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Gestational Diabetes Management

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141. Improving the effectiveness of lifestyle interventions for gestational diabetes prevention: a meta-analysis and meta-regression. (PubMed)

Improving the effectiveness of lifestyle interventions for gestational diabetes prevention: a meta-analysis and meta-regression. Diet and exercise during pregnancy have been used to prevent gestational diabetes mellitus (GDM) with some success.To examine the effectiveness of lifestyle intervention on GDM prevention and to identify key effectiveness moderators to improve the prevention strategy.Pubmed, Scopus, Cochrane, and cross-references were searched.Randomised controlled trials (RCTs (...) the preventive effect: targeting the high-risk population; an early initiation of the intervention; the correct intensity and frequency of exercise; and gestational weight gain management. Although 24 RCTs targeted women who were overweight or obese, body mass index (BMI) failed to predict the effectiveness of an intervention. Instead, interventions are most effective in high-incidence populations rather than simply in women who are overweight or obese. Furthermore, exercise of moderate intensity for 50-60

2018 BJOG

142. Baby Steps - a structured group education programme with accompanying mobile web application designed to promote physical activity in women with a history of gestational diabetes: study protocol for a randomised controlled trial. (PubMed)

Baby Steps - a structured group education programme with accompanying mobile web application designed to promote physical activity in women with a history of gestational diabetes: study protocol for a randomised controlled trial. A diagnosis of gestational diabetes (GDM) is associated with an over sevenfold increase in the risk of developing type 2 diabetes (T2D), while among parous women with T2D, up to 30% have a history of GDM. Lifestyle interventions have been shown to reduce the risk (...) of incident T2D in adults with impaired glucose tolerance, including in women with a history of GDM. The aim of this study is to establish whether a group self-management education programme, supported by a mobile web application, can improve levels of physical activity at 12 months in women who have had GDM.The study is a randomised controlled trial with follow-up at 6 and 12 months. Primary outcome is change in objectively measured average daily physical activity at 12 months. Secondary outcomes include

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2018 Trials Controlled trial quality: uncertain

143. The effects of synbiotic supplementation on insulin resistance/sensitivity, lipid profile and total antioxidant capacity in women with gestational diabetes mellitus: A randomized double blind placebo controlled clinical trial. (PubMed)

The effects of synbiotic supplementation on insulin resistance/sensitivity, lipid profile and total antioxidant capacity in women with gestational diabetes mellitus: A randomized double blind placebo controlled clinical trial. The role of gut microbiota in the management of diabetes is shown. In this randomized clinical trial we assessed the effects of synbiotic supplementation on insulin, lipid profile and antioxidative status among women with gestational diabetes mellitus (GDM).Ninety

2018 Diabetes research and clinical practice Controlled trial quality: predicted high

144. A randomized lifestyle intervention preventing gestational diabetes: effects on self-rated health from pregnancy to postpartum. (PubMed)

A randomized lifestyle intervention preventing gestational diabetes: effects on self-rated health from pregnancy to postpartum. The purpose was to examine the effects of a randomized lifestyle intervention on self-rated health from pregnancy to postpartum in participants at high risk for gestational diabetes mellitus.We included 266 women with a history of gestational diabetes and/or prepregnancy BMI ≥30 kg/m2. The intervention group (n = 144) received individualized counseling on diet (...)  = 0.064).The self-rated health level varied over time from the first trimester of pregnancy to 12 months postpartum in women at risk for gestational diabetes. Improving self-rated health among high-risk pregnant women through lifestyle intervention calls for further research.

2018 Journal of psychosomatic obstetrics and gynaecology Controlled trial quality: uncertain

145. Postnatal Lifestyle Intervention For Overweight Women With Previous Gestational Diabetes: A Randomized Controlled Trial. (PubMed)

Postnatal Lifestyle Intervention For Overweight Women With Previous Gestational Diabetes: A Randomized Controlled Trial. Gestational diabetes mellitus (GDM) is associated with a sevenfold increased lifetime risk of type 2 diabetes. Excessive gestational weight gain and postpartum weight retention are established predictors of long-term obesity.To determine the impact of a postnatal lifestyle intervention program for overweight women with previous gestational diabetes mellitus (PAIGE).Postnatal (...) overweight women with previous GDM participated in a multicenter randomized controlled trial between June 2013 and December 2014. The intervention comprised a 1-hour educational program, a free 3-month referral to a commercial weight management organization (Slimming World), a pedometer, and structured telephone and text support, in addition to usual care. The control group received usual care only. The primary outcome was weight loss at 6 months.Sixty women were randomized (29 intervention; 31 control

2018 Journal of Clinical Endocrinology and Metabolism Controlled trial quality: uncertain

146. Continuous glucose monitoring results in lower HbA<sub>1c</sub> in Malaysian women with insulin-treated gestational diabetes: a randomized controlled trial. (PubMed)

) at 28, 32 and 36 weeks' gestation (Group 1, CGM, n = 25) or usual antenatal care without CGM (Group 2, control, n = 25). All women performed seven-point capillary blood glucose (CBG) profiles at least 3 days per week and recorded hypoglycaemic events (symptomatic and asymptomatic CBG < 3.5 mmol/l; non-fasting < 4.0 mmol/l). HbA1c was measured at 28, 33 and 37 weeks. In Group 1, both CGM and CBG data were used to manage diabetes, whereas mothers in Group 2 were managed based on CBG data (...) Continuous glucose monitoring results in lower HbA1c in Malaysian women with insulin-treated gestational diabetes: a randomized controlled trial. To determine if therapeutic, retrospective continuous glucose monitoring (CGM) improves HbA1c with less hypoglycaemia in women with insulin-treated gestational diabetes mellitus (GDM).This prospective, randomized controlled, open-label trial evaluated 50 women with insulin-treated GDM randomized to either retrospective CGM (6-day sensor

2018 Diabetic Medicine Controlled trial quality: uncertain

147. Health Care Professionals’ Attitudes Toward, and Experiences of Using, a Culture-Sensitive Smartphone App for Women with Gestational Diabetes Mellitus: Qualitative Study (PubMed)

Health Care Professionals’ Attitudes Toward, and Experiences of Using, a Culture-Sensitive Smartphone App for Women with Gestational Diabetes Mellitus: Qualitative Study The increasing prevalence of gestational diabetes mellitus (GDM) among women of different ethnic backgrounds provides new challenges for health care professionals, who often find it difficult to provide information about the management of this disease to such individuals. Mobile health (mHealth) may act as a useful tool (...) for blood sugar control and care process enhancement. However, little is known about health care professionals' experiences and attitudes toward the use of mHealth for women with GDM.The aim of this study was to explore how health care professionals perceived the provision of care to pregnant women who managed their GDM using the culture-sensitive Pregnant+ app in a randomized controlled trial.Individual interviews with 9 health care professionals providing care for women with GDM were conducted. Braun

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2018 JMIR mHealth and uHealth Controlled trial quality: uncertain

148. Effect of exercise modality on markers of insulin sensitivity and blood glucose control in pregnancies complicated with gestational diabetes mellitus: a systematic review (PubMed)

Effect of exercise modality on markers of insulin sensitivity and blood glucose control in pregnancies complicated with gestational diabetes mellitus: a systematic review Exercise can be used as a strategy to attenuate hyperglycaemia experienced during gestational diabetes mellitus (GDM). To maximize its use for clinical management, the most effective modality should be identified. The purpose of this review is to elucidate the most effective modality of exercise on insulin sensitivity

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2018 Obesity science & practice

149. Canadian Diabetes Association 2013 clinical practice guidelines for the prevention and management of diabetes in Canada : Introduction

Canadian Diabetes Association 2013 clinical practice guidelines for the prevention and management of diabetes in Canada : Introduction My Site - Chapter 1: Introduction Diabetes Canada | Clinical Practice Guidelines The Canadian Diabetes Association has become Diabetes Canada* Search: Guidelines Key Messages For Health-Care Providers For People with Diabetes Other Languages Links Introduction Diabetes Canada Clinical Practice Guidelines Expert Committee Robyn L. Houlden MD, FRCPC Key Messages (...) Recommendations Figures Full Text References Chapter Headings Welcome to the Diabetes Canada 2018 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada . Updated every five years, these comprehensive, evidence-based guidelines represent the sixth set since their introduction in 1992; and the first under the new name of Diabetes Canada. In 2017, the name of the Canadian Diabetes Association was changed to Diabetes Canada to reflect the seriousness of diabetes, and to increase

2013 CPG Infobase

150. Growing evidence that maternal gestational diabetes increases risk of autism in offspring

Growing evidence that maternal gestational diabetes increases risk of autism in offspring Growing evidence that maternal gestational diabetes increases risk of autism in offspring | Evidence-Based Mental Health We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers (...) of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Growing evidence that maternal gestational diabetes increases risk of autism in offspring Article Text Causes and risk factors Growing evidence that maternal gestational diabetes increases risk of autism in offspring

2015 Evidence-Based Mental Health

151. Cohort study: Gestational diabetes: higher animal protein intake during pregnancy is associated with increased risk, and higher vegetable protein intake with decreased risk

Cohort study: Gestational diabetes: higher animal protein intake during pregnancy is associated with increased risk, and higher vegetable protein intake with decreased risk Gestational diabetes: higher animal protein intake during pregnancy is associated with increased risk, and higher vegetable protein intake with decreased risk | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser (...) at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Gestational diabetes: higher animal protein intake during

2014 Evidence-Based Nursing

152. Cohort study: Gestational diabetes is associated with increased risk of urinary incontinence up to 2?years postpartum

Cohort study: Gestational diabetes is associated with increased risk of urinary incontinence up to 2?years postpartum Gestational diabetes is associated with increased risk of urinary incontinence up to 2 years postpartum | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password (...) For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Gestational diabetes is associated with increased risk of urinary incontinence up to 2 years postpartum Article Text Midwifery Cohort study Gestational diabetes is associated

2014 Evidence-Based Nursing

153. Oral anti-diabetic agents for women with pre-existing diabetes mellitus/impaired glucose tolerance or previous gestational diabetes mellitus. (PubMed)

with diabetes mellitus on maternal and infant health.The use of oral antidiabetic agents for management of gestational diabetes in a current pregnancy is evaluated in a separate Cochrane review.We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (March 2010).We included randomised and quasi-randomised trials.Two review authors independently assessed trial eligibility for inclusion.We identified 13 trials published as 25 papers using the Cochrane Pregnancy and Childbirth group (...) Oral anti-diabetic agents for women with pre-existing diabetes mellitus/impaired glucose tolerance or previous gestational diabetes mellitus. While most guidelines recommend the use of insulin in women whose pregnancies are affected by pre-existing diabetes, oral agents have obvious benefits for patient acceptability and adherence. It is necessary, however, to assess the effects of these anti-diabetic agents on maternal and infant health outcomes. Additionally, women with previous gestational

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2010 Cochrane

154. Diagnosis and Treatment of Gestational Diabetes

women. The results of this large observational study formed the basis of a reconsideration of diagnosis and screening for diabetes in a consensus report published in 2010 4 under the auspices of the International Association of Diabetes and Pregnancy Study Groups (IADPSG). A further major trial examining the effect on pregnancy outcomes of management of gestational diabetes was reported in 2009, 5 while a randomised controlled trial in 2008 examined the efficacy of metformin, 6 adding to the older (...) and areas for future research The clinical science of gestational diabetes has seen marked advances in the last 5 years. Taken together, these new data provide conclusive evidence of the relationship of maternal glycaemia to fetal growth and indicate that fetal growth can be modified with glycaemic management. While treatment can have a modest effect on preventing excessive birthweight, there are many unanswered questions, such as can women at risk of gestational diabetes early in pregnancy

2011 Royal College of Obstetricians and Gynaecologists

155. Early Term Delivery Versus Expectant Management of the Large for Gestational Age Fetus

Early Term Delivery Versus Expectant Management of the Large for Gestational Age Fetus Early Term Delivery Versus Expectant Management of the Large for Gestational Age Fetus - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies (...) before adding more. Early Term Delivery Versus Expectant Management of the Large for Gestational Age Fetus (TEAM LGA) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03218735 Recruitment Status : Withdrawn (It was discovered that the patient population would not be large enough to adequately recruit

2017 Clinical Trials

156. Diabetes Screening in US Women With a History of Gestational Diabetes, National Health and Nutrition Examination Survey, 2007–2012 (PubMed)

Diabetes Screening in US Women With a History of Gestational Diabetes, National Health and Nutrition Examination Survey, 2007–2012 Women with a history of gestational diabetes mellitus (GDM) are at increased risk for developing type 2 diabetes mellitus. We examined individual, socioeconomic, and health care use characteristics of women with a history of GDM and the association of those characteristics with diabetes screening, and we estimated their rates of undiagnosed prediabetes (...) and 6.5% (95% CI, 3.7%-11.3%) had undiagnosed diabetes.More health visits in the prior year was associated with receiving diabetes screening. Fewer opportunities for screening may delay early detection, clinical management, and prevention of diabetes. Prediabetes in women with a history of GDM may be underrecognized and inadequately treated.

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2016 Preventing chronic disease

157. High Dose Cholecalciferol to Reduce the Incidence of Gestational Diabetes in High Risk Pregnant Women

High Dose Cholecalciferol to Reduce the Incidence of Gestational Diabetes in High Risk Pregnant Women High Dose Cholecalciferol to Reduce the Incidence of Gestational Diabetes in High Risk Pregnant Women - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please (...) remove one or more studies before adding more. High Dose Cholecalciferol to Reduce the Incidence of Gestational Diabetes in High Risk Pregnant Women The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03037593 Recruitment

2017 Clinical Trials

158. Metabolic Analysis for Treatment Choice in Gestational Diabetes Mellitus

Metabolic Analysis for Treatment Choice in Gestational Diabetes Mellitus Metabolic Analysis for Treatment Choice in Gestational Diabetes Mellitus - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Metabolic (...) Analysis for Treatment Choice in Gestational Diabetes Mellitus (MATCh-GDM) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03029702 Recruitment Status : Recruiting First Posted : January 24, 2017 Last Update Posted : March 1

2017 Clinical Trials

159. Effect of Glucose Load on Expression of Advanced Glycation End Products in Women Screened for Gestational Diabetes

Effect of Glucose Load on Expression of Advanced Glycation End Products in Women Screened for Gestational Diabetes Effect of Glucose Load on Expression of Advanced Glycation End Products in Women Screened for Gestational Diabetes - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number (...) of saved studies (100). Please remove one or more studies before adding more. Effect of Glucose Load on Expression of Advanced Glycation End Products in Women Screened for Gestational Diabetes The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details

2017 Clinical Trials

160. Group and Mobile Care for Gestational Diabetes

Group and Mobile Care for Gestational Diabetes Group and Mobile Care for Gestational Diabetes - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Group and Mobile Care for Gestational Diabetes The safety (...) which will provide each patient with glucose tracking and individualized nutritional support. Condition or disease Intervention/treatment Phase Gestational Diabetes Other: GlucoseMama application with blood sugar monitoring and carb monitoring. Other: Group prenatal care for GDM. Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 120 participants Allocation: Randomized Intervention Model: Parallel Assignment

2017 Clinical Trials

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