bloodsugar level Gestational diabetes mellitus insulin sensitivity
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria are: -between 14 and 20 weeks of pregnancy, -at risk for gestational diabetes mellitus (GDM), -over 18 years of age, -sufficiently fluent in Dutch, -able to be moderately physically active;Women will be considered to be at risk for GDM when they have: - BMI * 30 or - BMI * 25 AND a, b or c a) history of macrosomia; b) history of abnormal glucose tolerance; c) first grade relative with diabetes mellitus type 2.
Exclusion criteria
Exclusion criteria: Exclusion criteria are: - diagnosed with (gestational) diabetes mellitus before randomisation - hypertension (systolic pressure > 160mmHg and/or diastolic pressure >100mmHg) - alcohol abuse (i.e. 2 glasses alcohol or more per day), - use of drugs (except for incidental analgesic agents) - serious pulmonary impairment; COPD, exercise-induced asthma - serious cardiac impairment; angina pectoris, cardiac decompensation, history with cardiovascular disease, - serious hepatic impairment; 3 times the upper limit of normal, - serious renal impairment; serum creatinine > 150 *mol/l, - malignant disease - serious mental or physical impairment i.e. preventing to understand or implement the study protocol / aim.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Measurements will be conducted before randomisation (around 15 weeks of pregnancy), at 24 and 32 weeks of pregnancy and 12 weeks postpartum. Primary maternal outcome measures are fasting plasma glucose and relative increase in insulin resistance. Primary neonatal outcome is birth weight. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures are: maternal serum triglycerides, maternal bodyweight gain during pregnancy, maternal physical activity level, fetal growth. | — |
Countries
Netherlands