About this trial
The goal of this randomized, double-blind, placebo-controlled study included pregnant women at high risk of GDM at 6-15 weeks of gestation is to investigate whether supplementation with vitamin D (1600 IU per day) or prebiotics (inulin, 10 gram per day) during pregnancy has beneficial effects on controlling blood glucose during pregnancy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
6-15 weeks of gestation.
Age 18-45 years old.
Permanent resident or resident locally at least one year.
Pre-pregnancy body mass index (BMI) ≥24.0 kg/m2,
Disqualifiers
Multiple pregnancy.
Have received infertility treatment such as in vitro fertilization or intrauterine insemination.
History of diabetes or current diagnosis of diabetes (including type 1 and type 2 diabetes) or abnormal glucose tolerance at recruitment (fasting blood glucose >7.0 mmol/L or HbA1c≥6.5%).
Serious chronic diseases (including cardiovascular and cerebrovascular diseases, cancer, and thyroid dysfunction) or infectious diseases (including hepatitis B, active tuberculosis, acquired immunodeficiency syndrome, and syphilis).
Trial design
Factorial
Treatments tested in this trial
Vitamin D3
DrugVitamin D3 (cholecalciferol), 1600 IU per day.
Prebiotics
Dietary supplementPrebiotics (inulin), 10g per day.
Prebiotics placebo
Dietary supplementPrebiotics placebo.
Vitamin D3 placebo
Dietary supplementVitamin D3 placebo
Treatment groups
Trial outcomes
Primary outcomes
Concentration of fasting blood glucose
Concentration of fasting blood glucose, measured in mmol/L
Glycated hemoglobin (HbA1c)
Concentration of HbA1c, measured in the percentage of hemoglobin
Secondary outcomes
Incidence of Gestational Diabetes
75g oral glucose tolerance test (OGTT) will be performed at 24-28 weeks of gestation to diagnose gestational diabetes
Concentration of blood lipids
Concentration of blood lipids (total cholesterol, triglycerides, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol), measured in mmol/L
Concentration of plasma 25(OH)D
Concentration of plasma 25(OH)D concentrations, measured in nmol/L
Concentration of C-reactive protein (CRP)
Concentration of CRP, measured in mg/dL
Sponsors and contacts
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