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Diet and Healthy Lifestyle in the Management of Gestational Diabetes...
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Diet and Healthy Lifestyle in the Management of Gestational Diabetes Mellitus

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutrition and Diabetes".

Deadline for manuscript submissions: closed (20 September 2023) | Viewed by 13317

Special Issue Editor

Dr. Jessica A. Grieger

E-Mail Website
Guest Editor
Adelaide Medical School, Robinson Research Institute, University of Adelaide, Adelaide 5005, Australia
Interests: nutrition; metabolic health; pregnancy; pregnancy complications; cardiovascular disease
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Nutrients is planning a Special Issue focusing on Diet and Healthy Lifestyle in the Management of Gestational Diabetes Mellitus (GDM). Nutritional intake plays an important role in both prevention and management of GDM. While a healthy diet is promoted, current standard guidelines for GDM management are lacking. A number of studies have investigated how different macronutrient patterns influence glucose lowering and infant health outcomes, but we still haven’t identified the best diet for GDM management, that improves the lipid profile and neonatal outcomes.

This Special Issue aims to bring together the latest research on key dietary intakes or patterns that support the management of GDM. Epidemiological or intervention studies that cover nutritional management with or without pharmacological management of GDM are warranted, along with studies that further examine infant health outcomes. Qualitative evidence exploring individual perspectives of GDM management are also encouraged. 

Dr. Jessica A. Grieger
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Nutrients is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • Gestational Diabetes Mellitus
  • dietary intakes
  • dietary patterns
  • pregnancy complications

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Published Papers (3 papers)

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Research

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12 pages, 511 KiB  
Article
Physical Activity, but Not Glycaemic Load, Is Associated with Lower Real-Time Glycaemic Control in Free-Living Women with Gestational Diabetes Mellitus
by Isabelle R. Jardine, Hannah E. Christie, Kate Oetsch, Angelo Sabag, Meredith Kennedy, Barbara J. Meyer and Monique E. Francois
Nutrients 2023, 15(8), 1974; https://doi.org/10.3390/nu15081974 - 19 Apr 2023
Viewed by 1724
Abstract
Maintaining blood glucose within the target range is the primary treatment goal for women with gestational diabetes mellitus (GDM). Foods with low glycaemic loads are recommended in clinical practice; however, the relative importance of other key lifestyle variables is unexplored. This pilot study [...] Read more.
Maintaining blood glucose within the target range is the primary treatment goal for women with gestational diabetes mellitus (GDM). Foods with low glycaemic loads are recommended in clinical practice; however, the relative importance of other key lifestyle variables is unexplored. This pilot study explored the associations of glycaemic load, carbohydrates and physical activity parameters on blood glucose concentrations in free-living women with GDM. Twenty-nine women (28–30 weeks gestation, 34 ± 4 years) with GDM were enrolled. Continuous glucose monitoring, physical activity (ActivPAL inclinometer) and dietary intake and dietary quality were measured concurrently for 3 days. Pearson correlation analyses determined the association between glucose levels and lifestyle variables. Despite all receiving the same nutrition education, only 55% of women were following a low glycaemic load diet with a large range of carbohydrate intakes (97–267 g/day). However, the glycaemic load did not correlate with 3-hr postprandial glucose (r2 = 0.021, p = 0.56) or 24-h glucose iAUC (r2 = 0.021, p = 0.58). A significant relationship between total stepping time and lower 24-h glucose iAUC (r2 = 0.308, p = 0.02) and nocturnal glucose (r2 = 0.224, p = 0.05) was found. In free-living women with diet-controlled GDM, more physical activity, i.e., steps accumulated across the day, may be a simple and effective strategy for improving maternal blood glucose concentrations. Full article
(This article belongs to the Special Issue Diet and Healthy Lifestyle in the Management of Gestational Diabetes Mellitus)
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11 pages, 242 KiB  
Article
The Complexities of Managing Gestational Diabetes in Women of Culturally and Linguistically Diverse Backgrounds: A Qualitative Study of Women’s Experiences
by Melissa Oxlad, Sharni Whitburn and Jessica A. Grieger
Nutrients 2023, 15(4), 1053; https://doi.org/10.3390/nu15041053 - 20 Feb 2023
Cited by 3 | Viewed by 9080
Abstract
Aim: This study aimed to explore women’s perspectives and experiences concerning how culture impacts the lifestyle management of gestational diabetes mellitus (GDM) in women of culturally and linguistically diverse (CALD) backgrounds. Methods: Women of any cultural background diagnosed with GDM within the previous [...] Read more.
Aim: This study aimed to explore women’s perspectives and experiences concerning how culture impacts the lifestyle management of gestational diabetes mellitus (GDM) in women of culturally and linguistically diverse (CALD) backgrounds. Methods: Women of any cultural background diagnosed with GDM within the previous 12 months were purposively recruited from two Australian metropolitan hospitals. Data collected using semi-structured interviews (n = 18) and focus groups (n = 15 women in three groups) were analysed using reflexive thematic analysis. Results: Three themes were generated: “cultural beliefs and obligations impact lifestyle management of gestational diabetes”, which describes how some cultures lack awareness about GDM, and modifications or restrictions were viewed as depriving the infant, but sometimes adaptions could be made so that a culturally appropriate meal was suitable for GDM management; “the relationship between cultural foods and gestational diabetes management”, which discusses how important cultural foods may be incompatible with appropriate GDM management, so women worked to find solutions; “gestational diabetes education lacks cultural awareness and sensitivity”, which illustrates how current education fails to address differences in cultural beliefs, language and eating practices. Conclusion: Cultural beliefs, obligations and food practices must be considered when assisting women of CALD backgrounds using lifestyle modification to manage GDM. GDM education must be culturally sensitive and competent and, where possible, be delivered by health professionals of a shared cultural group. Full article
(This article belongs to the Special Issue Diet and Healthy Lifestyle in the Management of Gestational Diabetes Mellitus)

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13 pages, 1155 KiB  
Brief Report
PsyNBIOsis: Investigating the Association between Maternal Gestational Diabetes, Mental Health, Diet and Childhood Obesity Risk: Protocol for a Prospective, Longitudinal, Observational Study
by Leah Gilbert, David Raubenheimer, Emily J. Hibbert and Ralph Nanan
Nutrients 2024, 16(1), 124; https://doi.org/10.3390/nu16010124 - 29 Dec 2023
Viewed by 1928
Abstract
Background: Gestational diabetes mellitus (GDM) is associated with poorer maternal mental health (depression and anxiety). Maternal mental health and GDM are likely to influence diet, which in turn impacts the course of GDM. Maternal diet may also be directly or indirectly associated with [...] Read more.
Background: Gestational diabetes mellitus (GDM) is associated with poorer maternal mental health (depression and anxiety). Maternal mental health and GDM are likely to influence diet, which in turn impacts the course of GDM. Maternal diet may also be directly or indirectly associated with changes in infant anthropometry. The aims of this study are to (1) examine the associations between maternal GDM, mental health and diet, and (2) evaluate the associations between these maternal factors, breastmilk composition and infant anthropometry. Methods: This prospective, observational, longitudinal cohort study compares a cohort of women with and without GDM. Maternal mental health and diet are assessed using validated questionnaires. Breastmilk composition is measured with the Human Milk Analyzer, and infant body composition is measured with air displacement plethysmography. Significance and Impact: Once data have been collected, PsyNBIOsis will provide evidence for the associations between maternal mental health, GDM status and diet, and their impact on breastmilk composition and early infant growth. The results may inform the Developmental Origins of Health and Disease framework and provide data on which to build cost-effective interventions to prevent both the development of mental health issues in mothers and adverse growth patterns in infants. Full article
(This article belongs to the Special Issue Diet and Healthy Lifestyle in the Management of Gestational Diabetes Mellitus)
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