Dietary And Exercise Intervention In Pregnancy Effect Of Gestational Diabetes Mellitus

Objectives: To investigate the dietary nutrient intake of pregnant women with gestational diabetes mellitus,the effect of dietary exercise intervention on the blood glucose,weight and pregnancy results of pregnant women with gestational diabetes mellitus.Methods: The subjects were selected in Xingtai City People's Hospital obstetric department clinics from 2016 February to December 2016,which were diagnosed as gestational diabetes mellitus in 24 weeks 100 pregnant women.The subjects was divided into 50 cases of Dietary and exercise intervention group and routine nursing group.Dietary intake of the subjects was investigated by Food Frequency Questionnaires,and the intake of energy and nutrients in the dietary dietary subjects was analyzed.The intervention group on the basis of routine nursing,combined with their diet and movement of different circumstances,to develop in line with the individual diet structure and exercise programs,to give diet,sports personalized guidance,The form includes four family visit(2 hours each),two outpatient intervention(one month in second trimester,20 minutes each time)and three telephone follow-up(30 minutes each).For the control group of subjects to explain the prevention of diabetes-related knowledge,and to carry out a pregnancy diet education knowledge.Blood glucose and body weight were detected at 24 and 28 weeks.Blood glucose,2 hour blood glucose levels of oral glucose tolerance test.Pregnancy results such as cesarean section,neonatal weight,huge children,premature birth,neonatal asphyxia information are from the case report.Result: In this study,the whole data of 48 patients in the intervention group and 49 patients in the control group were collected.Studies have shown that the subjects in the mid-gestation of daily dietary energy and protein,fatcompared with dietary reference intake,The energy intake was high,Protein intake is relatively low? Results obtained from pre-intervention and post-intervention showed that: there was no significant difference in blood glucose between the intervention group and the control group after oral glucose tolerance test(P> 0.05),After intervention,the above indicators of the intervention group were significantly lower than the control group,the difference was statistically significant(P<0.05).The difference of body weight between the two groups was significantly lower(P<0.05).and There was no significant difference in body mass index between the two groups(P> 0.05).There was no significant difference in the incidence of weight and body mass index between the two groups(P> 0.05).The incidence of weight and body weight index in the intervention group was lower than that in the control group.There was no significant difference in cesarean section rate between the two groups(P> 0.05).Conclusion: Gestational diabetes mellitus has a high incidence of protein malnutrition during the second trimester,Dietary energy intake is high,Protein intake is low,Three nutrient capacity than unreasonable.Pregnancy diet exercise can effectively reduce maternal weight and body mass index,Improve the status of glucose metabolism,reduce the incidence of giant children,The effect of intervention to reduce cesarean section needs to be further validated.