Gestational diabetes mellitus Pregnancy and Childbirth
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Pregnant women with GDM at 24–28 weeks of gestation. A diagnosis of GDM is made using the one-step approach of a 75-g oral glucose tolerance test if the plasma glucose value is abnormal (i.e., fasting blood glucose =5.1 mmol/L, 1 hour =10.0 mmol/L, 2 hours =8.5 mmol/L) 2. Single pregnancy 3. Body mass index (BMI) <40 kg/m2 4. Muscle strength at level IV or above
Exclusion criteria
Exclusion criteria: 1. Severe obstetric complications and contraindications listed in the public health guidelines for physical activity during pregnancy 2. Severe heart, liver, lung, or kidney damage 3. Acute or chronic complications caused by diabetes, such as ketoacidosis or diabetic foot
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Fasting blood glucose (FBG) measured using glucose oxidase method 2. 2-hour postprandial blood glucose (2h-PBG) measured using glucose oxidase method 3. Glycated hemoglobin (HbA1c) measured using high-performance liquid chromatography (HPLC) Data collection was conducted at the baseline before the intervention, 1 and 3 months after the intervention, and 2 hours after the delivery | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Maternal pregnancy outcomes: gestational age, preterm birth, mode of delivery, gestational hypertension syndrome, insulin use, late pregnancy weight gain, postpartum hemorrhage measured using patients’ medical records 2. Neonatal birth outcomes: birth weight, length at birth, 1-minute Apgar score, and incidence of neonatal complications such as respiratory distress syndrome measured using patients’ medical records Data collection was conducted at the baseline before the intervention, 1 and 3 months after the intervention, and 2 hours after the delivery | — |
Countries
China