Gestational Diabetes
Conditions
Keywords
GDM, gestational diabetes, pregnancy, diabetes, walking, exercise, pedometer, online
Brief summary
Ten to 50% of women with gestational diabetes (GDM), or glucose intolerance first recognized during pregnancy, develop diabetes within 5 years after delivery. Although intensive interventions can reduce diabetes incidence in women with impaired glucose tolerance, it is unknown if such strategies would be effective in women with GDM. Women with recent GDM, even though no longer pregnant, face significant barriers to lifestyle modification, including caregiving responsibilities and low perception of risk. Web-based programs can reinforce physical activity through visual feedback of pedometer output, tailored messaging, education, and on-line communities. Such a program is currently available for adults with chronic disease and is led by Dr. Richardson, a co-PI on this application. Using data from focus group and survey work conducted by Dr. Kim, the other co-PI, this program can be modified to women with recent GDM. For Specific Aim 1, we propose to adapt a chronic disease web-based pedometer program to women with recent GDM. For Specific Aim 2, we propose to conduct a pilot and feasibility study of the program. The intervention will last 12 weeks.
Interventions
BEHAVIORALStepping Up to Health
Internet-mediated pedometer-based intervention with gradually increasing goals and feedback on step counts. Also includes educational content targeted at women who have had gestational diabetes about exercise, diet & nutrition and prevention.
Sponsors
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
University of Michigan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
* Gestational diabetes diagnosis within past three years * Access to computer with internet, USB port and Windows XP or Vista * Regular email user (weekly or more) * Can walk a block on her own * Sedentary (less than 150 minutes purposeful physical activity per week)
Exclusion criteria
* Pregnancy * Unable to consent legally
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Weight loss | Pre-post |
| Glucose tolerance | Pre-Post |
Secondary
| Measure | Time frame |
|---|---|
| Hemoglobin A1c | Pre-post |
| Step counts | Pre-Post |
| Insulin | Pre-post |
Countries
United States
Outcome results
None listed