Gestational Diabetes Clinical Trial
Official title:
Impact of Blood Glucose at the First Trimester of Pregnant Women With Gestational Diabetes on Maternal and Fetal Outcomes and Metabolic Disorders: a Multi-central Prospective Cohort Study
The study is to investigate the impact of blood glucose management at the first trimester of pregnant women with gestational diabetes on the maternal and fetal outcomes and metabolic disorder.
Gestational diabetes(GDM) is the glucose metabolic disorder that first diagnosed during
pregnancy. With the development of social economy and the improvement of life, the incidence
of GDM increases to a level of 18-20% year by year. High blood glucose has a strong
relationship with many adverse maternal and fetal outcomes, but also influences their
metabolism including the increase of susceptibility of maternal type 2 diabetes and risk of
fetal type 2 diabetes, obesity, coronary heart disease, etc. And therefore, it is
significant to screening and managing maternal blood glucose to prevent maternal and fetal
adverse outcomes and metabolic disorder.
This multi-central prospective cohort study is supposed to study the pregnant women whose
fasting blood glucose is slightly increased (between 5.1 mmol/L and 7.0 mmol/L) at the first
gestational trimester. The aim of this study is to answer the scientific questions bellow:
whether interventions to whom the blood glucose is slightly increased can
1. decrease the incidence of GDM at the second gestational trimester;
2. improve gestational outcomes;
3. decrease the incidence of temporal and distant metabolic disorder of mother and her
child.
The result will provide scientific evidence for improving the gestational outcomes of GDM
women and preventing metabolic disorder of their child during adolescence and adult period.
;
Allocation: Non-Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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