The Role of Exercise in the Prevention and Treatment of Gestational Diabetes Mellitus

  title={The Role of Exercise in the Prevention and Treatment of Gestational Diabetes Mellitus},
  author={Michelle F. Mottola},
  journal={Current Sports Medicine Reports},
  • M. Mottola
  • Published 9 November 2007
  • Medicine
  • Current Sports Medicine Reports
Gestational diabetes mellitus (GDM) is a form of diabetes first diagnosed during pregnancy, usually between 24 and 28 weeks. Currently, management for women with GDM consists of medical nutrition therapy with adjunctive exercise for at least 30 minutes/day. Patients who fail to maintain glycemic goals through diet and exercise therapy are given insulin injections. Several epidemiological studies have suggested a robust link between physical activity and reduced risk of GDM; however, researchers… 
Emerging Science: Interventions in Women at Risk of GDM During Pregnancy
Interventions which rely on lifestyle modifications to prevent GDM or mitigate the effects of GDM during pregnancy, both of which are established risk factors in the prevention and treatment of type 2 diabetes, are summarized.
GDM: Postpartum management to reduce long-term risks
The roles of medical nutrition therapy, physical activity, and pharmacotherapy in preventing type 2 diabetes in women with a GDM history are reviewed.
Factors that influence physical activity for pregnant and postpartum women and implications for primary care.
It was found that non-GDM women are given minimal advice about exercise during pregnancy, and a checklist has been developed for health professionals, in partnership with women, to direct attention to the factors that enable and hinder participation in physical activity during and after pregnancy.
[Costs of health. Costs-effectiveness in case of lifestyle changes].
A great couple of studies approved cost-effectiveness of interventions directed to the change of life style factors, and price of gain in Quality/Disability-Adjusted Life Years expressed as Incremental Cost Effectiveness/Utility Ratio is known, estimated or modelled, and offers a good value of money.


Evaluation of light exercise in the treatment of gestational diabetes.
Physical training has both acute and long-term effects on insulin sensitivity, insulin secretion, and glucose metabolism in both nondiabetic and diabetic subjects, and the benefit of training has also been shown in patients with GD.
Therapeutic exercise for insulin-requiring gestational diabetics: effects on the fetus — results of a randomized prospective longitudinal study
Regular physical activity seems to be a safe therapeutic option for the fetus of GDM mothers, in absence of ominous FHR changes or significant changes in uterine activity following the exercise sessions or increased diabetes-related peri- and neonatal morbidity.
Exercise: The Alternative Therapeutic Intervention for Gestational Diabetes
  • R. Artal
  • Medicine
    Clinical obstetrics and gynecology
  • 2003
It is ACOG’s position that pregnant patients with GDM should continue to exercise in pregnancy, and that in the absence of either medical or obstetric complications, 30 minutes or more of moderate exercise a day is recommended.
Resistance exercise decreases the need for insulin in overweight women with gestational diabetes mellitus.
Resistance exercise training may help to avoid insulin therapy for overweight women with gestational diabetes mellitus.
Intensive Nutrition Therapy for Gestational Diabetes: Rationale and current issues
In view of the paucity of evidence supporting the efficacy of intensive nutrition therapy, the physiological and metabolic adaptations of pregnancy provide the current rationale forintensive nutrition therapy for GDM.
A case-control study of maternal recreational physical activity and risk of gestational diabetes mellitus.
Recreational physical activity performed before and/or during pregnancy is associated with a reduced risk of GDM, and women who engaged in physical activity during both time periods experienced the greatest reduction in risk.
Acute effect of exercise on blood glucose and insulin levels in women with gestational diabetes.
The blood glucose level was significantly lower for each exercise condition compared to rest, and for moderate compared to low-intensity exercise (5.2 vs. 4.3 vs 3.9 mmol/l) at the end of exercise.
Risk and prevention of type 2 diabetes in women with gestational diabetes.
Women with a history of gestational diabetes mellitus (GDM) are at increased risk of future diabetes, predominantly type 2 diabetes, as are their children, as well as their children's children.
A lifestyle intervention of weight-gain restriction: diet and exercise in obese women with gestational diabetes mellitus.
It is concluded that caloric restriction and exercise result in limited weight gain in obese subjects with GDM, less macrosomic neonates, and no adverse pregnancy outcomes.
Exercise fails to improve postprandial glycemic excursion in women with gestational diabetes.
Results from this study indicate a single bout of exercise did not blunt the glycemic response observed following a mixed nutrient meal and exercise has been proposed as a treatment to reduce glycemia in gestational diabetes.