Can a Low–Glycemic Index Diet Reduce the Need for Insulin in Gestational Diabetes Mellitus?

• DOI: 10.2337/dc09-0007
• Publication Date: 2009-03-12T02:24:53Z
• Authors: Robert G. Moses; Megan Barker; Meagan Winter; Peter Petocz; Jennie C. Brand-M...
• Keywords: Adult; Blood Glucose; 2. Zero hunger; Adolescent; Dose-Response Relationship, Drug; Patient Selection; Pregnancy Trimester, Third; Diet Records; 3. Good health; Diabetes, Gestational; Young Adult; 03 medical and health sciences; 0302 clinical medicine; Glycemic Index; Pregnancy; Pregnancy Trimester, Second; Humans; Hypoglycemic Agents; Insulin; Female; Safety; Energy Intake; Original Research

OBJECTIVE A low–glycemic index diet is effective as a treatment for individuals with diabetes and has been shown to improve pregnancy outcomes when used from the first trimester. commonly advised women gestational mellitus (GDM). However, efficacy of this advice associated have not systematically examined. The purpose study was determine whether prescribing GDM could reduce number requiring insulin without compromise outcomes. RESEARCH DESIGN AND METHODS All seen over 12-month period were considered inclusion in study. Women (n = 63) randomly assigned receive either or conventional high-fiber (and higher glycemic index) diet. RESULTS Of 31 diet, 9 (29%) required insulin. higher–glycemic significantly proportion, 19 32 (59%), met criteria commence (P 0.023). these able avoid use by changing Key obstetric fetal different. CONCLUSIONS Using effectively halved needing insulin, no