Nutrition Research Analysis

The Gestational Diabetes Act is a bill that amends the Public Health Service Act (Congress.gov., 2015). This act emphasizes on the National Vital Statistics System, the National Center for Health Statistics, and State health departments to monitor and collect data on GDM. Regarding babies born from mothers with GDM, those diagnosed and undiagnosed with GDM. Finding ways to track and monitor postpartum women with GDM, implementing interventions that are culturally sensitive to reduce the risk of developing GDM and complications. The act also focuses on clinical and public health research on GDM to find interventions for women with a history of GDM from developing DM II as well as their children. Research on understanding GDM regarding risk

As a pregnant woman, healthy eating habits are a requirement. During pregnancy, a diet consisting of more protein, calcium, iron, and folic acid is very important. A pregnant woman should also consume more calories. This does not mean eating twice as much as before, it simply means adding more calories from nutritious sources such as vegetables, whole grains, legumes, and lean protein. Experts recommend 75 to 100 grams of protein per day. Protein helps with fetal growth and brain development. It also supports the growth of breast and uterine tissue, and increases blood supply during pregnancy. Protein can be found in lean meats such as fish, chicken, and legumes. An intake of calcium is recommended to be around 1000 milligrams

Typically, they state that you should consumer 50-60% of our calories from carbohydrates, 12-20% of our diet from proteins and less than 30% from fats. Most diabetic diet plans go on to say, one effective way to manage a diabetic diet is to take the 3 big meals you usually have and turn it into 3 small meals and 2-3 snacks a day. The claim is: that this will keep a balanced level of blood sugar. Unfortunately, they don’t address the right carbs, the right protein or the right fats and this totally misleads people and eating all day will never let your digestive process to

There were a total of 559 children involved in this study from the feonatal stage to 9 months of age. The mothers of each of the children involved in this study were part of an earlier study of nutrition during pregnancy between April 1992 and June 1993. (Gale, C.R. 2003) All

One of the most common metabolic disorders during pregnancy is gestational diabetes mellitus (GDM) and its occurrence continues to increase (8). The 2004 analysis by the Center for Disease Control and Prevention states that cases of GDM are at 9.2%. The American Diabetes Association defines GDM as a condition where glucose levels are higher than normal either at the start or during pregnancy (1). The definition is used whether insulin or only diet modification is used for treatment and even if the condition continues after pregnancy (1). MNT is currently part of the treatment to provide adequate calories and nutrients to meet the needs of pregnancy and manage GDM. Therefore, the objective of this literature search was to demonstrate the

Diabetic clients must follow a day-to-day consistency in the timing and amount of food eaten to help control blood glucose. Clients receiving insulin therapy must eat at a consistent time that coordinates with the timed action of insulin. The daily caloric intake is spread among three main meals and any between-meal or bedtime snack. 15% to 20% of daily caloric intake must consist of protein. Of the remaining 80% to 90% of calories, less than 10% should be from saturated fat and up to 10% should be from polyunsaturated fat. The remaining 60% to70% should come from monounsaturated fat and carbohydrates. High fiber diets are recommended to improve carbohydrate metabolism and lower cholesterol levels. Intake of 20 to 35 g of dietary per day is

The main aim of treatment of GDM patient is to ensure the blood glucose level of a GDM pregnant woman is equal to those normal pregnant women that do not have GDM. The first line therapy in the management of GDM involves lifestyle modification and medical nutrition therapy. Based on the trigger, the patient is overweight. Thus, she needs nutritional counseling from a registered dietitian in order to help her to manage her weight. She should follow a healthy eating plan to keep her blood glucose level within the target value, provide enough nutrition and achieve appropriate weight changes during her pregnancy. Furthermore, she should keep physically active by doing some light exercise such as brisk walking which can help to prevent further gaining of weight. Plus, exercise can also help to reduce blood sugar level by stimulating body to move glucose into the cells, where it is used for energy [2].

I cared for a pregnant patient who had gestational diabetes. She brought in her blood sugar logs and according to her logs, her sugars were not well controlled. The patient was also a vegetarian due to her religion. We ordered a dietitian to come and educate the patient on healthy meal options that will prevent blood sugar spikes and promote a healthy pregnancy and still meet her religious restrictions.

The common definition of gestational diabetes mellitus (GDM) is glucose or carbohydrate intolerance with onset, first recognition or first diagnosis during pregnancy; it is a common complication in pregnancy that typically ends a few weeks after birth (Coustan, 2013; Zhang & Ning, 2011; Brown, 2011). Although the causes of GDM are not known, it appears that hormones from the placenta lead to insulin resistance in the mother; this insulin resistance combined with an inadequate insulin secretion to compensate for its resistance has a central role in the pathophysiology of GDM, which can then lead to hyperglycemia and gestational diabetes mellitus (Zhang & Ning, 2011; Blake, Munoz, & Volpe, 2014). It is thought that women who develop GDM

Diabetes is a long-term and persistent disease. It has been described as a worldwide disease afflicting an estimated 104 million people. The purpose of this study is determine the risk of developing diabetes based on poor nutrition and sedentary lifestyle. This study will also explains the different types of diabetes, its treatments, and symptoms in women, preventions and recommendations. An overall sample of 40 women from age 18-54 years old from different ethnicity such as White/Caucasians, Latino/Hispanic, Asian/ Pacific Islander. Diabetes can be especially hard on women. The data was interpreted using Microsoft Excel. The burden of diabetes on women is unique because the disease can affect both mothers and their unborn children. Diabetes

They did discuss carbohydrates and the need for about 30 g of carbs with each meal. We discussed checking fastings and 1-hr postprandials. I gave her parameters of < 95 for fastings and < 130 for 1-hr postprandials. If she misses a 1-hr postprandial, a 2-hr postprandial would be acceptable and the number should be around 120. We discussed the risks of GDM and the importance of good glycemic control. We discussed macrosomia, which is unlikely to be a problem in her pregnancy, including the risk of shoulder dystocia and possible nerve injury. We also discussed the risks of hypoglycemia, hyperbilirubinemia and other electrolyte disturbances that could place the baby in the special care nursery. We also discussed the possible need for medication with insulin as first-line

While pregnant diabetic women often indicate a desire to adhere to their diabetic diet, many of them experience difficulties in their present social support system which contributes to their inability to comply with their dietary regimen.This problem may be further exacerbated if the diabetic pregnant women has knowledge deficit regarding diabetes dietary management. In addition, low socioeconomic status as well as cultural belief and lifestyle influences may also contribute to the client’s failure to comply with their dietary management. Clinical support is provided through health care institutions however, if these services are not access by the client; may also result in knowledge deficit regarding the importance of dietary restriction.Antenatal

Many women are diagnosed with gestational diabetes mellitus during pregnancy. “Pregnancy complicated with GDM is accompanied by risks of adverse maternal and fetal outcomes including preeclampsia, cesarean delivery, excessive fetal growth, and shoulder dystocia” (Harrison et al., 2016, p. 351). Because of these risks these women need to be followed closely and counseled on how to achieve and maintain glycemic control. This is done by providing patient education, lifestyle modifications, glucose monitoring, and use of insulin or oral hypoglycemic agents when indicated (Harrison et al., p. 351). All of this can lead to an increase in office visits for these individuals. In a

Besides rigorous glucose testing and the administering of medication, another major challenge for parents with diabetic children is dietary.

Education about diet, exercise, glucose monitoring, and insulin adjustments are important for self-managing diabetes during pregnancy (Gilbert, 2011). Even though there is a common understanding that there is an increased need of antenatal care for women with GDM, there is still uncertainty about how often blood glucose should be monitored, the recommended diet, and the amount of exercise required (González-Quintero, 2008). GDM patients should acquire knowledge and skills regarding self- regulation, in order to better prepare and monitor their dietary intake, exercise and blood glucose levels (Limruangrong, 2011). Although GDM does decrease after pregnancy, over half of women with GDM will acquire Type 2 diabetes (Bone,