{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T12:31:48Z","timestamp":1762432308393,"version":"3.41.2"},"reference-count":23,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,3,7]],"date-time":"2023-03-07T00:00:00Z","timestamp":1678147200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>This study investigated the effects of attending a one-day outpatient service on the outcomes of patients with gestational diabetes mellitus (GDM) and different pre-pregnancy body mass indices (BMIs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study recruited 311 pregnant women with GDM into a one-day outpatient service at The Fourth Hospital of Shijiazhuang from September 2019 to December 2021. They were randomly assigned to three groups, based on their pre-pregnancy BMI as follows: group A, BMI &amp;lt; 18.5 kg\/m<jats:sup>2<\/jats:sup>; group B, 18.5 \u2265 BMI &amp;gt; 25.0 kg\/m<jats:sup>2<\/jats:sup>; group C, BMI \u226525 kg\/m<jats:sup>2<\/jats:sup>. The following information was collected from all the participants: fasting blood glucose, hemoglobin A1c (HbA1C), insulin dose, gestational weight gain, weight gain after the one-day outpatient service, and perinatal outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The three groups showed significant differences in fasting blood glucose and HbA1C, insulin treatment rate, and the incidence of pregnancy hypertension\/preeclampsia and neonatal jaundice (all <jats:italic>P<\/jats:italic> &amp;lt; 0.05). The rate of excessive gestational weight gain in all of the groups also reflected significant differences (<jats:italic>P<\/jats:italic> &amp;lt; 0.05). Group A showed the lowest weight gain, while group C gained the most weight. There is no significant difference in the incidences of hypertension\/preeclampsia, neonatal jaundice, or premature birth between patients with weight loss\/no weight gain and those with positive weight gain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>One-day diabetes outpatient integrated management may effectively help to manage weight gain and blood glucose in patients with GDM and different pre-pregnancy BMIs. Dietary control after a GDM diagnosis may have helped to avoid weight gain entirely, as well as negative weight gain, but did not increase the risk of maternal and infant-related complications.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2022.1051582","type":"journal-article","created":{"date-parts":[[2023,3,7]],"date-time":"2023-03-07T04:58:01Z","timestamp":1678165081000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["The therapeutic effects of attending a one-day outpatient service on patients with gestational diabetes and different pre-pregnancy body mass 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