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Research: HERNANDEZ and COLLEAGUES,
Listed in Issue 242
Abstract
HERNANDEZ and COLLEAGUES, (1)†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 ¶Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Colorado, Anschutz Medical Campus, Aurora, Colorado studied the role of diet in the management of gestational diabetes mellitus.
Background
Elucidating the optimal macronutrient composition for dietary management of gestational diabetes mellitus has enormous potential to improve perinatal outcomes.
Methodology
Diet therapy may result in significant cost savings if effective in deterring the need for expensive medical management within this growing population.
Results
In only 6 randomized controlled trials in 250 women, data suggest that a diet higher in complex carbohydrate and fibre, low in simple sugar, and lower in saturated fat may be effective in blunting postprandial hyperglycaemia, preventing worsened insulin resistance and excess foetal growth.
Conclusion
The use of diet in gestational diabetes mellitus remains an area in grave need for high-quality randomized controlled trials.
References
Hernandez TL(1), Anderson MA, Chartier-Logan C, Friedman JE, Barbour LA. Strategies in the nutritional management of gestational diabetes. Clin Obstet Gynecol. 56(4):803-15. doi: 10.1097/GRF.0b013e3182a8e0e5. Dec 2013.
