Impact of Gestational Diabetes Mellitus Nutrition Practice Guidelines Implemented by Registered Dietitians on Pregnancy Outcomes

Reader, Diane; Splett, Patricia L.; Gunderson, Erica P.

doi:10.1016/j.jada.2006.06.009

Cited by 119 publications

(115 citation statements)

References 8 publications

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“…A curriculum also specifies effective teaching strategies and methods for evaluating learning outcomes (5,110,111). The curriculum must be dynamic (5,97,(111)(112)(113). Recent education research endorses the inclusion of practical problem-solving approaches and collaborative care, addressing psychosocial issues, behavior change, and strategies to sustain self-management efforts (40, [114][115][116][117][118][119][120].…”

Section: Standard 5 Dsmes Teammentioning

confidence: 99%

2017 National Standards for Diabetes Self-Management Education and Support

et al. 2017

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Section: Standard 5 Dsmes Teammentioning

confidence: 99%

2017 National Standards for Diabetes Self-Management Education and Support

et al. 2017

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“…1,2 It is an important morbidity due to its significant complications for pregnant women and embryos, with estimated prevalence of 7.6 to 17.8% depending on the criteria used. 1,3,[4][5][6][7] Currently, the diagnosis of GDM is confirmed when the fasting glucose at the first prenatal consultation is between 92 and 125 mg/dL or when at least one of the glucose values in the oral glucose tolerance test of 75 g (OGTT-75 g) is equal to or above the reference values, which are: fasting ≥ 92 mg/dL, 1 hour after glucose overload ≥ 180 mg/dL and 2 hours after ≥ 153 mg/dL, which is conducted on pregnant women with a gestational age between the 24 th and 28 th week of pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of information retention and adherence to treatment in patients with gestational diabetes mellitus after multidisciplinary group

Sousa

Fiuza

Mikami

et al. 2016

Rev. Assoc. Med. Bras.

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Objective:To evaluate the retention of information after participation in multidisciplinary group in patients with gestational diabetes mellitus (GDM) through a phone contact. Method: 122 pregnant women diagnosed with gestational diabetes were included. After diagnosis of gestational diabetes, the patients were referred to the multidisciplinary group where they received medical, nutrition and nursing guidelines related to the disease. After three days these patients received one telephone call from a nurse, who made the same questions regarding the information received. In the statistical analysis, results were presented as absolute and relative frequencies. Results: Most patients 119/122 patients (97.5%) were managing to do self glucose monitoring. Twenty-one patients (17.2%) reported having difficulty performing the blood glucose, especially finger pricking. When questioning whether the woman was following the proposed diet, 24/122 (19.7%) patients said they did not; the meal frequency was not reached by 23/122 (18.9%) of the women, and forty-seven (38.5%) of the women reported having ingested sugar in the days following the guidance in multidisciplinary group. Conclusion: Regarding the proposed treatment, there was good adherence of patients, especially in relation to blood glucose monitoring. As for nutritional control, we observed greater difficulty in following the guidelines demonstrating the need for long-term monitoring, as well as further clarification to the patients about the importance of nutrition in diabetes management.

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“…In patients with persistent maternal hyperglycemia, the use of additional oral medications, insulin treatment, and lifestyle changes has shown improved perinatal outcomes. Medical nutrition counseling and diet therapy to achieve an overall healthy lifestyle are valuable in the management of GDM (19)(20)(21) and can optimize maternal and fetal outcomes (22,23). In this study, our aims were to verify the effectiveness of the WHO GDM diagnostic criteria in preventing adverse maternal and neonatal outcomes in women younger than 35 years with no apparent risk factors for GDM and to verify the effectiveness of dietary modifications in those outcomes.…”

Section: Discussionmentioning

confidence: 99%

Gestational diabetes mellitus screening and outcomes

Aktun

Uyan

Yorgunlar

et al. 2015

J Turkish German Gynecol Assoc

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Results: Approximately 28% of the pregnant women aged younger than 35 years with no risk factors for gestational diabetes mellitus were diagnosed with the oral glucose tolerance test in this study. In the gestational diabetes mellitus group, the primary cesarean section rate was importantly higher than that in the non-gestational diabetes mellitus group. Preterm delivery was also associated with gestational diabetes mellitus. The diagnosis of gestational diabetes mellitus was strongly associated with admittance to the neonatal intensive care unit. Neonatal respiratory problems didn't showed any significant deviation between the groups. There was a moderate association between gestational diabetes mellitus and metabolic complications. Conclusion:Pregnant women with no obvious risk factors were diagnosed with gestational diabetes mellitus using the World Health Organization criteria. The treatment of these women potentially reduced their risk of adverse maternal and neonatal hyperglycemia-related events, such as cesarean section, polyhydramnios, preterm delivery, admission to neonatal intensive care unit, large for gestational age, and higher neonatal weight. (J Turk Ger Gynecol Assoc 2015; 16: 25-9) Keywords: Gestation, diabetes mellitus, pregnancy, oral glucose tolerance test, neonatal outcomes Received: 25 July, 2014 Accepted: 10 January, 2015 Gestational diabetes mellitus screening and outcomesHale Lebriz Aktün, Derya Uyan, Betül Yorgunlar, Mustafa Acet Department of Obstetrics and Gynecology, İstanbul Medipol University Hospital, İstanbul, Turkey AbstractOriginal Investigation 25 treatment with self-observing of blood glucose levels (fasting and 1 h after each meal) daily with a glucometer. Subsequent follow-ups were conducted for all patients biweekly or more frequently as indicated. Treatment outcomes were evaluated according to the American Diabetes Association recommendations (6). All demographic characteristics (age, parity, family history of diabetes, and self-reported prepregnancy weight) of the patients were obtained from their existing records. Birth mode (cesarean or vaginal delivery) and labor induction, preterm delivery (delivery before 37 weeks of gestation), gestational hypertension, preeclampsia, polyhydramnios, and oligohydramnios were also documented from these records. The recorded adverse fetal outcomes were infant death, stillbirth, dystocia, bone fracture, nerve palsy, admission to the neonatal intensive care unit (NICU), respiratory complications [including respiratory distress syndrome (RDS) and transient tachypnea of newborn (TTN)] that increased birth weight, macrosomy (birth weight of >4000 g), large for gestational age (LGA, defined as birth weight> the 90 th percentile on standard charts), small for gestational age (SGA, defined as birth weight < the 10 th percentile on standard charts), and metabolic complications including hypocalcemia, hemoglobin level ≥20 g/dL, hypoglycemia (blood glucose level ≤35 mg/dL), and hyperbilirubinemia requiring phototherapy. ResultsThe pr...

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Impact of Gestational Diabetes Mellitus Nutrition Practice Guidelines Implemented by Registered Dietitians on Pregnancy Outcomes

Cited by 119 publications

References 8 publications

2017 National Standards for Diabetes Self-Management Education and Support

2017 National Standards for Diabetes Self-Management Education and Support

Evaluation of information retention and adherence to treatment in patients with gestational diabetes mellitus after multidisciplinary group

Gestational diabetes mellitus screening and outcomes

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