Gestational Diabetes Mellitus in Pregnancy
Conditions
Keywords
Gestational Diabetes Mellitus in Pregnancy, Qigong, Non-drug therapy
Brief summary
The goal of this clinical trial is to learn about in women with gestational diabetes's health conditions. The main question\[s\] it aims to answer are: * Can Qigong control blood glucose in women with gestational diabetes? * Can Qigong improve mood and sleep in women with gestational diabetes? Participants will required to follow the research team for 3 months of qigong practice。 If there is a comparison group: Researchers will compare Qigong groups to see if Qigong's effects.
Interventions
An ancient Chinese system of postures, exercises, breathing techniques, and meditations designed to improve and enhance the body's QI.
Provide health promotion and guidance to participants on diet and physical exercise
Sponsors
Study design
Eligibility
Inclusion criteria
* 20 years old≤ age ≤ 40 years old; * Those with clear awareness, acceptable reading and language expression skills, and barrier-free communication; * singleton pregnancy; * gestational age between 24 and 28 weeks, with the upper limit of gestational age set at 28 weeks at the time of inclusion to allow for at least 8 weeks of intervention; * Body mass index (BMI) is lower than 40; * Agree to participate in this project and sign the informed consent form.
Exclusion criteria
* Those with previous GDM and diabetes; * Artificial insemination; * Those with serious obstetric complications and contraindications; * Participants in other planned and supervised exercise programs or researchers during the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fasting blood glucose | Average peripheral fasting blood glucose measured one week prior to participant enrollment. Fasting blood glucose measured in the first week after the end of 12 weeks of intervention. | If the blood glucose level is between 4.0 and 5.4 mmol/L, the result is normal. If the fasting blood glucose level is between 5.5-6.9 mmol/L, the condition is called prediabetes. Diabetes refers to blood sugar greater than 8.5 mmol/L. |
| 2-h postprandial plasma glucose | Average postprandial blood glucose measured in the week prior to study participant enrollment. Average postprandial 2-hour postprandial peripheral capillary blood glucose measured in the first week after the end of 12 weeks of intervention. | less than 7.8mmol/L. When the blood glucose is 7.8\ 11.1 mmol/L 2 hours after meals, it can be diagnosed as impaired or impaired glucose tolerance. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pittsburgh sleep quality index,PSQI | Weeks 0 and 13 | PSQI was used to measure the sleep quality of participants in the last 1 month. It consists of 19 self-assessment items and 5 other assessment items, of which the 19th self-assessment item and 5 other evaluation items do not participate in scoring, and only 18 self-assessment items participating in scoring are introduced here. 18 items composed of 7 components, each component is scored on a scale of 0-3, the cumulative score of each component is the total score of PSQI, the total score range is 0-2l, the higher the score, the worse the sleep quality. |
| Self-Rating Depression Scale,SDS | Weeks 0 and 13 | SDS is rated according to the frequency of symptoms and is divided into 4 levels: no or very little time, a small amount of time, a considerable amount of time, and most or all the time. If it is a positive scoring question, it is rated as a rough score of L, 2, 3, and 4. For reverse grading questions, they are rated as 4, 3, 2, and 1. The assessment time is within the past week, add the scores of each question to a rough score, multiply the rough score by 1.25, and round up the whole number to get the standard score (T). The threshold value of depression assessment is T=53, and the higher the score, the more obvious the tendency to depression. |
| Self-Rating Anxiety Scale, SAS | Weeks 0 and 13 | SAS includes 20 items, and the score is based on a standard scoring pattern, with a score of 50 or less being normal, 50-59 being mild anxiety, 60-69 being moderate anxiety, and 70-79 being severe anxiety. |
Other
| Measure | Time frame |
|---|---|
| Maternal and infant complications during childbirth | birth |