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Low-Carbohydrate Diets for Gestational Diabetes

by 1,2 and 3,4,5,*
1
Goldfarb School of Nursing, Office of Nursing Research, Barnes-Jewish College, St. Louis, MO 63110, USA
2
Department of Medicine, Division of Nutritional Science, Washington University in St. Louis, St. Louis, MO 63130, USA
3
Department of Medicine, Division of Endocrinology, Metabolism, and Diabetes, Anschutz Medical Campus, University of Colorado, Aurora, CO 80045, USA
4
College of Nursing, Anschutz Medical Campus, University of Colorado, Aurora, CO 80045, USA
5
Department of Research, Innovation, and Professional Practice, Children’s Hospital Colorado, Anschutz Medical Campus, University of Colorado, Aurora, CO 80045, USA
*
Author to whom correspondence should be addressed.
Nutrients 2019, 11(8), 1737; https://doi.org/10.3390/nu11081737
Received: 17 June 2019 / Revised: 12 July 2019 / Accepted: 23 July 2019 / Published: 27 July 2019
(This article belongs to the Special Issue Nutrition and Gestational Diabetes)
Nutrition therapy provides the foundation for treatment of gestational diabetes (GDM), and has historically been based on restricting carbohydrate (CHO) intake. In this paper, randomized controlled trials (RCTs) are reviewed to assess the effects of both low- and higher CHO nutrition approaches in GDM. The prevailing pattern across the evidence underscores that although CHO restriction improves glycemia at least in the short-term, similar outcomes could be achievable using less restrictive approaches that may not exacerbate IR. The quality of existing studies is limited, in part due to dietary non-adherence and confounding effects of treatment with insulin or oral medication. Recent evidence suggests that modified nutritional manipulation in GDM from usual intake, including but not limited to CHO restriction, improves maternal glucose and lowers infant birthweight. This creates a platform for future studies to further clarify the impact of multiple nutritional patterns in GDM on both maternal and infant outcomes. View Full-Text
Keywords: pregnancy; gestational diabetes; low-CHO; obesity; nutrition; diet pregnancy; gestational diabetes; low-CHO; obesity; nutrition; diet
MDPI and ACS Style

Farabi, S.S.; Hernandez, T.L. Low-Carbohydrate Diets for Gestational Diabetes. Nutrients 2019, 11, 1737. https://doi.org/10.3390/nu11081737

AMA Style

Farabi SS, Hernandez TL. Low-Carbohydrate Diets for Gestational Diabetes. Nutrients. 2019; 11(8):1737. https://doi.org/10.3390/nu11081737

Chicago/Turabian Style

Farabi, Sarah S., and Teri L. Hernandez 2019. "Low-Carbohydrate Diets for Gestational Diabetes" Nutrients 11, no. 8: 1737. https://doi.org/10.3390/nu11081737

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