Birth weight and its relation with medical nutrition therapy in gestational diabetes

Vestgaard, Marianne; Christensen, Allan Stubbe; Viggers, Lone; Lauszus, Finn Friis

doi:10.1007/s00404-017-4396-7

Cited by 9 publications

(7 citation statements)

References 25 publications

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“…According to a WHO report [14], high-risk women who follow lifestyle change interventions (both diet and exercise) reduce the risk of excessive GWG, thereby reducing risk of perinatal complications. In a study by Vestgaard et al [15], there was relatively lower mean birth weight in newborns of GDM mothers on extended-duration MNT as compared to non-GDM women or GDM women who had no MNT. Birth weight above 4 kg was seen in 18% of MNT-treated GDM women versus 27 and 24% ( p = 0.012) in non-diabetic and no MNT GDM women, respectively.…”

Section: Gwg and Energy Intakementioning

confidence: 99%

Nutrition Management of Gestational Diabetes Mellitus

Kapur

Hod

2020

Ann Nutr Metab

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Medical nutrition therapy (MNT) is the bedrock for the management of gestational diabetes mellitus (GDM). Several different types of dietary approaches are used globally, and there is no consensus among the various professional groups as to what constitutes an ideal approach. The conventional approach of limiting carbohydrates at the cost of increasing energy from the fat source may not be most optimal. Instead, allowing higher levels of complex, low-to-medium glycaemic index carbohydrates and adequate fibre through higher consumption of vegetables and fruits seems more beneficial. No particular diet or dietary protocol is superior to another as shown in several comparative studies. However, in each of these studies, one thing was common – the intervention arm included more intensive diet counselling and more frequent visits to the dieticians. For MNT to work, it is imperative that diet advice and nutrition counselling is provided by a dietician, which is easy to understand and use and includes healthy food options, cooking methods, and practical guidance that empower and motivate to make changes towards a healthy eating pattern. Various simple tools to achieve these objectives are available, and in the absence of qualified dieticians, they can be used to train other health care professionals to provide nutrition counselling to women with GDM. Given the impact of GDM on the future health of the mother and offspring, dietary and lifestyle behaviour changes during pregnancy in women with GDM are not only relevant for immediate pregnancy outcomes, but continued adherence is also important for future health.

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Section: Gwg and Energy Intakementioning

confidence: 99%

Nutrition Management of Gestational Diabetes Mellitus

Kapur

Hod

2020

Ann Nutr Metab

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“…They demonstrated that the fetal macrosomia rate was 4. 3% in the intervention group compared to 13.1% in the control group (3).…”

Section: Introductionmentioning

confidence: 79%

“…Physical activity of moderate intensity should be maintained and carried out constantly, but adapted to the evolution of the pregnancy. In combination with nutritional intervention, physical activity appears to be more effective for gestational diabetes management than gestational diabetes prevention (1)(2)(3)(4).…”

Section: Discussionmentioning

confidence: 99%

“…Gestational diabetes is the diabetes diagnosed during pregnancy, in the 2nd or 3rd trimester, which is neither type 1 diabetes nor pre-existing type 2 diabetes. The diabetes diagnosed in the first trimester of pregnancy is defined as pre-existing diabetes mellitus (1)(2)(3)(4).…”

Section: Introductionmentioning

confidence: 99%

“…Screening for gestational diabetes occurs between 24 and 28 weeks of pregnancy. Then, if they have been diagnosed with gestational diabetes, another test is recommended between 4-12 weeks postpartum (1)(2)(3)(4).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Gestational diabetes – Diagnostic and therapeutic novelties

Chioveanu¹,

Bălălău²,

Sima³

et al. 2019

J Clin Invest Surg.

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The prevalence of diabetes during pregnancy has been steadily increasing in the US, mainly gestational diabetes (approximately 90% of the cases). The other types of diabetes during pregnancy are type 1 and type 2 diabetes mellitus. Pre-existing type 2 diabetes mellitus represents approximately 8% of all types of diabetes during pregnancy. The increase in the prevalence of gestational diabetes occurred in parallel with the increase in the prevalence of obesity. The diagnosis of gestational diabetes is made either through one-step or two-step strategy in pregnant women between 24 and 28 weeks of gestation. Diabetes screening is also recommended at the first prenatal visit to women with increased risk factors for diabetes. The management of diabetes during pregnancy involves nutritional medical therapy and/ or pharmacological treatment, in order to achieve the glycemic targets that have been associated with the lowest risk of maternal and fetal complications. Considering the possibility of diabetic complications (retinopathy) during pregnancy, the screening of women with pre-existing diabetes is also necessary. Moreover, gestational diabetes has been associated with an increase in the risk of developing maternal type 2 diabetes, in approximately 50-70% of the cases, after the age of 15-25 years. Therefore, it is recommended to test women with gestational diabetes, between 4-12 weeks' post-partum, using the oral glucose tolerance test (OGTT). If the results are normal, the test should be performed every 1 to 3 years.

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Ethnic Disparities in Gestational Diabetes

2018

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The global prevalence of GDM has been steadily increasing and estimated to be 16.2% from the International Diabetes Federation extrapolation. Reported prevalence rates may understate the true prevalence, due to factors of access and attitudes to GDM diagnosis and screening in low resource settings for foreign-born women and indigenous populations. Other factors may relate to genes associated with specific ethnicities, obesity, body composition and gestational weight gain. Various factors such as access to screening, body composition, genetics and gestational weight gain may result in ethnic disparities in the prevalence and outcomes of GDM.

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Birth weight and its relation with medical nutrition therapy in gestational diabetes

Abstract: Medical nutrition therapy was associated with reduction of the fetal weight in women with GDM and the weight decreases with length of treatment. Birth weight above 4 kg was as prominent in the non-diabetic women as in the women with GDM without MNT.

Cited by 9 publications

References 25 publications

Nutrition Management of Gestational Diabetes Mellitus

Nutrition Management of Gestational Diabetes Mellitus

Gestational diabetes – Diagnostic and therapeutic novelties

Ethnic Disparities in Gestational Diabetes

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