Does exercise have a role in the management of gestational diabetes mellitus?

Abstract

Summary: Gestational diabetes mellitus (GDM) is associated with a marked increase in the long-term risk of type 2 diabetes and adverse pregnancy outcomes. Engaging in vigorous recreational physical activity prior to and during pregnancy significantly reduces the risk of developing GDM. In contrast, evidence of a therapeutic effect from participation in a structured exercise training regimen, although promising, is limited and requires further more substantial investigation. This paper briefly reviews the pathophysiology of GDM, the evidence related to physical activity participation and exercise regimen intervention on GDM, and the clinical considerations required for prescribing exercise.

A Review Article-Gestational Diabetes Mellitus

“…For vast majority of pregnant women with gestational diabetes, exercise will be beneficial and recommended [17]. Exercise decreases peripheral insulin resistance and is an appropriate adjunctive therapy to diet for the GDM patient [18].…”

“…By including specific exercise advice in the management plan for gestational diabetes, it may help validate the women's request for the support in both the workplace and home to allow her to meet these recommendations. As gestational diabetes is a relatively common complication, it may be practical to offer supervised group exercise such as walking groups, antenatal exercise classes or aqua aerobics [17].…”