Objective To investigate the GDM in Akeqi country in Xinjian. The screening method of gestational diabetes mellitus( GDM) should be popularized in this area and the adverse outcomes of GDM should be reduced by studying the prevalence of GDM. Methods Oral glucose tolerance test( OGTT) has been done to 410 pregnant women of 24 ~ 28 weeks according to the methods and standard recommended by International Association of Diabetic Pregnancy Study Group( IADPSG), 2010. The local incident of GDM and the prevalence of different ages,different weights,different races have been analysed. Results The local incident of GDM is 5. 12%; There is statistical difference in OGTT abnormality( P 0. 05),which increase with age,pre-pregnancy weight index.There is no significant difference in prevalence between Ke( 4. 72%) and Han( 10. 81%)( P 0. 05)Conclusion New GDM diagnosis methods and standards should be popularized in border areas to screen for GDM patients simply and effectively. GDM prevention knowledge should be strengthened for the pre-pregnancy to ruduce the perinatal complications and long-term metabolicdisorder of pregnant women and offspring and raise local population quality.