Special Issue "Nutrition and Gestational Diabetes"
A special issue of Nutrients (ISSN 2072-6643).
Deadline for manuscript submissions: closed (1 January 2019).
Interests: Diagnosis and Management of GDM; Management of diabetes in pregnancy; Prevention of GDM and type 2 diabetes; Diabetes Integrated Care; Diabetes Epidemiology; Barriers to diabetes care
Gestational diabetes mellitus (GDM) is a common medical disorder of pregnancy associated with adverse outcomes for the mother and infant. Often defined as carbohydrate intolerance that is first detected in pregnancy, it is considered a heterogenous condition including pre-existing undiagnosed type 2 and monogenic diabetes, lesser degrees of pre-existing glucose intolerance and genuine incident GDM. The impact of GDM, beyond the proportion of babies that are large for gestational age, is through increased rates of maternal complications such as pre-eclampsia, perineal trauma and cesarean section, while the neonates suffer increased rates of stillbirth, neonatal trauma, respiratory distress, hypoglycaemia and jaundice. Long term morbidity includes type 2 diabetes and cardiovascular disease in the women and type 2 diabetes, metabolic syndrome and obesity in the offspring. While much of GDM has a genetic and likely epigenetic aetiology, it is clear that an ‘unhealthy’ lifestyle is the key causal factor among most women, wither directly or through obesity. This includes physical activity, sedentary behaviours, sleep patterns and of course, the most complex is nutrition. Nutrition includes the diet before, during and after pregnancy for prevention and treatment of GDM/diabetes. The aim of this special issue is to tease out the contributions and usefulness of different nutrients, foods, eating patterns and styles, along with insights into the underlying genetic, physiological and behavioural mechanisms, and potential for modern technology in the prevention and management of GDM and its long term morbidity.
Prof. David Simmons
Manuscript Submission Information
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- Gestational Diabetes