Gestational diabetes mellitus
Conditions
Interventions
Randomized clinical trial using WhatsApp messages for appropriate dietary recommendations in pregnant women with gestational diabetes compared to standard nutritional guidance in an outpatient setting
G07.203.650.620.500
H01.671.293.239
Sponsors
Universidade Federal de São Paulo - UNIFESP
Universidade Federal de São Paulo - UNIFESP
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Gestational diabetes mellitus according to the International Association Diabetes Pregnancy Study Group criteria; gestation between 24 and 34 weeks at the time of entry into the study; anticipated follow-up in the service for at least 4 weeks; single gestation with a live fetus; personal mobile phone; literate patient capable of using the WhatsApp application
Exclusion criteria
Exclusion criteria: Women who were unable to recall consumed food; pregnant individuals prescribed medication at the first appointment; patients with digestive system pathologies; a history of any type of bariatric surgery; or those who discontinued follow-up in the service in less than 4 weeks were excluded
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Expected outcome 1: We expect to find a difference in glycemic control outcomes when using social media as an intervention in pregnant women with diabetes, compared to pregnant women with the same condition but without the use of social media messaging. By employing the method of sending daily nutritional recommendation messages via WhatsApp to pregnant women with diabetes, randomized against a control group that received guidance only during in-person consultations, we will observe through capillary blood glucose measurements whether the intervention is responsible for differences in glycemic indices;Found outcome 1: We found a difference in glycemic control in the third, fourth, fifth, sixth and seventh weeks of follow-up. There was no difference in the first, second and eighth weeks. Glycemic control was better in women who received messages via WhatsApp | — |
Secondary
| Measure | Time frame |
|---|---|
| Expected outcome 2: We expect to find a difference in the results of calorie and macronutrient consumption when using social media as an intervention in pregnant women with diabetes, compared to pregnant women with the same condition but without the use of social media messaging. Using the method of sending WhatsApp messages with daily nutritional recommendations to pregnant women with diabetes, randomized against a control group that received guidance only during in-person consultations, we will observe through a 24-hour recall if the intervention is responsible for differences in macronutrient consumption;Found outcome 2: There was no difference in caloric intake between the groups. There were specific differences in protein, lipid and fiber consumption in the group that received messages via WhatsApp. ;Expected outcome 3: We expect to find a difference in the use of pharmacological therapy, with less need for insulin therapy in the intervention group, which received nutritional messages via WhatsApp. | — |
Countries
Brazil
Contacts
Public ContactMarcelo França
Universidade Federal de São Paulo - UNIFESP
Outcome results
None listed