[Nutritional principles for the pregnant diabetic].
After a short account on alimentation in pregnant women, the authors examine in detail the correct alimentation in pregnant women affected by different types of diabetes. As general lines for a correct nutritional approach, a total caloric intake of 2200-2500 kcal daily (9196-10450 Kj) (which enclose 35-40 kcal/pro/kg ideal weight and a caloric surplus for pregnancy) is recommended. In over-weight women the caloric intake will be reduced till 1500 kcal (6270 Kj) checking constantly metabolic situation (increase of weight should be for the first ten weeks of 100 g weekly, than of 300 g weekly). Altogether weight increase should be from 9 to 12 kg. 15-20% of caloric intake should be represented for proteins, very important for pregnancy and good growth of fetus. Carbohydrate intake should be 55-60% of caloric intake represented for 75-80% by complex glucides and for 20-25% simple glucides to support a suitable amount of dietary fibres (25-30%). The lipid intake recommended should be 25-30% of the daily calories with a third of monounsaturated fat acids, a third of polyunsaturated fat acids and a third of saturated fat acids, with a cholesterol amount under 300 mg/die. In additional the nutritional plan should consist of a adequate amount of "non energetic nutrients" (minerals and vitamins), particularly the calcium intake must be 1200 mg/die and 18 mg/die that of iron and folic acid, vitamin A, D and B intake must be increased. Finally, the authors advise against alcoholic beverages and recommend a regular subdivision of the meals.(ABSTRACT TRUNCATED AT 250 WORDS)
Cattedra di Scienze dell'Alimentazione e della Dietetica, Ospedale Maggiore, Parma.
A
A
Strata
G
G
Magnati
D003927:Diet, Diabetic / Q000592:standards; D002149:Energy Intake; D005260:Female; D006801:Humans; D009751:Nutritional Requirements; D009765:Obesity / Q000150:complications / Q000178:diet therapy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000178:diet therapy; D011254:Pregnancy in Diabetics / Q000178:diet therapy / Q000378:metabolism; D015430:Weight Gain
Principi di nutrizione della gravida diabetica.