Healthcare interventions for the prevention and control of gestational diabetes mellitus in China: a scoping review

The paper, “Healthcare Interventions for the Prevention and Control of Gestational Diabetes Mellitus in China: A Scoping Review”, was the result of a cooperation between Nestlé and Peking University (Beijing). This study identified all the healthcare interventions aimed at GDM prevention and control in China. Among the 802 articles selected, 39.4% (n=316) failed to report the GDM diagnostic criteria used, the remaining studies classified GDM with various international (n=5) or Chinese (n=7) diagnostic standards. Treatment interventions were categorized into 6 types: dietary (18.6%), exercise (1.6%), medication (20.7%), health education (9.0%), psychological (2.6%) and combination (47.4%). No interventions aimed at GDM prevention were identified. Meta-analyses demonstrated a statistically significant overall benefit of GDM treatment strategies in reducing the odds of maternal and infant adverse outcomes (OR range 0.29–0.34, 95% CI 0.22-0.49, P<0.05 for all). Dietary, western medication, and combined interventions were the most effective interventions. 
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