Trial Outcomes & Findings for Barriers to Adherence to Recommended Follow-up in Women With a History of Gestational Diabetes (NCT NCT01681147)

NCT ID: NCT01681147

Last Updated: 2023-05-12

Results Overview

1\. Postpartum weight loss (target 7% less than the pre-pregnancy weight for overweight/obese women and back to pre-pregnancy weight for normal BMI women). This will be based on medical record information on pre-pregnancy weight and self-reported or health-care provider reported weight at 12 months.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

30 participants

Primary outcome timeframe

1 year postpartum

Results posted on

2023-05-12

Participant Flow

Originally, the number of participants in each of the arms was supposed to be 10 participants per arm. However, due to assignment error, Group 2 only received 8 participants and Group 3 received an additional 2.

Participant milestones

Participant milestones
Measure
Standard Care+Education Classes+Glucose Monitoring
Standard postpartum care after a pregnancy with gestational diabetes 2 online nutrition and exercise education classes Self monitoring of blood glucose levels 2 online nutrition and exercise education classes: Two online nutrition and physical activity classes will accessed from a computer, android phone or a tablet. Each class is estimated to last about 1.5- 2 hours and will be accessed 6 weeks-3 months and 9 months Self monitoring of blood glucose levels: Self monitoring of blood glucose levels four times a day for four consecutive days once a month from 6 weeks-3 months through 9 months post partum
Standard Care
Standard postpartum care after a pregnancy with gestational diabetes
Standard Care+Education Classes
Standard postpartum care after a pregnancy with gestational diabetes 2 online nutrition and exercise education classes 2 online nutrition and exercise education classes: Two online nutrition and physical activity classes will accessed from a computer, android phone or a tablet. Each class is estimated to last about 1.5- 2 hours and will be accessed 6 weeks-3 months and 9 months
Overall Study
STARTED
12
10
8
Overall Study
Baseline
10
9
7
Overall Study
3 Months
8
8
5
Overall Study
6 Months
7
7
6
Overall Study
9 Months
6
7
5
Overall Study
12 Months
5
5
4
Overall Study
COMPLETED
1
0
0
Overall Study
NOT COMPLETED
11
10
8

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Barriers to Adherence to Recommended Follow-up in Women With a History of Gestational Diabetes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard Care
n=10 Participants
Standard postpartum care after a pregnancy with gestational diabetes
Standard Care+Education Classes
n=8 Participants
Standard postpartum care after a pregnancy with gestational diabetes 2 online nutrition and exercise education classes 2 online nutrition and exercise education classes: Two online nutrition and physical activity classes will accessed from a computer, android phone or a tablet. Each class is estimated to last about 1.5- 2 hours and will be accessed 6 weeks-3 months and 9 months
Standard Care+Education Classes+Glucose Monitoring
n=12 Participants
Standard postpartum care after a pregnancy with gestational diabetes 2 online nutrition and exercise education classes Self monitoring of blood glucose levels 2 online nutrition and exercise education classes: Two online nutrition and physical activity classes will accessed from a computer, android phone or a tablet. Each class is estimated to last about 1.5- 2 hours and will be accessed 6 weeks-3 months and 9 months Self monitoring of blood glucose levels: Self monitoring of blood glucose levels four times a day for four consecutive days once a month from 6 weeks-3 months through 9 months post partum
Total
n=30 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=5 Participants
8 Participants
n=7 Participants
12 Participants
n=5 Participants
30 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Continuous
35.3 years
n=5 Participants
35.3 years
n=7 Participants
34.6 years
n=5 Participants
35.1 years
n=4 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
8 Participants
n=7 Participants
12 Participants
n=5 Participants
30 Participants
n=4 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
3 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
9 Participants
n=5 Participants
6 Participants
n=7 Participants
9 Participants
n=5 Participants
24 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
3 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
4 Participants
n=5 Participants
4 Participants
n=7 Participants
3 Participants
n=5 Participants
11 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
White
5 Participants
n=5 Participants
1 Participants
n=7 Participants
8 Participants
n=5 Participants
14 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
Women with a History of Gestational Diabetes
10 Participants
n=5 Participants
8 Participants
n=7 Participants
12 Participants
n=5 Participants
30 Participants
n=4 Participants

PRIMARY outcome

Timeframe: 1 year postpartum

1\. Postpartum weight loss (target 7% less than the pre-pregnancy weight for overweight/obese women and back to pre-pregnancy weight for normal BMI women). This will be based on medical record information on pre-pregnancy weight and self-reported or health-care provider reported weight at 12 months.

Outcome measures

Outcome measures
Measure
Standard Care
n=10 Participants
Standard postpartum care after a pregnancy with gestational diabetes
Standard Care+Education Classes
n=8 Participants
Standard postpartum care after a pregnancy with gestational diabetes 2 online nutrition and exercise education classes 2 online nutrition and exercise education classes: Two online nutrition and physical activity classes will accessed from a computer, android phone or a tablet. Each class is estimated to last about 1.5- 2 hours and will be accessed 6 weeks-3 months and 9 months
Standard Care+Education Classes+Glucose Monitoring
n=12 Participants
Standard postpartum care after a pregnancy with gestational diabetes 2 online nutrition and exercise education classes Self monitoring of blood glucose levels 2 online nutrition and exercise education classes: Two online nutrition and physical activity classes will accessed from a computer, android phone or a tablet. Each class is estimated to last about 1.5- 2 hours and will be accessed 6 weeks-3 months and 9 months Self monitoring of blood glucose levels: Self monitoring of blood glucose levels four times a day for four consecutive days once a month from 6 weeks-3 months through 9 months post partum
Weight Loss
0 Participants
0 Participants
2 Participants

PRIMARY outcome

Timeframe: 1 year postpartum

1. Adherence to diabetes screening using the 75 gram 2 hour oral glucose tolerance test (OGTT) or fasting blood glucose at 12 months (+/- 3 months). 2. Lab results from the fasting glucose test or results from a 75 gram 2 hour OGTT at 12 months among women who choose to take the diabetes screening test.

Outcome measures

Outcome measures
Measure
Standard Care
n=10 Participants
Standard postpartum care after a pregnancy with gestational diabetes
Standard Care+Education Classes
n=8 Participants
Standard postpartum care after a pregnancy with gestational diabetes 2 online nutrition and exercise education classes 2 online nutrition and exercise education classes: Two online nutrition and physical activity classes will accessed from a computer, android phone or a tablet. Each class is estimated to last about 1.5- 2 hours and will be accessed 6 weeks-3 months and 9 months
Standard Care+Education Classes+Glucose Monitoring
n=12 Participants
Standard postpartum care after a pregnancy with gestational diabetes 2 online nutrition and exercise education classes Self monitoring of blood glucose levels 2 online nutrition and exercise education classes: Two online nutrition and physical activity classes will accessed from a computer, android phone or a tablet. Each class is estimated to last about 1.5- 2 hours and will be accessed 6 weeks-3 months and 9 months Self monitoring of blood glucose levels: Self monitoring of blood glucose levels four times a day for four consecutive days once a month from 6 weeks-3 months through 9 months post partum
Postpartum Diabetes Screening at One Year
0 Participants
1 Participants
1 Participants

PRIMARY outcome

Timeframe: Assessed at 6 weeks to 3 months, 6 months, 9 months, and 12 months, 6 months reported

Population: Lack of Self-Care, Infant Care: 1) Not at all 2) Seldom 3) Sometimes 4) Frequently 5) Always. Fear of Diabetes Diagnosis \& PP Depression 1) Most of the time 2) Some of the time 3) Not very often 4) Not at all. Difficulty Accessing Medical Care, Dissatisfaction w/ Medical Care: 1) strongly disagree 2) disagree 3) Neutral 4) Agree 5) Strongly Agree

2\. Determine to what extent barriers to health impact adherence rates to post partum screening and weight loss targets through a web-based questionnaire collected on the 6 weeks to 3 months, 6, 9, and 12 month questionnaires. These questionnaires will assess whether: lack of self care, perception of high infant care giving needs, fear of diabetes diagnosis and postpartum depressive symptoms, difficulty accessing medical care, dissatisfaction with medical care or primary care physician not recommending screening are associated with poorer adherence to diabetes screening guidelines and weight loss goals.

Outcome measures

Outcome measures
Measure
Standard Care
n=7 Participants
Standard postpartum care after a pregnancy with gestational diabetes
Standard Care+Education Classes
n=6 Participants
Standard postpartum care after a pregnancy with gestational diabetes 2 online nutrition and exercise education classes 2 online nutrition and exercise education classes: Two online nutrition and physical activity classes will accessed from a computer, android phone or a tablet. Each class is estimated to last about 1.5- 2 hours and will be accessed 6 weeks-3 months and 9 months
Standard Care+Education Classes+Glucose Monitoring
n=7 Participants
Standard postpartum care after a pregnancy with gestational diabetes 2 online nutrition and exercise education classes Self monitoring of blood glucose levels 2 online nutrition and exercise education classes: Two online nutrition and physical activity classes will accessed from a computer, android phone or a tablet. Each class is estimated to last about 1.5- 2 hours and will be accessed 6 weeks-3 months and 9 months Self monitoring of blood glucose levels: Self monitoring of blood glucose levels four times a day for four consecutive days once a month from 6 weeks-3 months through 9 months post partum
Barriers Associated With Poorer Adherence to Diabetes Screening Guidelines and Weight Loss Goals
Perception of High Infant Care Giving Needs
1.60 score on a scale
Standard Deviation 0.33
1.57 score on a scale
Standard Deviation 0.50
1.97 score on a scale
Standard Deviation 0.49
Barriers Associated With Poorer Adherence to Diabetes Screening Guidelines and Weight Loss Goals
Fear of Diabetes Diagnosis & PP Depression
2.99 score on a scale
Standard Deviation 1.09
2.93 score on a scale
Standard Deviation 0.97
2.83 score on a scale
Standard Deviation 0.87
Barriers Associated With Poorer Adherence to Diabetes Screening Guidelines and Weight Loss Goals
Lack of Self-Care
2.08 score on a scale
Standard Deviation 0.61
2.20 score on a scale
Standard Deviation 0.86
2.52 score on a scale
Standard Deviation 0.57
Barriers Associated With Poorer Adherence to Diabetes Screening Guidelines and Weight Loss Goals
Difficulty of Accessing Medical Care
3.3 score on a scale
Standard Deviation 0.45
3.8 score on a scale
Standard Deviation 0.84
3.3 score on a scale
Standard Deviation 0.67
Barriers Associated With Poorer Adherence to Diabetes Screening Guidelines and Weight Loss Goals
Dissatisfaction with Medical Care
2.96 score on a scale
Standard Deviation 0.89
3.08 score on a scale
Standard Deviation 089
3.0 score on a scale
Standard Deviation 1.08

SECONDARY outcome

Timeframe: 3 months, 6 months, 9 months, all reported

Population: Scale was ranked as follows: 1 = Never/Less than once a week; 2 = Once per week; 3 = 2 to 4 times per week; 4 = Nearly daily or daily; 5 = Twice or more per day Patients were asked to rank how often they ate certain types of foods (i.e. starches, vegetables, etc.). Individual questions were categorized into healthy vs. unhealthy neutral foods.

Determine to what extent types of food products and amount of exercise frequented by women with gestational diabetes postpartum impacted adherence rates to weight loss targets through a web-based questionnaire collected at the 3 month, 6 month and 9 month follow-up. These questionnaires will assess whether eating patterns associated with poorer adherence to diabetes screening guidelines and weight loss goals.

Outcome measures

Outcome measures
Measure
Standard Care
n=10 Participants
Standard postpartum care after a pregnancy with gestational diabetes
Standard Care+Education Classes
n=8 Participants
Standard postpartum care after a pregnancy with gestational diabetes 2 online nutrition and exercise education classes 2 online nutrition and exercise education classes: Two online nutrition and physical activity classes will accessed from a computer, android phone or a tablet. Each class is estimated to last about 1.5- 2 hours and will be accessed 6 weeks-3 months and 9 months
Standard Care+Education Classes+Glucose Monitoring
n=12 Participants
Standard postpartum care after a pregnancy with gestational diabetes 2 online nutrition and exercise education classes Self monitoring of blood glucose levels 2 online nutrition and exercise education classes: Two online nutrition and physical activity classes will accessed from a computer, android phone or a tablet. Each class is estimated to last about 1.5- 2 hours and will be accessed 6 weeks-3 months and 9 months Self monitoring of blood glucose levels: Self monitoring of blood glucose levels four times a day for four consecutive days once a month from 6 weeks-3 months through 9 months post partum
Dietary Pattern Assessment of Women With Gestational Diabetes Postpartum
Frequency of Unhealthy Food (3 month)
1.57 score on a scale
Standard Deviation 0.71
1.53 score on a scale
Standard Deviation 0.73
1.69 score on a scale
Standard Deviation 0.66
Dietary Pattern Assessment of Women With Gestational Diabetes Postpartum
Frequency of Neutral Food (3 month)
1.94 score on a scale
Standard Deviation 0.43
1.81 score on a scale
Standard Deviation 0.70
1.75 score on a scale
Standard Deviation 0.96
Dietary Pattern Assessment of Women With Gestational Diabetes Postpartum
Frequency of Healthy Food (6 month)
2.52 score on a scale
Standard Deviation 0.94
2.54 score on a scale
Standard Deviation 0.83
2.46 score on a scale
Standard Deviation 0.96
Dietary Pattern Assessment of Women With Gestational Diabetes Postpartum
Frequency of Neutral Food (6 month)
1.89 score on a scale
Standard Deviation 1.02
1.85 score on a scale
Standard Deviation 0.72
2.11 score on a scale
Standard Deviation 0.99
Dietary Pattern Assessment of Women With Gestational Diabetes Postpartum
Frequency of Healthy Food (9 month)
2.56 score on a scale
Standard Deviation 0.92
2.73 score on a scale
Standard Deviation 0.80
2.58 score on a scale
Standard Deviation 0.97
Dietary Pattern Assessment of Women With Gestational Diabetes Postpartum
Frequency of Unhealthy Food (9 month)
1.52 score on a scale
Standard Deviation 0.72
1.5 score on a scale
Standard Deviation 0.51
1.68 score on a scale
Standard Deviation 0.71
Dietary Pattern Assessment of Women With Gestational Diabetes Postpartum
Frequency of Unhealthy Food (6 month)
1.53 score on a scale
Standard Deviation 0.66
1.67 score on a scale
Standard Deviation 0.71
1.70 score on a scale
Standard Deviation 0.75
Dietary Pattern Assessment of Women With Gestational Diabetes Postpartum
Frequency of Neutral Food (9 month)
1.89 score on a scale
Standard Deviation 0.98
1.91 score on a scale
Standard Deviation 0.93
2.04 score on a scale
Standard Deviation 0.87
Dietary Pattern Assessment of Women With Gestational Diabetes Postpartum
Frequency of Healthy Food (3 month)
2.46 score on a scale
Standard Deviation 0.79
2.77 score on a scale
Standard Deviation 0.92
2.4 score on a scale
Standard Deviation 0.89

SECONDARY outcome

Timeframe: 3 months, 6 months, 9 months, all reported

Population: The "Overall Number of Participants Analyzed" defines the number of participants enrolled in the study. The Number in the Rows indicates the number of participants that completed the follow-up surveys required for participation in the study.

The table shows the percent of women eating each food daily or nearly daily.

Outcome measures

Outcome measures
Measure
Standard Care
n=10 Participants
Standard postpartum care after a pregnancy with gestational diabetes
Standard Care+Education Classes
n=8 Participants
Standard postpartum care after a pregnancy with gestational diabetes 2 online nutrition and exercise education classes 2 online nutrition and exercise education classes: Two online nutrition and physical activity classes will accessed from a computer, android phone or a tablet. Each class is estimated to last about 1.5- 2 hours and will be accessed 6 weeks-3 months and 9 months
Standard Care+Education Classes+Glucose Monitoring
n=12 Participants
Standard postpartum care after a pregnancy with gestational diabetes 2 online nutrition and exercise education classes Self monitoring of blood glucose levels 2 online nutrition and exercise education classes: Two online nutrition and physical activity classes will accessed from a computer, android phone or a tablet. Each class is estimated to last about 1.5- 2 hours and will be accessed 6 weeks-3 months and 9 months Self monitoring of blood glucose levels: Self monitoring of blood glucose levels four times a day for four consecutive days once a month from 6 weeks-3 months through 9 months post partum
Food Frequency Questionnaire
Other Veg (3 months)
25.0 % women eating food daily or near daily
40.0 % women eating food daily or near daily
25.0 % women eating food daily or near daily
Food Frequency Questionnaire
Other Veg (6 months)
57.2 % women eating food daily or near daily
40.0 % women eating food daily or near daily
42.9 % women eating food daily or near daily
Food Frequency Questionnaire
Whole Milk (6 months)
42.9 % women eating food daily or near daily
20.0 % women eating food daily or near daily
57.1 % women eating food daily or near daily
Food Frequency Questionnaire
Whole Milk (9 months)
42.9 % women eating food daily or near daily
20.0 % women eating food daily or near daily
66.7 % women eating food daily or near daily
Food Frequency Questionnaire
Low Fat Milk (3 months)
67.5 % women eating food daily or near daily
60.0 % women eating food daily or near daily
50.0 % women eating food daily or near daily
Food Frequency Questionnaire
Low Fat Milk (9 months)
42.9 % women eating food daily or near daily
40.0 % women eating food daily or near daily
16.7 % women eating food daily or near daily
Food Frequency Questionnaire
Eggs (3 months)
12.5 % women eating food daily or near daily
0.0 % women eating food daily or near daily
25.0 % women eating food daily or near daily
Food Frequency Questionnaire
Baked Goods (3 months)
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
25.0 % women eating food daily or near daily
Food Frequency Questionnaire
Baked Goods (6 months)
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
42.9 % women eating food daily or near daily
Food Frequency Questionnaire
Baked Goods (9 months)
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
33.3 % women eating food daily or near daily
Food Frequency Questionnaire
Beef (3 months)
12.5 % women eating food daily or near daily
20.0 % women eating food daily or near daily
0 % women eating food daily or near daily
Food Frequency Questionnaire
Beef (6 months)
28.6 % women eating food daily or near daily
20.0 % women eating food daily or near daily
14.3 % women eating food daily or near daily
Food Frequency Questionnaire
Other Fish (9 months)
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
Food Frequency Questionnaire
Chicken/Turkey (3 months)
12.5 % women eating food daily or near daily
0.0 % women eating food daily or near daily
25.0 % women eating food daily or near daily
Food Frequency Questionnaire
Chicken/Turkey (6 months)
16.7 % women eating food daily or near daily
40.0 % women eating food daily or near daily
28.6 % women eating food daily or near daily
Food Frequency Questionnaire
Leafy Greens (3 months)
87.5 % women eating food daily or near daily
20.0 % women eating food daily or near daily
50.0 % women eating food daily or near daily
Food Frequency Questionnaire
Leafy Greens (6 months)
57.1 % women eating food daily or near daily
60.0 % women eating food daily or near daily
42.9 % women eating food daily or near daily
Food Frequency Questionnaire
Leafy Greens (9 months)
28.6 % women eating food daily or near daily
40.0 % women eating food daily or near daily
50.0 % women eating food daily or near daily
Food Frequency Questionnaire
Other Veg (9 months)
42.9 % women eating food daily or near daily
50.0 % women eating food daily or near daily
50.0 % women eating food daily or near daily
Food Frequency Questionnaire
Citrus (3 months)
12.5 % women eating food daily or near daily
20.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
Food Frequency Questionnaire
Citrus (6 months)
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
Food Frequency Questionnaire
Citrus (9 months)
0.0 % women eating food daily or near daily
60.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
Food Frequency Questionnaire
Fruit (3 months)
25.0 % women eating food daily or near daily
80.0 % women eating food daily or near daily
25.0 % women eating food daily or near daily
Food Frequency Questionnaire
Fruit (6 months)
28.6 % women eating food daily or near daily
60.0 % women eating food daily or near daily
42.9 % women eating food daily or near daily
Food Frequency Questionnaire
Fruit (9 months)
71.5 % women eating food daily or near daily
80.0 % women eating food daily or near daily
33.3 % women eating food daily or near daily
Food Frequency Questionnaire
Whole Milk (3 months)
25.0 % women eating food daily or near daily
60.0 % women eating food daily or near daily
62.5 % women eating food daily or near daily
Food Frequency Questionnaire
Low Fat Milk (6 months)
57.1 % women eating food daily or near daily
40.0 % women eating food daily or near daily
28.6 % women eating food daily or near daily
Food Frequency Questionnaire
Eggs (6 months)
14.3 % women eating food daily or near daily
0.0 % women eating food daily or near daily
28.6 % women eating food daily or near daily
Food Frequency Questionnaire
Eggs (9 months)
28.6 % women eating food daily or near daily
20.0 % women eating food daily or near daily
16.7 % women eating food daily or near daily
Food Frequency Questionnaire
Whole Grain (3 months)
37.5 % women eating food daily or near daily
40.0 % women eating food daily or near daily
37.5 % women eating food daily or near daily
Food Frequency Questionnaire
Whole Grain (6 months)
57.2 % women eating food daily or near daily
60.0 % women eating food daily or near daily
71.4 % women eating food daily or near daily
Food Frequency Questionnaire
Whole Grain (9 months)
57.1 % women eating food daily or near daily
60.0 % women eating food daily or near daily
50.0 % women eating food daily or near daily
Food Frequency Questionnaire
Pasta (3 months)
12.5 % women eating food daily or near daily
20.0 % women eating food daily or near daily
12.5 % women eating food daily or near daily
Food Frequency Questionnaire
Pasta (6 months)
0.0 % women eating food daily or near daily
20.0 % women eating food daily or near daily
14.3 % women eating food daily or near daily
Food Frequency Questionnaire
Pasta (9 months)
14.3 % women eating food daily or near daily
0.0 % women eating food daily or near daily
16.7 % women eating food daily or near daily
Food Frequency Questionnaire
Beef (9 months)
28.6 % women eating food daily or near daily
0 % women eating food daily or near daily
16.7 % women eating food daily or near daily
Food Frequency Questionnaire
Processed Meat (3 months)
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
Food Frequency Questionnaire
Processed Meat (6 months)
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
Food Frequency Questionnaire
Processed Meat (9 months)
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
Food Frequency Questionnaire
Deep Fried Food (3 months)
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
Food Frequency Questionnaire
Deep Fried Food (6 months)
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
Food Frequency Questionnaire
Deep Fried Food (9 months)
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
Food Frequency Questionnaire
Canned Tuna (3 months)
0.0 % women eating food daily or near daily
20.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
Food Frequency Questionnaire
Canned Tuna (6 months)
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
Food Frequency Questionnaire
Canned Tuna (9 months)
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
Food Frequency Questionnaire
Dark Fish (3 months)
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
Food Frequency Questionnaire
Dark Fish (6 months)
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
Food Frequency Questionnaire
Dark Fish (9 months)
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
Food Frequency Questionnaire
Other Fish (3 months)
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
Food Frequency Questionnaire
Other Fish (6 months)
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
Food Frequency Questionnaire
Chicken/Turkey (9 months)
28.6 % women eating food daily or near daily
20.0 % women eating food daily or near daily
33.3 % women eating food daily or near daily
Food Frequency Questionnaire
Other Seafood (3 months)
0.0 % women eating food daily or near daily
20.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
Food Frequency Questionnaire
Other Seafood (6 months)
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
Food Frequency Questionnaire
Other Seafood (9 months)
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily
0.0 % women eating food daily or near daily

SECONDARY outcome

Timeframe: 3 months, 6 months, 9 months, all reported

Population: The "Overall Number of Participants Analyzed" defines the number of participants enrolled in the study. The Number in the Rows indicates the number of participants that completed the follow-up surveys required for participation in the study. The standard deviation represents the SD from the scores on the scale utilized, not the average numbers per week spent on each activity.

This table below shows the average hours per week spent on each activity.

Outcome measures

Outcome measures
Measure
Standard Care
n=10 Participants
Standard postpartum care after a pregnancy with gestational diabetes
Standard Care+Education Classes
n=8 Participants
Standard postpartum care after a pregnancy with gestational diabetes 2 online nutrition and exercise education classes 2 online nutrition and exercise education classes: Two online nutrition and physical activity classes will accessed from a computer, android phone or a tablet. Each class is estimated to last about 1.5- 2 hours and will be accessed 6 weeks-3 months and 9 months
Standard Care+Education Classes+Glucose Monitoring
n=12 Participants
Standard postpartum care after a pregnancy with gestational diabetes 2 online nutrition and exercise education classes Self monitoring of blood glucose levels 2 online nutrition and exercise education classes: Two online nutrition and physical activity classes will accessed from a computer, android phone or a tablet. Each class is estimated to last about 1.5- 2 hours and will be accessed 6 weeks-3 months and 9 months Self monitoring of blood glucose levels: Self monitoring of blood glucose levels four times a day for four consecutive days once a month from 6 weeks-3 months through 9 months post partum
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Sitting to Watch TV (9 months)
5.0 average hours per week
Standard Deviation 1.57
6.8 average hours per week
Standard Deviation 1.52
8.4 average hours per week
Standard Deviation 1.17
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Other Sitting (3 months)
11.5 average hours per week
Standard Deviation 1.28
6.2 average hours per week
Standard Deviation 0.58
10.0 average hours per week
Standard Deviation 0.71
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Other Sitting (6 months)
6.6 average hours per week
Standard Deviation 1.13
7.5 average hours per week
Standard Deviation 0.84
6.9 average hours per week
Standard Deviation 0.76
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Walking (6 months)
3.0 average hours per week
Standard Deviation 2.99
2.2 average hours per week
Standard Deviation 2.74
2.6 average hours per week
Standard Deviation 2.24
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Walking (9 months)
1.6 average hours per week
Standard Deviation 2.94
0.9 average hours per week
Standard Deviation 1.00
3.5 average hours per week
Standard Deviation 2.43
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Jogging (3 months)
0 average hours per week
Standard Deviation 0.00
0.1 average hours per week
Standard Deviation 1.30
0.1 average hours per week
Standard Deviation 1.19
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Jogging (6 months)
0.2 average hours per week
Standard Deviation 1.73
0.2 average hours per week
Standard Deviation 1.30
0.03 average hours per week
Standard Deviation 0.76
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Jogging (9 months)
0.1 average hours per week
Standard Deviation 1.13
0.3 average hours per week
Standard Deviation 1.67
0.1 average hours per week
Standard Deviation 1.22
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Running (3 month)
0 average hours per week
Standard Deviation 0.00
0.01 average hours per week
Standard Deviation 0.45
0.1 average hours per week
Standard Deviation 1.06
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Running (6 month)
0.1 average hours per week
Standard Deviation 1.13
0.01 average hours per week
Standard Deviation 0.55
0.03 average hours per week
Standard Deviation 0.79
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Running (9 month)
0.1 average hours per week
Standard Deviation 1.46
0.04 average hours per week
Standard Deviation 0.89
0.1 average hours per week
Standard Deviation 1.22
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Bicycling (3 months)
0.1 average hours per week
Standard Deviation 1.41
0.0 average hours per week
Standard Deviation 0.00
0.0 average hours per week
Standard Deviation 0.00
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Bicycling (9 months)
0.4 average hours per week
Standard Deviation 2.27
0.3 average hours per week
Standard Deviation 2.24
0.0 average hours per week
Standard Deviation 0.00
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Other Vigorous Activity (9 months)
0.9 average hours per week
Standard Deviation 2.75
0.7 average hours per week
Standard Deviation 2.00
0.5 average hours per week
Standard Deviation 2.07
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Arm Weights (3 months)
0.1 average hours per week
Standard Deviation 1.41
0.2 average hours per week
Standard Deviation 1.73
0.1 average hours per week
Standard Deviation 1.19
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Sitting Total (6 months)
20.5 average hours per week
Standard Deviation 1.35
20.0 average hours per week
Standard Deviation 1.92
28.5 average hours per week
Standard Deviation 1.81
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Sitting Total (9 months)
18.4 average hours per week
Standard Deviation 1.21
18.4 average hours per week
Standard Deviation 1.95
33.6 average hours per week
Standard Deviation 2.43
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Sitting to Watch TV (3 months)
6.9 average hours per week
Standard Deviation 1.58
4.8 average hours per week
Standard Deviation 0.58
13.3 average hours per week
Standard Deviation 1.51
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Walking (3 months)
3.4 average hours per week
Standard Deviation 2.8
1.7 average hours per week
Standard Deviation 2.35
2.2 average hours per week
Standard Deviation 1.85
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Bicycling (6 months)
0.2 average hours per week
Standard Deviation 1.89
0.1 average hours per week
Standard Deviation 1.34
0.1 average hours per week
Standard Deviation 1.13
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Other Aerobic (3 month)
0.0 average hours per week
Standard Deviation 0.12
0.0 average hours per week
Standard Deviation 0.00
0.0 average hours per week
Standard Deviation 0.00
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Other Aerobic (6 month)
0.3 average hours per week
Standard Deviation 0.60
0.03 average hours per week
Standard Deviation 0.30
0.02 average hours per week
Standard Deviation 0.25
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Other Aerobic (9 month)
0.1 average hours per week
Standard Deviation 0.50
1.2 average hours per week
Standard Deviation 1.88
0.4 average hours per week
Standard Deviation 0.66
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Yoga/Stretching (3 months)
0.3 average hours per week
Standard Deviation 2.14
0.3 average hours per week
Standard Deviation 1.73
0.5 average hours per week
Standard Deviation 1.89
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Yoga/Stretching (6 months)
0.1 average hours per week
Standard Deviation 1.29
1.04 average hours per week
Standard Deviation 2.92
0.3 average hours per week
Standard Deviation 1.99
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Yoga/Stretching (9 months)
0.1 average hours per week
Standard Deviation 1.13
0.6 average hours per week
Standard Deviation 2.68
0.4 average hours per week
Standard Deviation 1.67
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Other Vigorous Activity (3 months)
0.5 average hours per week
Standard Deviation 2.31
0.3 average hours per week
Standard Deviation 2.12
0.4 average hours per week
Standard Deviation 1.93
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Other Vigorous Activity (6 months)
0.2 average hours per week
Standard Deviation 2.04
0.9 average hours per week
Standard Deviation 2.77
0.4 average hours per week
Standard Deviation 2.24
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Arm Weights (6 months)
0.2 average hours per week
Standard Deviation 1.91
0.5 average hours per week
Standard Deviation 2.35
0.1 average hours per week
Standard Deviation 1.25
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Arm Weights (9 months)
0.2 average hours per week
Standard Deviation 1.57
0.7 average hours per week
Standard Deviation 2.83
0.2 average hours per week
Standard Deviation 1.37
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Leg Weights (3 months)
0.004 average hours per week
Standard Deviation 0.35
0 average hours per week
Standard Deviation 0.00
0.04 average hours per week
Standard Deviation 0.93
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Leg Weights (6 months)
0.02 average hours per week
Standard Deviation 0.76
0.5 average hours per week
Standard Deviation 2.49
0.1 average hours per week
Standard Deviation 1.25
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Leg Weights (9 months)
0.0 average hours per week
Standard Deviation 0.00
0.7 average hours per week
Standard Deviation 2.83
0.3 average hours per week
Standard Deviation 1.76
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Standing Total (3 months)
15.9 average hours per week
Standard Deviation 1.30
8.8 average hours per week
Standard Deviation 1.00
21.0 average hours per week
Standard Deviation 1.51
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Standing Total (6 months)
20.8 average hours per week
Standard Deviation 1.63
10.6 average hours per week
Standard Deviation 1.58
10.5 average hours per week
Standard Deviation 1.17
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Standing Total (9 months)
22.7 average hours per week
Standard Deviation 2.29
19.2 average hours per week
Standard Deviation 2.07
24.7 average hours per week
Standard Deviation 1.22
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Standing At Home (3 months)
13.5 average hours per week
Standard Deviation 1.06
16.2 average hours per week
Standard Deviation 1.00
19.9 average hours per week
Standard Deviation 1.25
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Standing At Home (6 months)
21.4 average hours per week
Standard Deviation 1.46
11.9 average hours per week
Standard Deviation 1.14
11.8 average hours per week
Standard Deviation 0.98
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Standing at Home (9 months)
24.4 average hours per week
Standard Deviation 2.56
9.1 average hours per week
Standard Deviation 1.00
8.9 average hours per week
Standard Deviation 1.47
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Sitting Total (3 months)
17.3 average hours per week
Standard Deviation 1.91
10.0 average hours per week
Standard Deviation 2.08
17.4 average hours per week
Standard Deviation 1.49
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Sitting to Watch TV (6 months)
6.2 average hours per week
Standard Deviation 0.84
5.5 average hours per week
Standard Deviation 1.58
8.6 average hours per week
Standard Deviation 1.38
Exercise Frequency in Women With Gestational Diabetes Post-Partum
Other Sitting (9 months)
3.4 average hours per week
Standard Deviation 1.11
4.3 average hours per week
Standard Deviation 0.45
6.4 average hours per week
Standard Deviation 1.05

Adverse Events

Standard Care

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Standard Care+Education Classes

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Standard Care+Education Classes+Glucose Monitoring

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Florence Brown

Joslin Diabetes Center

Phone: 617-309-2675

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place