Different types of dietary advice for women with gestational diabetes mellitus

Han, Shanshan; Middleton, Philippa; Shepherd, Emily; Ryswyk, Emer Van; Crowther, Caroline A

doi:10.1002/14651858.cd009275.pub3

Cited by 90 publications

(87 citation statements)

References 93 publications

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“…Subsequent controlled trials, as a whole, support the results of the DASH and DASH-Sodium studies in terms of blood pressure reduction. Moreover, these studies expanded the positive impacts of the DASH diet to include improvements in other cardiovascular risk factors or comorbidities (e.g., low-density lipoprotein cholesterol [LDL-C], total cholesterol, overweight/obesity, and insulin sensitivity) [65][66][67][68] and reductions in adverse outcomes such as development of cardiovascular disease, coronary heart disease, stroke, heart failure, metabolic syndrome, and diabetes (including improved pregnancy outcomes in women with gestational diabetes) [68][69][70][71][72]. Meta-analyses of studies using the DASH diet have demonstrated that LDL-C is significantly reduced by −0.1 mmol/L (p = 0.03) [65,68], total cholesterol by −0.2 mmol/L (p < 0.001) [65,68], body weight by −1.42 kg (p < 0.001) [66,68], and fasting insulin by −0.15 µU/mL (p < 0.001) [65][66][67][68].…”

Section: Dietary Approaches To Stop Hypertension (Dash)mentioning

confidence: 99%

“…The overall risk of diabetes is reduced by 18% [68], and children and adolescents with higher DASH scores (i.e., those whose diets included the highest intakes of fruits, vegetables, nuts, legumes, low-fat dairy, and whole grains) were at 64% lower risk of developing metabolic syndrome than those with the lowest DASH scores (p = 0.023) [71]. Furthermore, rates of cesarean section decreased by 47% [72], incidence of macrosomia (birth weight > 4000 g) decreased from 39% to 4% (p = 0.002) [70], and significantly fewer women experienced gestational diabetes that required insulin therapy on the DASH diet (23%) compared with the control diet (73%; p < 0.0001) [70].…”

Section: Dietary Approaches To Stop Hypertension (Dash)mentioning

confidence: 99%

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Defining a Healthy Diet: Evidence for the Role of Contemporary Dietary Patterns in Health and Disease

2020

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The definition of what constitutes a healthy diet is continually shifting to reflect the evolving understanding of the roles that different foods, essential nutrients, and other food components play in health and disease. A large and growing body of evidence supports that intake of certain types of nutrients, specific food groups, or overarching dietary patterns positively influences health and promotes the prevention of common non-communicable diseases (NCDs). Greater consumption of health-promoting foods and limited intake of unhealthier options are intrinsic to the eating habits of certain regional diets such as the Mediterranean diet or have been constructed as part of dietary patterns designed to reduce disease risk, such as the Dietary Approaches to Stop Hypertension (DASH) or Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diets. In comparison with a more traditional Western diet, these healthier alternatives are higher in plant-based foods, including fresh fruits and vegetables, whole grains, legumes, seeds, and nuts and lower in animal-based foods, particularly fatty and processed meats. To better understand the current concept of a “healthy diet,” this review describes the features and supporting clinical and epidemiologic data for diets that have been shown to prevent disease and/or positively influence health. In total, evidence from epidemiological studies and clinical trials indicates that these types of dietary patterns reduce risks of NCDs including cardiovascular disease and cancer.

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Section: Dietary Approaches To Stop Hypertension (Dash)mentioning

confidence: 99%

Section: Dietary Approaches To Stop Hypertension (Dash)mentioning

confidence: 99%

Defining a Healthy Diet: Evidence for the Role of Contemporary Dietary Patterns in Health and Disease

2020

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“…The studies were generally small with varying interventions and outcomes assessed. The conclusion was that evidence is still not available to guide practice [18]. A recent systematic review of 18 RCTs found that the quality of studies was generally low to very low [19].…”

Section: Diet In Gdmmentioning

confidence: 99%

Relationship of the Frequency, Distribution, and Content of Meals/Snacks to Glycaemic Control in Gestational Diabetes: The myfood24 GDM Pilot Study

et al. 2019

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This study examines nutritional intakes in Gestational diabetes mellitus piloting the myfood24 tool, to explore frequency of meals/snacks, and daily distribution of calories and carbohydrates in relation to glycaemic control. A total of 200 women aged 20–43 years were recruited into this prospective observational study between February 2015 and February 2016. Diet was assessed using myfood24, a novel online 24-h dietary recall tool. Out of 200 women 102 completed both ≥1 dietary recalls and all blood glucose measurements. Blood glucose was self-measured as part of usual care. Differences between groups meeting and exceeding glucose targets in relation to frequency of meal/snack consumption and nutrients were assessed using chi-squared and Mann–Whitney tests. Women achieving a fasting glucose target <5.3 mmol/L, compared to those exceeding it, consumed three meals (92% vs. 78%: p = 0.04) and three snacks (10% vs. 4%: p = 0.06) per day, compared with two or less; and in relation to evening snacks, consumed a higher percentage of daily energy (6% vs. 5%: p = 0.03) and carbohydrates (8% vs. 6%: p = 0.01). Achieving glycaemic control throughout the day was positively associated with snacking (p = 0.008). Achieving glucose targets was associated with having more snacks across the day, and may be associated with frequency and distribution of meals and nutrients. A larger study is required to confirm this.

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“…MNT (Medical Nutrition therapy) is personalised Diet plan prescribed by Dietician trained in nutrition & Diet for the management of Gestational Diabetes Mellitus [24]. Diet plan should be based on adequate healthy nutrition and calories intake for appropriate weight.…”

Section: Medical Nutrition Therapymentioning

confidence: 99%

“…Although research is lacking whether GDM have different calories intake compare to Non-GDM therefore diet plan should be as per Dietary Reference Intake which recommend at least 175 gm of carbohydrate, minimum protein of 71 gm and 28 gram of Fibers. It's is common that amount of carbohydrates will leads to post prandial glucose excursions [24]. Table 6.…”

Section: Medical Nutrition Therapymentioning

confidence: 99%

Review of FIGO & ADA, WHO, IADPSG Guidelines for GDM for Low Resource Setting and Integration of DIPSI with MOHFW Govt of India, Guidelines

Jain¹,

Olejas²,

Goo³

et al. 2019

IJDE

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OGTT is performed in pregnant women by measuring the plasma glucose in fasting or non-fasting after 2-hour ingesting 75 grams of glucose (Monohydrate Dextrose Anhydrous). For diagnosing gestational diabetes (GDM) Indian Guidelines (DIPSI Test) are simple and can be done easily in low resource setting where large number of pregnant women visit for ANC check-up. The severity of GDM increases because of the action of insulin is diminished (insulin resistance) due to raised hormone secretion by the placenta. Other risk factors for GDM are being elderly, increased BMI, or obesity, weight gain in pregnancy, history of diabetes in family, stillbirth or a congenital abnormality in previous deliveries. GDM has previously been considered to be transient during pregnancy and resolve after pregnancy but, pregnant women with hyperglycaemia are at higher risk of developing GDM in subsequent pregnancies and about half of the women with a history of GDM will develop type II Diabetes within five to ten years after delivery. DIPSI simple testing protocol is endorsed by the National Health Mission (GOI) Guideline on GDM, and also endorsed by the FIGO guideline on HIP for use in South Asia. This testing protocol has been followed by Sri Lanka, Pakistan and Bangladesh in the region. Tamil-Nadu state and Uttar Pradesh states in India launched a Universal GDM Program in 2007 and 2016 respectively, covering all pregnancies by testing and managing GDM with MNT, Metformin and Insulin in most of health care facilities. Around 28,000 ANM have been given glucometers, strips, glucose 75 gm packets for implementation of the largest GDM program in Uttar Pradesh, India to date.

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Different types of dietary advice for women with gestational diabetes mellitus

Cited by 90 publications

References 93 publications

Defining a Healthy Diet: Evidence for the Role of Contemporary Dietary Patterns in Health and Disease

Defining a Healthy Diet: Evidence for the Role of Contemporary Dietary Patterns in Health and Disease

Relationship of the Frequency, Distribution, and Content of Meals/Snacks to Glycaemic Control in Gestational Diabetes: The myfood24 GDM Pilot Study

Review of FIGO & ADA, WHO, IADPSG Guidelines for GDM for Low Resource Setting and Integration of DIPSI with MOHFW Govt of India, Guidelines

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