Research Summary
Analyzed using Evidence Intelligence™

Exercise intervention shows no effect on insulin prescription in gestational diabetes

Last updated September 9, 2026

Key finding

The incidence of insulin prescription did not differ between the groups: 31 women (56%) in the intervention group versus 24 women (46%) in the control group.

This study evaluated the effectiveness of an exercise intervention in women with gestational diabetes through a randomized controlled trial.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study evaluated the effectiveness of an exercise intervention in women with gestational diabetes through a randomized controlled trial.

Clinical relevance

Understanding the effectiveness of exercise interventions in managing gestational diabetes is crucial for developing comprehensive care strategies. This study's findings suggest that while exercise may be beneficial, it may not significantly alter clinical outcomes, highlighting the need for further research in this area.

Keep in mind

The sample size may limit the generalizability of the findings. The study did not measure long-term outcomes beyond delivery. Potential confounding factors were not fully controlled.

Published in

Journal Reference

Publication details and source links for this paper.

Michel B, Véronique O, François RJ, Bengt K. Effectiveness of an Exercise Intervention in Women with Gestational Diabetes: A Randomized Controlled Trial. Diabetology & Metabolic Syndrome. 2024;16:238. doi:10.1186/s13098-024-01470-1

Main Effects

Insulin prescription incidence was 56% in the intervention group vs 46% in the control group (p=0.39).

Weight gain from randomization to delivery was similar: 3.4 kg vs 3.5 kg (p=0.93).

Caesarean section rates were higher in the intervention group at 40% compared to 25% in the control group.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Unsupervised exercise manual intervention and Birthweight (grams), Caesarean section rate, Frequency of infants with APGAR score less than 7 at 5 minutes after birth, and 8 more.

Primary intervention

Unsupervised exercise manual intervention

Primary outcomes

  • Birthweight (grams)
  • Caesarean section rate
  • Frequency of infants with APGAR score less than 7 at 5 minutes after birth

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

11
Evidence pairs
11
Relationships
0
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 50

0

Related topics

11

Evidence pairs

0

Related studies

Why it is useful

  • Contributes to 11 evidence relationships
  • Includes primary outcome data
  • Linked to 0 direct semantic evidence topics

Core evidence

Study findings

The primary outcomes reported in this study.

Birthweight (grams)

Unsupervised exercise manual intervention → Birthweight (grams)

Unsupervised exercise manual intervention → Birthweight (grams)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Caesarean section rate

Unsupervised exercise manual intervention → Caesarean section rate

Unsupervised exercise manual intervention → Caesarean section rate

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Frequency of infants with APGAR score less than 7 at 5 minutes after birth

Unsupervised exercise manual intervention → Frequency of infants with APGAR score less than 7 at 5 minutes after birth

Unsupervised exercise manual intervention → Frequency of infants with APGAR score less than 7 at 5 minutes after birth

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Incidence of insulin prescription

Unsupervised exercise manual intervention → Incidence of insulin prescription

Unsupervised exercise manual intervention → Incidence of insulin prescription

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Incidence of macrosomia

Unsupervised exercise manual intervention → Incidence of macrosomia

Unsupervised exercise manual intervention → Incidence of macrosomia

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Induction of labour

Unsupervised exercise manual intervention → Induction of labour

Unsupervised exercise manual intervention → Induction of labour

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Maximum dose of insulin (Units/day)

Unsupervised exercise manual intervention → Maximum dose of insulin (Units/day)

Unsupervised exercise manual intervention → Maximum dose of insulin (Units/day)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Neonatal complications

Unsupervised exercise manual intervention → Neonatal complications

Unsupervised exercise manual intervention → Neonatal complications

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Overall weight gain during pregnancy

Unsupervised exercise manual intervention → Overall weight gain during pregnancy

Unsupervised exercise manual intervention → Overall weight gain during pregnancy

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Rate of preterm delivery (<37 weeks)

Unsupervised exercise manual intervention → Rate of preterm delivery (<37 weeks)

Unsupervised exercise manual intervention → Rate of preterm delivery (<37 weeks)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

User acceptability of Nutrition Data

Unsupervised exercise manual intervention → User acceptability of Nutrition Data

Unsupervised exercise manual intervention → User acceptability of Nutrition Data

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • No significant difference in insulin prescription rates (RR 1.22, p=0.39).
  • Median delay before insulin prescription was similar (14 vs 13 days, p=0.62).
  • Higher caesarean section rates in the intervention group (40% vs 25%).
who this applies

Who this applies to

  • Women diagnosed with gestational diabetes.
  • Participants enrolled in a randomized controlled trial setting.
keep in mind

Keep in Mind

  • Results may not apply to all populations with gestational diabetes.
  • The study's findings are based on short-term outcomes.
  • Further research is needed to explore long-term effects of exercise interventions.
between the lines

Between the Lines

  • The sample size may limit the generalizability of the findings.
  • The study did not measure long-term outcomes beyond delivery.
  • Potential confounding factors were not fully controlled.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Unsupervised exercise manual intervention and Frequency of infants with APGAR score less than 7 at 5 minutes after birth, Unsupervised exercise manual intervention and Birthweight (grams).

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Included in these evidence collections

Curated evidence collections and hubs this study is part of.

Explore more in Evidence Explorer

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Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Unsupervised exercise manual intervention improve birthweight (GRAMS)?

Emerging Evidence

Current evidence does not show a clear benefit of Unsupervised exercise manual intervention for birthweight (GRAMS).

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Birthweight (grams)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Unsupervised exercise manual intervention improve caesarean section rate?

Emerging Evidence

Current evidence does not show a clear benefit of Unsupervised exercise manual intervention for caesarean section rate.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Caesarean section rate

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Unsupervised exercise manual intervention improve frequency of infants with apgar score less than 7 at 5 minutes after birth?

Emerging Evidence

Current evidence does not show a clear benefit of Unsupervised exercise manual intervention for frequency of infants with apgar score less than 7 at 5 minutes after birth.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Frequency of infants with APGAR score less than 7 at 5 minutes after birth

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Unsupervised exercise manual intervention reduce incidence of insulin prescription?

Emerging Evidence

Current evidence does not show a clear reduction in incidence of insulin prescription with Unsupervised exercise manual intervention.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Incidence of insulin prescription

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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