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Chapter-09 Medical Nutrition Therapy: Sheet Anchor in the Management of Gestational Diabetes Mellitus

BOOK TITLE: Clinical Guidelines for Management of Diabetes in Pregnancy

Author
1. Puri Manju
2. Mohan Vandana
ISBN
9789352703951
DOI
10.5005/jp/books/18049_10
Edition
1/e
Publishing Year
2018
Pages
8
Author Affiliations
1. Lady Hardinge Medical College and Smt SK Hospital, New Delhi, India, Lady Hardinge Medical College and SSK Hospital, New Delhi, India, Lady Hardinge Medical College and SSK Hospital, New Delhi, Lady Hardinge Medical College and SSK Hospital, New Delhi., Lady Hardinge Medical College, New Delhi., Lady Hardinge Medical College and Hospital, New Delhi 110 001, India, LMMC and SSKH, Lady Hardinge Medical College, New Delhi, Lady Hardinge Medical College, New Delhi 110001, India, New Delhi, Lady Hardinge Medical College, New Delhi, India, Lady Hardinge Medical College and Associated Smt Sucheta Kriplani Hospital, New Delhi, India
2. Lady Hardinge Medical College and Associated Smt Sucheta Kriplani Hospital, New Delhi, India
Chapter keywords
Gestational diabetes mellitus, GDM, medical nutrition therapy, MNT, blood glucose, drug therapy, caloric distribution, maternal weight gain, pregnancy, hyperglycemia, hypoglycemia

Abstract

Gestational diabetes mellitus (GDM) is a common metabolic disorder among pregnant women. There has been a rapid rise in the prevalence of GDM and the newer diagnostic criteria have added to the burden. Medical nutrition therapy (MNT) is the cornerstone of treatment for GDM. With appropriate lifestyle modification, 70–85% of women with GDM can achieve adequate control of blood glucose without drug therapy. This chapter will focus on the daily caloric requirement, caloric distribution across various meals, the glycemic status of various food, and monitoring women with GDM on MNT. Maternal weight gain is a good indicator of nutritional status of mother and directly influences the birth weight of infant. Optimum weight gain during pregnancy is dependent on the maternal height and prepregnancy weight. The main idea of a meal plan is to maintain normal blood glucose levels throughout the day and avoid episodes of hyperglycemia and hypoglycemia.

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