No. | Original SDSCA Tool | Action | Reason |
---|---|---|---|
Diet | |||
1. | How many of the last 7 days have you followed a healthful eating plan? | Maintained | Part of GDM management plan |
2. | On average, over the past month, how many days per week have you followed your eating plan? | ||
3. | On how many of the last 7 days did you eat five or more servings of fruit and vegetables? | ||
4. | On how many of the last 7 days did you eat high fat foods such as red meat or full-fat dairy products? | ||
Exercise | |||
5. | On how many of the last 7 days did you participate in at least 30 minutes of physical activity? (Total minutes of continuous activity, including walking) | Maintained | Part of GDM management plan |
6. | On how many of the last 7 days did you participate in a specific exercise session (such as walking, biking) other than what you do around the house or as part of your work? | ||
Blood Sugar Testing | |||
7. | On how many of the last 7 days did you test your blood sugar? | Maintained | Part of GDM management plan |
8. | On how many of the last 7 days did you test your blood sugar the number of times recommended by your health care provider? | ||
Foot Care | |||
9. | On how many of the last 7 days did you check your feet? | Removed | Not applicable for women with GDM |
10. | On how many of the last 7 days did you inspect the inside of your shoes? | ||
Smoking | |||
11. | Have you smoked a cigarette – even one puff – during the past 7 days? | Removed | Not applicable for women with GDM |