{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T02:42:13Z","timestamp":1780540933198,"version":"3.54.1"},"reference-count":12,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,5,23]],"date-time":"2018-05-23T00:00:00Z","timestamp":1527033600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To explore whether WeChat platform\u2010based treatment of women with gestational diabetes mellitus (GDM) reduces the risk of perinatal complications and explore factors affecting gestational age at delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Pregnant women with GDM (<jats:italic>n<\/jats:italic> = 107) and normal glucose tolerance (<jats:italic>n<\/jats:italic> =50, group C) according to oral glucose tolerance test (OGTT) results during gestational weeks 24\u201328 were included. Women with GDM were divided into groups A (<jats:italic>n<\/jats:italic> =57) and B (<jats:italic>n<\/jats:italic> =50) according to informed consent. According to GDM treatment norms, group B was given routine outpatient treatment and health education guidance. In addition to the interventions in group B, group A was given access to both a smartphone\u2010based telemedicine system and articles providing continuous health education. The PBG level in groups A and B was compared, as were differences in maternal and fetal outcomes. Data were analyzed by <jats:italic>t<\/jats:italic>\u2010test, analysis of variance (<jats:sc>anova<\/jats:sc>), chi\u2010square test and multiple linear regression, with <jats:italic>P<\/jats:italic> &lt; 0.05 considered significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fasting blood glucose (FBG) and 2\u2010h postprandial blood glucose (PBG) were significantly lower and premature delivery was significantly less likely in group A than in group B (all <jats:italic>P<\/jats:italic> &lt; 0.05). Compared with group B, caesarean section was more likely in group A (<jats:italic>P<\/jats:italic> &lt; 0.05). Pregnancy\u2010induced hypertension had a higher incidence in group B than in group C (<jats:italic>P<\/jats:italic> &lt; 0.05). Gestational age at delivery was associated with OGTT2h, premature fetal membrane rupture and self\u2010monitoring of blood glucose.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>GDM treatment based on the WeChat platform effectively reduces FBG and 2\u2010h PBG and may improve pregnancy outcomes. However, 1\u2010h PBG was not affected by treatment. Obstetricians should consider the OGTT2h value to increase gestational age at delivery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.13669","type":"journal-article","created":{"date-parts":[[2018,5,24]],"date-time":"2018-05-24T04:07:25Z","timestamp":1527134845000},"page":"1228-1234","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["Medical nutrition treatment of women with gestational diabetes mellitus by a telemedicine system based on smartphones"],"prefix":"10.1111","volume":"44","author":[{"given":"Ping","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology 1st Affiliated Hospital of Jinan University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenpin","family":"Lo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology 1st Affiliated Hospital of Jinan University  Guangzhou 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