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Current Diabetes Reports
Published in: Current Diabetes Reports 4/2016

01-04-2016 | Diabetes and Pregnancy (CJ Homko, Section Editor)

Role of Medical Nutrition Therapy in the Management of Gestational Diabetes Mellitus

Authors: Cristina Moreno-Castilla, Didac Mauricio, Marta Hernandez

Published in: Current Diabetes Reports | Issue 4/2016

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Abstract

Medical nutrition therapy (MNT) plays an important role in the management of gestational diabetes mellitus (GDM), and accordingly, it has a significant impact on women and newborns. The primary objective of MNT is to ensure adequate pregnancy weight gain and fetus growth while maintaining euglycemia and avoiding ketones. However, the optimal diet (energy content, macronutrient distribution, its quality and amount, among others) remains an outstanding question. Overall, the nutritional requirements of GDM are similar for all pregnancies, but special attention is paid to carbohydrates. Despite the classical intervention of restricting carbohydrates, the latest evidence, although limited, seems to favor a low-glycemic index diet. There is general agreement in the literature about caloric restrictions in the case of being overweight or obese. Randomized controlled trials are necessary to investigate the optimal MNT for GDM; this knowledge could yield health benefits and cost savings.
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Metadata
Title
Role of Medical Nutrition Therapy in the Management of Gestational Diabetes Mellitus
Authors
Cristina Moreno-Castilla
Didac Mauricio
Marta Hernandez
Publication date
01-04-2016
Publisher
Springer US
Published in
Current Diabetes Reports / Issue 4/2016
Print ISSN: 1534-4827
Electronic ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-016-0717-7

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