NUTRITION IN PREGNANCY WITH DIABETES MELLITUS
The nutritional needs of diabetic pregnancies are different from normal pregnancies. Differences in nutritional recommendations can also be seen between pregnant women who are using and who are not using insulin therapy. In this literature review, recommendations for different meal proportions of carbohydrates, proteins, and fats in the diets of pregnant women with diabetes mellitus are listed. Different meal plans were also addressed in this group of patients. The role of exercise in the management of diabetes in pregnancy is undeniable and different approaches found in the literature are presented.
Gojnic Dugalic M. et al. Diabetes i trudnoća. Medicinski fakultet Univerziteta u Beogradu: Novo doba, 2012.
Franz M. Nutritional management in diabetes and pregnancy.Diabetes Care. 1978;1(4):264-70. doi: 10.2337/diacare.1.4.264.
Mahajan A, Donovan LE, Vallee R, Yamamoto JM. Evidenced-based nutrition for gestational diabetes mellitus. Curr Diab Rep. 2019;19(10):94. doi: 10.1007/s11892-019-1208-4.
Hollingsworth DR, Ney DM. Caloric restriction in pregnant diabetic women: a review of maternal obesity, glucose and insulin relationships as investigated at the University of California, San Diego. J Am Coll Nutr. 1992;11(3):251-8. doi: 10.1080/07315724.1992.10718224.
Jovanovic-Peterson L, Peterson CM, Reed GF, Metzger BE, Mills JL, Knopp RH, et al. Maternal postprandial glucose levels and infant birth weight: the Diabetes in Early Pregnancy Study. Am J Obstet Gynecol. 1991;164(1 Pt1):103-11. doi: 10.1016/0002-9378(91)90637-7.
Mijatovic-Vukas J, Capling L, Cheng S, Stamatakis E, Louie J, Cheung NW, et al. Associations of diet and physical activity with risk for gestational diabetes mellitus: a systematic review and meta-analysis. Nutrients. 2018;10(6):698. doi: 10.3390/nu10060698.
Patro Golab B, Santos S, Voerman E, Lawlor DA, Jaddoe VWV, Gaillard R, et al. Influence of maternal obesity on the association between common pregnancy complications and risk of childhood obesity: an individual participant data meta-analysis. Lancet Child Adolesc Health. 2018;2(11):812-21. doi: 10.1016/S2352-4642(18)30273-6.
Roskjær AB, Andersen JR, Ronneby H, Damm P, Mathiesen ER. Dietary advices on carbohydrate intake for pregnant women with type 1 diabetes. J Matern Fetal Neonatal Med. 2015;28(2):229-33.
Ásbjörnsdóttir B, Akueson CE, Ronneby H, Rytter A, Andersen JR, Damm P, et al. The influence of carbohydrate consumption on glycemic control in pregnant women with type 1 diabetes. Diabetes Res Clin Pract.2017;127:97-104. doi: 10.1016/j.diabres.2016.12.012.
Mustad VA, Huynh DTT, López-Pedrosa JM, Campoy C, Rueda R. The role of dietary carbohydrates in gestational diabetes. Nutrients. 2020;12(2):385. doi: 10.3390/nu12020385.
Dahl WJ, Stewart ML. Position of the academy of nutrition and dietetics: health implications of dietary fiber. J Acad Nutr Diet. 2015;115(11):1861-70. doi: 10.1016/j.jand.2015.09.003.
Liang Y, Gong Y, Zhang X, Yang D, Zhao D, Quan L, et al. Dietary protein intake, meat consumption, and dairy consumption in the year preceding pregnancy and during pregnancy and their associations with the risk of gestational diabetes mellitus: a prospective cohort study in Southwest China. Front Endocrinol (Lausanne). 2018;9:596. doi: 10.3389/fendo.2018.00596.
Qiao T, Chen Y, Duan R, Chen M, Xue H, Tian G, et al. Beyond protein intake: does dietary fat intake in the year preceding pregnancy and during pregnancy have an impact on gestational diabetes mellitus? Eur J Nutr. 2021;60(6):3461-72. doi: 10.1007/s00394-021-02525-z.
Pan XF, Huang Y, Li X, Wang Y, Ye Y, Chen H, et al. Circulating fatty acids and risk of gestational diabetes mellitus: prospective analyses in China. Eur J Endocrinol. 2021;185(1):87-97. doi: 10.1530/EJE-21-0118.
Sauder KA, Harte RN, Ringham BM, Guenther PM, Bailey RL, Alshawabkeh A, et al. Disparities in risks of inadequate and excessive intake of micronutrients during pregnancy.J Nutr. 2021;151(11):3555-69.
American Diabetes Association. 13. Management of Diabetes in Pregnancy: Standards of Medical Care in Diabetes-2018. Diabetes Care. 2018;41(Suppl 1): S137-43. doi: 10.2337/dc18-S013.
Han S, Middleton P, Shepherd E, Van Ryswyk E, Crowther CA. Different types of dietary advice for women with gestational diabetes mellitus. Cochrane Database Syst Rev. 2017;2(2):CD009275.
Nathan DM; DCCT/EDIC Research Group. The diabetes control and complications trial/epidemiology of diabetes interventions and complications study at 30 years: overview. Diabetes Care. 2014;37(1):9-16.
Sushko K, Menezes HT, Strachan P, Butt M, Sherifali D. Self-management education among women with pre-existing diabetes in pregnancy: A scoping review. Int J Nurs Stud. 2021;117:103883.
Yaping X, Huifen Z, Meijing Z, Huibin H, Chunhong L, Fengfeng H, et al. Effects of moderate-intensity aerobic exercise on blood glucose levels and pregnancy outcomes in patients with gestational diabetes mellitus: a randomized controlled trial. Diabetes Ther. 2021;12(9):2585-98.
Xie Y, Zhao H, Zhao M, Huang H, Liu C, Huang F, et al. Effects of resistance exercise on blood glucose level and pregnancy outcome in patients with gestational diabetes mellitus: a randomized controlled trial. BMJ Open Diabetes Res Care. 2022;10(2):e002622. doi: 10.1136/bmjdrc-2021-002622.
Huifen Z, Yaping X, Meijing Z, Huibin H, Chunhong L, Fengfeng H, et al. Effects of moderate-intensity resistance exercise on blood glucose and pregnancy outcome in patients with gestational diabetes mellitus: A randomized controlled trial. J Diabetes Complications. 2022;36(5):108186. doi: 10.1016/j.jdiacomp.2022.108186.
Seaquist ER, Anderson J, Childs B, Cryer P, Dagogo-Jack S, Fish L, et al. Hypoglycemia and diabetes: a report of a workgroup of the American Diabetes Association and the Endocrine Society. J Clin Endocrinol Metab. 2013;98(5):1845-59. doi: 10.1210/jc.2012-4127.
Wang C, Wei Y, Zhang X, Zhang Y, Xu Q, Sun Y, et al. A randomized clinical trial of exercise during pregnancy to prevent gestational diabetes mellitus and improve pregnancy outcome in overweight and obese pregnant women. Am J Obstet Gynecol. 2017;216(4):340-51.
Sklempe Kokic I, Ivanisevic M, Biolo G, Simunic B, Kokic T, Pisot R. Combination of a structured aerobic and resistance exercise improves glycaemic control in pregnant women diagnosed with gestational diabetes mellitus. A randomised controlled trial.Women Birth. 2018;31(4):e232-8.
- There are currently no refbacks.
Copyright (c) 2022 Jovana Todorovic, Stefan Dugalic, Maja Macura, Bojana Gutic, Milos Milincic, Dragana Bozic, Milica Stojiljkovic, Olivera Sbutega Filipovic, Miroslava Gojnic
This work is licensed under a Creative Commons Attribution 4.0 International License.