Usual dietary treatment of gestational diabetes mellitus assessed after control diet in randomized controlled trials: subanalysis of a systematic review and meta-analysis

Apolonia García-Patterson, Montserrat Balsells, Jennifer M. Yamamoto, Joanne E. Kellett, Ivan Solà, Ignasi Gich, Eline M. van der Beek, Eran Hadar, Eurídice Castañeda-Gutiérrez, Seppo Heinonen, Moshe Hod, Kirsi Laitinen, Sjurdur F. Olsen, Lucilla Poston, Ricardo Rueda, Petra Rust, Lilou van Lieshout, Bettina Schelkle, Helen R. Murphy, Rosa Corcoy

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The prevalence of GDM is on the rise in relation to an increase in predisposing maternal characteristics. The increase is more marked with application of IADPSG-WHO 2013 criteria [1], with very high rates in special populations [2]. Lifestyle modifications are the first step in the management of GDM and medical nutrition therapy is an essential component of it. Maternal diet should provide adequate energy intake to promote maternal and fetal health, help achieve glycemic goals and be culturally appropriate and individualized [3]. DRI for normal weight pregnant women should be taken into account: provide no increase in energy requirement during the first trimester, + 340 kcal/day in the second trimester and + 452 kcal/day in the third; provide > = 175 g carbohydrate/day, 71 g protein/day and 28 g fiber/day; and have an acceptable energy macronutrient distribution range (45–65% of energy from carbohydrates, 20–35% of energy from fat, 10–35% of energy from protein). However, little is known about the characteristics of diets consumed by women with GDM. We aimed to characterize the dietary intake of women with GDM in usual clinical care.
Original languageEnglish
Pages (from-to)237–240
Number of pages4
JournalActa Diabetologica
Issue number2
Early online date17 Oct 2018
Publication statusPublished - 6 Feb 2019

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