Intensive low-glycaemic-load dietary intervention for the management of glycaemia and serum lipids among women with gestational diabetes: a randomized control trial

Ma, Wenjun; Huang, Zhihong; Huang, Bixia; B, Qi; Zhang, Yanjun; Ben-xi, Xiao; Li, Yuanhong; Chen, Li; Zhu, Huilian

doi:10.1017/s1368980014001992

Cited by 34 publications

(28 citation statements)

References 40 publications

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“…1). Eighteen studies (12)(13)(14)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36) were included in the meta-analysis with a total of 1,151 pregnant women with GDM.…”

Section: Resultsmentioning

confidence: 99%

Gestational Diabetes Mellitus and Diet: A Systematic Review and Meta-analysis of Randomized Controlled Trials Examining the Impact of Modified Dietary Interventions on Maternal Glucose Control and Neonatal Birth Weight

et al. 2018

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“…1). Eighteen studies (12)(13)(14)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36) were included in the meta-analysis with a total of 1,151 pregnant women with GDM.…”

Section: Resultsmentioning

confidence: 99%

Gestational Diabetes Mellitus and Diet: A Systematic Review and Meta-analysis of Randomized Controlled Trials Examining the Impact of Modified Dietary Interventions on Maternal Glucose Control and Neonatal Birth Weight

et al. 2018

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“…For instance, more than half the typical traditional cuisine in southern China is of high GL value, while half is of low or medium GI value . Even though education regarding the choice of lower GI alternatives might improve blood glucose levels by slowing glucose release from food, GL provides a more accurate prediction of peak blood glucose following a meal by taking into account both GI and the quantity of carbohydrates in the food consumed . In addition, westernised diets which include increased sugary drink intake and decreased lentils and greens consumption, might increase dietary GL of an already high GL Chinese diet during pregnancy (with a high GL diet during pregnancy being a predictor of poor diet quality) .…”

Section: Discussionmentioning

confidence: 99%

Dietary intervention strategies for ethnic Chinese women with gestational diabetes mellitus: A systematic review and meta‐analysis

Wan

Nankervis

Teede

et al. 2019

Nutrition & Dietetics

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AimEthnic Chinese women are one of the populations at high risk of gestational diabetes mellitus (GDM) internationally. This systematic review aimed to determine which dietary intervention strategies were found to be effective in improving glycaemic control and pregnancy outcomes among ethnic Chinese women with GDM.MethodsThe review protocol was registered with PROSPERO (CRD42016043585). Eight English and four Chinese language databases were searched for randomised controlled trials and cohort studies of dietary intervention among ethnic Chinese women with GDM. Review Manager 5.3 and GRADE criteria were used in meta‐analysis and assessment of quality of evidence.ResultsIncluded studies comprised 3944 women in 29 eligible studies. Compared to standard treatment, low glycaemic index (GI) diets, low glycaemic load (GL) diets and fibre‐enriched diets were associated with a reduction in fasting plasma glucose, 2‐hour plasma glucose and HbA1c, and improved neonatal outcomes. Low GL diets were associated with reduced caesarean section risk.ConclusionsIn ethnic Chinese women with GDM, low GI diets, low GL diets and fibre‐enriched diets were associated with improved glycaemic control and pregnancy outcomes. Given the lack of direct comparison of these three diets, future direct comparison trials are necessary to determine optimal dietary intervention strategies.

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“…However, as commented in numerous publications [46][47][48][49], these dietary recommendations are limited by the lack of robust evidence. Randomized nutritional intervention trials that have evaluated dietary strategies focusing on CHO in women with [50][51][52][53][54][55][56][57][58] or at risk of [59][60][61][62] GDM have not shown consistent benefits on maternal or infant outcomes. The details of the studies, their dietary interventions and outcomes have been critically reviewed in other recent publications [46][47][48][49].…”

Section: Role Of Dietary Carbohydrates In Gdmmentioning

confidence: 99%

The Role of Dietary Carbohydrates in Gestational Diabetes

et al. 2020

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Gestational diabetes (GDM) is hyperglycemia that is recognized for the first time during pregnancy. GDM is associated with a wide range of short- and long-term adverse health consequences for both mother and offspring. It is a complex disease with a multifactorial etiology, with disturbances in glucose, lipid, inflammation and gut microbiota. Consequently, its management is complex, requiring patients to self-manage their diet, lifestyle and self-care behaviors in combination with use of insulin. In addition to nutritional recommendations for all pregnant women, special attention to dietary carbohydrate (CHO) amount and type on glucose levels is especially important in GDM. Dietary CHO are diverse, ranging from simple sugars to longer-chain oligo- and poly- saccharides which have diverse effects on blood glucose, microbial fermentation and bowel function. Studies have established that dietary CHO amount and type can impact maternal glucose and nutritional recommendations advise women with GDM to limit total intake or choose complex and low glycemic CHO. However, robust maternal and infant benefits are not consistently shown. Novel approaches which help women with GDM adhere to dietary recommendations such as diabetes-specific meal replacements (which provide a defined and complete nutritional composition with slowly-digested CHO) and continuous glucose monitors (which provide unlimited monitoring of maternal glycemic fluctuations) have shown benefits on both maternal and neonatal outcomes. Continued research is needed to understand and develop tools to facilitate patient adherence to treatment goals, individualize interventions and improve outcomes.

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Intensive low-glycaemic-load dietary intervention for the management of glycaemia and serum lipids among women with gestational diabetes: a randomized control trial

Abstract: Objective: The present study aimed to compare the effects of a general dietary intervention and an intervention with low glycaemic load (GL) on glycaemic control, blood lipid metabolism and pregnancy outcomes in women with gestational diabetes mellitus.

Cited by 34 publications

References 40 publications

Gestational Diabetes Mellitus and Diet: A Systematic Review and Meta-analysis of Randomized Controlled Trials Examining the Impact of Modified Dietary Interventions on Maternal Glucose Control and Neonatal Birth Weight

Gestational Diabetes Mellitus and Diet: A Systematic Review and Meta-analysis of Randomized Controlled Trials Examining the Impact of Modified Dietary Interventions on Maternal Glucose Control and Neonatal Birth Weight

Dietary intervention strategies for ethnic Chinese women with gestational diabetes mellitus: A systematic review and meta‐analysis

The Role of Dietary Carbohydrates in Gestational Diabetes

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