title: Strategies in the nutritional management of gestational diabetes.
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.
authors.affiliation: †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.
authors.forename: Teri L
authors.initials: TL
authors.lastname: Hernandez
authors.forename: Molly A
authors.initials: MA
authors.lastname: Anderson
authors.forename: Catherine
authors.initials: C
authors.lastname: Chartier-Logan
authors.forename: Jacob E
authors.initials: JE
authors.lastname: Friedman
authors.forename: Linda A
authors.initials: LA
authors.lastname: Barbour
mesh_terms: D016640:Diabetes, Gestational / Q000178:diet therapy*; D003927:Diet, Diabetic; D018752:Diet, Fat-Restricted; D004043:Dietary Fiber / Q000627:therapeutic use*; D019422:Dietary Sucrose / Q000009:adverse effects; D019587:Dietary Supplements; D005260:Female; D005632:Fructose / Q000009:adverse effects; D038321:Glycemic Index; D006801:Humans; D010349:Patient Compliance; D011247:Pregnancy; D011256:Pregnancy Outcome; D016032:Randomized Controlled Trials as Topic; D016896:Treatment Outcome
chemical_list: D004043:Dietary Fiber; D019422:Dietary Sucrose; D005632:Fructose
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