Strategies in the Nutritional Management of Gestational Diabetes.

†Division of Women, Children, and Family Health, College of Nursing ‡Center for Women's Health Research Departments of *Medicine, Division of Endocrinology, Metabolism, and Diabetes §Geriatric Medicine ∥Pediatrics ¶Medicine, Division of Obstetrics and Gynecology, University of Colorado, Anschutz Medical Campus, Aurora, Colorado.
Clinical obstetrics and gynecology (Impact Factor: 2.06). 09/2013; DOI: 10.1097/GRF.0b013e3182a8e0e5
Source: PubMed

ABSTRACT Elucidating the optimal macronutrient composition for dietary management of gestational diabetes mellitus has enormous potential to improve perinatal outcomes. Diet therapy may result in significant cost savings if effective in deterring the need for expensive medical management within this growing population. In only 6 randomized controlled trials in 250 women, data suggest that a diet higher in complex carbohydrate and fiber, low in simple sugar, and lower in saturated fat may be effective in blunting postprandial hyperglycemia, preventing worsened insulin resistance and excess fetal growth. The use of diet in gestational diabetes mellitus remains an area in grave need for high-quality randomized controlled trials.

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