in early pregnancy assessed using qualitative interviews analysed with thematic analysis | — |
Secondary
| Measure | Time frame |
|---|---|
| Assessed by qualitative interview analysed with thematic analysis: 1. Acceptability of: 1.1. Being informed they are a high risk of GDM 1.2. Testing blood glucose levels before a formal diagnosis of GDM 1.3. Different interventions to reduce the risk of GDM 2. Use of technology: 2.2. Blood glucose meters 2.3. App 3. Feedback: 3.1. Blood glucose levels 3.2. Text messages | — |
Countries
England, United Kingdom