Effects of preconception care on prevention of gestational diabetes Pregnancy and Childbirth
Conditions
Interventions
Participants will be allocated at random in a 1:1 ratio to an intensive lifestyle intervention to promote increased physical activity and dietary modification or to only standard care to the control g
(2) total fat intake <30% of the energy consumed
(3) saturated fat intake <10% of the energy consumed
(4) carbohydrate intake 50–60% of the energy consumed
and (5) fiber intake 20–30 g/day. Based on each participant’s current status of body weight, and physical activity, along with food and nutrient intakes which have been assessed from the baseline surv
Sponsors
Non-Communicable Disease Control Program of Directorate General of Health Services, Ministry of Health and Family Welfare, Government of the People's Republic of Bangladesh
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Women aged 18-40 years and planning pregnancy within 6 months to 1 year. 2. Permanent residents. 3. Willing to participate and be available for the whole period of the study.
Exclusion criteria
Exclusion criteria: 1. Known case of T2DM, prediabetes 2. Previous history of GDM. 3. Women diagnosed with any physical or mental illness at the time of screening.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Gestational diabetes (GDM) will be identified according to the IADPSG (International Association of Diabetes and Pregnancy Study) criteria using an oral glucose tolerance test at the first antennal visit, 24-48 weeks (if find normal at ANC visit), and 32-36 weeks (if find normal at 24-28 weeks). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Diabetes and prediabetes will be identified according to WHO criteria using an oral glucose tolerance test (including fasting and 2h 75-gram oral glucose test) at the time of registration, 6 weeks after delivery, and 1 year after delivery. 2. HbA1c by using the HPLC method, fasting lipid profile (including total cholesterol, triglycerides, HDL-C, and LDL-C), urine RME, will be at registration, first antennal visit, 6 weeks after delivery, and 1 year after delivery. 3. Hb% and blood grouping will be measured at registration, and an ultrasonogram (USG) will be done at the first antennal visit. 4. Anthropometric measurements including height, weight, hip, and waist circumference (WC) will be taken at registration, first antennal visit, 6 weeks after delivery, and 1 year after delivery. | — |
Countries
Bangladesh
Outcome results
None listed