Strategies in the nutritional management of gestational diabetes.
Strategies in the nutritional management of gestational diabetes.
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DOI：
10.1097/grf.0b013e3182a8e0e5
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发表时间：
2013-12
影响因子：
1.5
通讯作者：
Barbour LA
中科院分区：
文献类型：
--
作者：
Hernandez TL;Anderson MA;Chartier-Logan C;Friedman JE;Barbour LA
阐明妊娠期糖尿病（GDM）饮食管理的最佳宏量营养素组成对改善围产期结局具有巨大潜力。饮食疗法可能会导致显着的成本节省，如果有效地阻止在这个不断增长的人口中需要昂贵的医疗管理。在250名妇女的6项随机对照试验（RCT）中，数据表明，高碳水化合物和纤维、低糖和低饱和脂肪的饮食可能有效地缓解餐后高血糖，防止胰岛素抵抗恶化和胎儿过度生长。GDM中饮食的使用仍然是一个迫切需要高质量随机对照试验的领域。
Elucidating the optimal macronutrient composition for dietary management of gestational diabetes mellitus(GDM) has enormous potential to improve perinatal outcomes. Diet therapy may result in significant cost savings if effective in deterring the need for expensive medical management within this growing population. In only 6 randomized controlled trials(RCTs) in 250 women, data suggest that a diet higher in complex carbohydrate and fiber, low in simple sugar, and lower in saturated fat may be effective in blunting postprandial hyperglycemia, preventing worsened insulin resistance and excess fetal growth. The use of diet in GDM remains an area in grave need for high-quality RCTs.