Gestational diabetes mellitus (GDM) can lead to adverse perinatal and long-term outcomes, and it is so important to manage this disease in pregnancy. Digitalized managements have been proved economical and effective in some chronic diseases like type II diabetes mellitus. The purpose of the current study was to develop and evaluate a digitalized mode for GDM management using mobile healthcare and some wearable devices. Subjects were randomly divided into a conventional management group and combined digitalized management group after diagnosed with GDM during 24-28 weeks of gestation. The conventional mangement group received conventional GDM management and could freely use the mobile healthcare application. The mobile management group received digitalized healthcare services from artificial intelligence under the supervision of obstetricians, in addition to conventional management. The effectiveness of digitalized management were evaluated mainly through the result values of the labotatory tests related to blood glucose controlling and perinatal outcomes.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
46
In addition to conventional management, Patients also receive digitalized management, which provides personalized guidance in diet, excercise, prenatal visit, blood glucose monitoring,etc., from artificail intelliegence (AI) supevised by obstetricians, through a smartphone application and some werable devices (like sports bracelet). The pivotal AI are based on clinical experience from obstetricians, therapeutic principle from official Guidelines and abundant data in previous work, and it will works under strict supervision.
Danqing Chen
Hangzhou, Zhejiang, China
Concentration of glycosylated hemoglobin A1c
Reflecting the average glucose level in the last 8-12 weeks
Time frame: 37-42 weeks of gestation
Rate of neonate large for gestational age
May reflecting maternal glucose level in pregnancy
Time frame: At the 1 day of delivery
rate of caesarean as the delivery mode
An indicator associated with fetal weight or perinatal condition
Time frame: At the 1 day of delivery
Hospitalization cost of neonate and puerperae for delivery
A health economic indicator
Time frame: At the 1 day discharging from hospital
Proportion of patients with abnormal resulets of postnatal oral glucose tolerance test
Reflecting postpartum glucose metabolism
Time frame: 42 days postpartum
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