Gestational Diabetes Mellitus
Conditions
Keywords
Gestational Diabetes Prevention
Brief summary
The overall purpose of this study is to determine the efficacy of a pre-pregnancy lifestyle intervention to reduce the recurrence of gestational diabetes mellitus in multiethnic women with overweight or obesity.
Interventions
Intervention group will receive comprehensive behavioral weight loss program.
The health promotion group will receive education on healthy eating and activity
Sponsors
Study design
Eligibility
Inclusion criteria
* Prior diagnosis of gestational diabetes. * BMI \> 25 kg/m2 * Planning to have a baby in the next 1-3 years * English or Spanish speaking
Exclusion criteria
* Age less than 18 years * Women with Type 2 or Type 1 diabetes * Current pregnancy * Relocating in the next 2 years * Medications that affect weight/diabetes * Serious current physical disease * History of eating disorders * History of bariatric surgery * Current problems with drug abuse * Current treatment of a serious psychological disorder
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of Gestational Diabetes Mellitus | 26 weeks gestation |
Secondary
| Measure | Time frame |
|---|---|
| Changes in maternal levels of fasting insulin | study entry, 16 weeks, 26 weeks gestation |
| Changes in maternal levels of systolic and diastolic blood pressure | study entry, 16 weeks, 26 weeks gestation |
| Changes in maternal levels of C-reactive protein | study entry, 16 weeks, 26 weeks gestation |
| Incidence of preeclampsia | Delivery |
| Changes in maternal levels of fasting glucose | study entry, 16 weeks, 26 weeks gestation |
| Weight changes | study entry, 16 weeks, 26 weeks gestation |
| Daily caloric intake | study entry, 16 weeks, 26 weeks gestation |
| Minutes per week of moderate physical activity | study entry, 16 weeks, 26 weeks gestation |
| Incidence of cesarean delivery | Delivery |
Countries
United States