Objective To explore the application effect of the "Internet +" target management model in women with gestational diabetes (GDM). Methods Totally 90 women with GDM were divided into an intervention group and a control group chronologically, with 45 women in each group. The control group received regular antenatal examination guidance and management in the outpatient department, while the intervention group additionally received the target management utilizing the "Internet +" high-risk pregnancy management platform. Results After the intervention,the fasting blood glucose, 2h postprandial blood glucose, glycosylated hemoglobin, body weight control effect and self-management ability of the intervention group were significantly better than those of the control group (P<0.05,P<0.01); and the incidence of cesarean section, polyhydramnios, premature rupture of membranes, macrosomia, and the amount of bleeding 2 hours after delivery were significantly lower than those of the control group (P<0.05,P<0.01).Conclusion The "Internet +" target management model is conducive to improving the self-management compliance for women with GDM, promoting their health behavior change, controlling blood glucose and body weight effectively, and reducing pregnancy complications.