6 7 A meta-analysis of eight randomised controlled trials (RCTs) conducted among women who have had GDM showed that lifestyle interventions in the postpartum period suggested a reduction in T2DM incidence but failed to reach statistical significance (relative risk 0.75, 95% CI 0.55 to 1.03). 8 The largest post-pregnancy trial is the gestational diabetes’ effects on Moms (GEM) study, where 2280 women with GDM were cluster randomised to receive an intensive intervention or usual care over 6 months. 9 Intervention participants were more likely to meet weight goals, retain less weight (mean difference 0.64 kgs) or have greater increases in physical activity (PA) at 6 months.
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Effectiveness of a customised mobile phone text messaging intervention supported by data from activity monitors for improving lifestyle factors related to the risk of type 2 diabetes among women after gestational diabetes: protocol for a multicentre randomised controlled trial (SMART MUMS with smart phones 2).
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