Intervention variables

Intervention purpose

Time and methods

Details

Control Group

Train GDM patients to complete self-regulation of diet and blood glucose monitoring

Day 1: Face-to-face one-day outpatient health education on diabetes 1) GDM information providing; 2) blood glucose monitoring; 3) diet guidance and recording; 4) exercise guidance.

1) Explain the dangers of GDM; 2) weight management and reasonable diet during pregnancy, experience the breakfast, lunch and snacks customized by the nutrition and diet department of the hospital; 3) exercise during pregnancy, and practice GDM health exercises for half an hour; 4) glucose management guidance, teach GDM patients to monitor blood glucose.

Experimental Group

Knowledge

To enhance GDM patients’ awareness of gestational diabetes

Week 1: Face-to-face one-day outpatient health education on diabetes 1) GDM information providing; 2) blood glucose monitoring; 3) diet guidance and recording; 4) exercise guidance.

1) Explain the pathogenesis of GDM and its harmful impact on the mothers and the children; 2) weight management and reasonable diet during pregnancy, experience the breakfast, lunch and snacks customized by the nutrition and diet department of the hospital; 3) exercise during pregnancy, and practice GDM health exercises for half an hour; 4) glucose management guidance, teach GDM patients to monitor blood glucose, explain how to use the mini program in the WeChat group to record and share the information of each meal and blood glucose.

Attitude

To promote correct beliefs and attitudes for patients with GDM

Weeks 1 - 6: Interact in the WeChat group in real time to engage pregnant women to participate. Twice a week, 1 hour each time.

1) Share popular science articles in WeChat groups on the hazards and effects of GDM, key points of diet control, knowledge of food exchange method, weight management, reference to normal blood glucose, recipe recommendations, etc. 2) encourage patients to monitor their own blood glucose and record their diets, and provide timely feedback on the uploaded diet records and blood glucose values; guide a discussion on topics about diet and exercise once a week, to inspire patients to summarize and analyze their own blood glucose and diet exercise.

Practice

To guide the formation of healthy behaviors for GDM patients

From the start of intervention to the end of pregnancy: record with WeChat mini program, once a week or once every two weeks.

Instruct the patients to perform self-blood glucose testing on a regular basis (one day of a week or every two weeks), use the WeChat mini program to record meals, and maintain proper exercise until the end of pregnancy.