Sleep Intervention to Improve Glycemic Control in Women With Gestational Diabetes

This is a pilot randomized controlled trial involving a sleep education intervention in women with gestational diabetes to study whether sleep education during pregnancy leads to improvement in glycemic control in women with gestational diabetes and improvement in sleep duration.

Patients will be identified from the Maternal-Fetal Medicine office and the Perinatal Assessment Clinic at Magee-Womens Hospital, University of Pittsburgh Medical Center. Patients with gestational diabetes will be recruited following general education regarding gestational diabetes in pregnancy which is universally done for all patients at the time of their diagnosis of gestational diabetes. Eligible subjects will be randomized to two groups (usual care vs. sleep education program).

This is a two-session program designed to educate patients about healthy sleep in respect to timing, regularity, efficiency, and duration in order to promote sleep during pregnancy.

Proportion of participants achieving glycemic control at study end. Glycemic control defined as greater than 75% of weeks with average fasting blood glucose < 95 mg/dL and 1-hr postprandial blood glucose <140 mg/dL.

Medical records will be used to determine whether a patient when into spontaneous labor, had an induction or labor or a recommended delivery by cesarean section. If the patient had an induction or labor or a recommended cesarean delivery, the indication for this recommendation will be recorded.

Medical records will be reviewed to determine if the patient had a vaginal delivery or cesarean delivery.

Medical records will be reviewed to determine whether a patient had a diagnosis of preeclampsia prior to delivery.

Inclusion Criteria: Pregnant female Ages 18-50 Gestational age between 16 0/7 weeks and 31 6/7 weeks New diagnosis of GDM, not on treatment (i.e., insulin, glyburide, or metformin) at the time of enrollment Exclusion Criteria: Children less than 18 years of age Non-English speaking Multiple gestations (twins, triplets, etc)

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