Abstract To investigate the effects of low sugar diet combined with isometric resistance exercise during the treatment of pregnant women with gestational diabetes mellitus (GDM) and pregnancy outcomes. Methods: 82 pregnant women with GDM were selected and were divided in two groups according to their wishes and the matched of their basic clinical data from March 2019 to September 2020. 40 women in the control group had received conventional treatment, while 42 women in the study group had received conventional treatment combined with low sugar diet and long-term resistance exercise. The clinical effects of the women were compared between the two groups. Results: The blood glucose control level of the women in both groups after treatment had decreased significantly, but the fasting blood glucose level (5.20±0.38 mmol/L), the postprandial 2h blood glucose level (6.49±0.35 mmol/L), and the glycosylated hemoglobin level (5.34%±0.53%) of the women in the study group were significantly lower than those (5.63±0.41 mmol/L, 6.96±0.39 mmol/L, and 5.83%±0.49%) of the women in the control group. The improvement of hemodynamic indexes of umbilical artery of the women in the study group was significantly higher than those of the women in the control group. The incidence of adverse pregnancy outcomes (4.8%) of the women in the study group was significantly lower than that (27.5%) of the women in the control group (all P<0.05). There were no significant differences in the values of body weight and body mass index of the women after delivery between the two groups (P>0.05). Conclusion: Low sugar diet combined with long-term resistance exercise of pregnant women with GDM can significantly improve their blood glucose level, and can promote the recovery of their umbilical artery hemodynamics, and can improve their pregnancy outcomes.
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