GDM
Conditions
Keywords
GDM, RCT
Brief summary
This study aims to explore whether early intervention for high-risk groups of gestational hyperglycemia can improve insulin resistance and effectively prevent the occurrence of GDM, and evaluate which pathophysiological subtypes of GDM have the best effect on improving maternal and fetal adverse prognosis, so as to provide evidence for stratified management and individualized clinical intervention of high glucose groups in pregnancy
Interventions
Manage the diet, exercise, weight and healthy lifestyle of pregnant women
Sponsors
Study design
Eligibility
Inclusion criteria
* 18-55 years old * 6-14 weeks of pregnancy * at least one risk factor for GDM * signed a written informed consent
Exclusion criteria
* Individuals diagnosed with diabetes or prediabetes prior to pregnancy * currently taking medications affecting blood glucose levels such as metformin * women at risk of miscarriage * individuals with chronic conditions (such as uncontrolled hypertension, severe heart disease) * those with movement disorders or contraindicated conditions for physical activity * patients undergoing gastrointestinal surgeries that alter glucose absorption * those unable to maintain regular prenatal care (such as non-compliance with medical instructions or mental health issues).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The incidence of gestational diabetes(GDM) | 24-28 weeks pregnant | The 75g 2h oral glucose tolerance test is performed at 24-28 weeks of gestation, and the cut-off points of venous blood glucose values are 5.1mmol/L (fasting), 10.0mmol/L (1h after glucose load), 8.5mmol/L (2h after glucose load). If any one of the three blood glucose measures is above the cut-off points, then GDM is diagnosed.. |
Countries
China