Abstract：Objective To investigate the the status of gestational diabetes mellitus dietary nutrition,cognitive point of view, and self management in patients with gestational diabetes mellitus,and to discuss the effect of cognitive view, individualized dietary intervention and exercise guidance on gestational diabetes mellitus patients. Methods Forty-one GDM pregnant women received questionnaire survey. Logistic regression analysis was conducted to evaluate the influencing factors on GDM patients following the diet control. Individualized dietary regimen and exercise mode were the diet control, worked out. Monitor three meals ,blood glucose, glycated hemoglobin (HbA1c), total cholesterol (TC), triacyl glycerol (TAG) anollheir value changes before and after the intervention were compared. Results (1) Cognition: 37 patients received dietary education (92.5%); 27.5% of the patients believed that diet therapy alone can effectively control blood sugar; the answers of to guestion of the effect of food on blood sugar were all wrong,the right answers to question on description of the food constituted only 2.5%. (2) Logistic regression analysis showed that age, educational level, BMI, having achieved diet education,regular self monitoring of blood sugar,regular visit to the hospital for checking diabetes are the influencing factors on GDM patients following the diet control.(3)Compared with the formor level, 2 h HPG, HbA1c, TC, TAG all significantly declined after the intervention with significant difference (P<0.01). Conclusions GDM patients’ diet cognitive level is not high in China. Patients of older age, higher educational level and having received diet education, regular checking and self-monitoring of blood glucose following the diet control show good condition.Individualized dietary and exercise therapy have obvious therapeutic effect on GDM patients.
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2014, Vol. 25 
