Objective To investigate the effect of ADOPT nursing intervention on compliance and blood glucose control in pregnant women with gestational diabetes mellitus（GDM）. Methods A total of 110 pregnant women with GDM admitted to a hospital in Henan from November 2019 to October 2020 were selected as the study subjects and were allocated into the control group（n=55） and the observation group（n=55） via the random number table. Patients in the control group received routine nursing intervention

and patients in the observation group ADOPT nursing in addition to the nursing in the control group. The compliance of pregnant women after the intervention

the effect of blood glucose control before and after the intervention

pregnancy complications during follow-up

and pregnancy outcomes were compared between the two groups. Results After the intervention

the dietary compliance

exercise compliance and blood glucose monitoring compliance of pregnant women in the observation group were superior to those in the control group（P<0.05）. Before the intervention

there was no significant difference in blood glucose indicators between the two groups（P>0.05）; after the intervention

fasting plasma glucose（FPG）

2 h plasma glucose（2 h PG） and Hemoglobin A1c（HbA1c） levels in the two groups were lower than those before the intervention

and the observation group was lower than the control group（P <0.05）. During the follow-up

the incidences of pregnancy-induced hypertension

polyhydramnios and macrosomia in the observation group were lower than those in the control group

and the differences were statistically significant（P<0.05）. Conclusion The ADOPT nursing can raise the compliance of pregnant women with GDM

enhance the blood glucose level

reduce the risk of pregnancy complications and improve pregnancy outcomes.