A 12-hour comprehensive nutrition care benefits blood glucose level and weight gain and improves outcomes in pregnant women with gestational diabetes mellitus

Abstract

Background: Gestational diabetes mellitus (GDM) is associated with adverse outcomes and neonatal complications. Its prevalence has been rapidly increasing over the last decade; it is estimated that one in six pregnant women are diagnosed with GDM. Thus, an effective management approach is necessary for women with GDM. This study investigated the effect of a 12-h comprehensive nutrition care (12h-HNC) on the metabolism and outcomes of pregnant women with GDM and neonatal birth weight and hypoglycemia. Methods:The study included 312 pregnant women with GDM at 24-28 weeks of gestation who were treated in our department from January 2014 to December 2016. They were randomly assigned to receive a 12h-HNC (12h-HNC group, n=158) or traditional one-time nutrition guidance (control group, n=154).Maternal blood glucose levels and weight gain, as well as maternal and neonatal outcomes were evaluated and compared between the groups.Results: Compared to those in the control group, patients in the 12h-HNC group had significantly lower 2-h postprandial glucose levels (P<0.05), lower average weight increase (P<0.05), and better outcomes (P<0.05). Neonatal birth weight and incidence of macrosomia were significantly lower in the 12h-HNC group. The incidence of cesarean section was similar in the two groups (P>0.05).Conclusions: The 12h-HNC enabled better blood glucose and weight increase control, improving both maternal and neonatal outcomes in women with GDM. This comprehensive nutrition intervention may achieve favorable effects in clinical practice.

Advancements in Nutritional Strategies for Gestational Diabetes Management: A Systematic Review of Recent Evidence

“…It is worth starting by indicating that the main objective of the interventions reviewed is, in any case, to improve the quality of the diet consumed, and it has been observed that nutritional recommendations should be implemented in conjunction with the appropriate physical exercise in each case. Thus, even if the improvement in the quality of the diet is moderate or minimal, the efficacy in terms of improved maternal and neonatal outcomes is appreciable and positive in all cases [ 17 , 18 , 21 , 24 , 29 ].…”

The Impact of the One-Day Clinic Diabetes Mellitus Management Model on Perinatal Outcomes in Patients with Gestational Diabetes Mellitus

“…One study found that up to 12 hours of comprehensive nutritional care significantly reduces the incidence of macrosomia in patients with GDM. 21 It has also been shown that dietary control and appropriate exercise can effectively control BG and reduce the incidence of adverse pregnancy outcomes in patients with GDM. 22 The present study aimed to investigate the impact on perinatal outcomes in patients with GDM of the one-day clinic DM management model compared with individualized dietary intervention and exercise guidance.…”

The safety and feasibility of comprehensive nutrition care in pregnant women with gestational diabetes mellitus

“…therapy. [13] However, the argument on the efficacy of medical nutritional therapy and comprehensive nutritional care remains to be resolved. Therefore, we conducted this protocol of systematic review and meta-analysis to evaluate the efficacy between medical nutritional therapy and comprehensive nutritional care for patients with GDM.…”

“…Comprehensive nutritional care is a new method created in recent years to treat GDM. It consists of a nutritious diet, postprandial exercise, health education, and regular follow-up, and is considered a new intervention to replace medical nutrition therapy [13] . However, the argument on the efficacy of medical nutritional therapy and comprehensive nutritional care remains to be resolved.…”