Nutrition Through the Life Cycle (...

6th Edition
Judith E. Brown
ISBN: 9781305628007



Nutrition Through the Life Cycle (...

6th Edition
Judith E. Brown
ISBN: 9781305628007
Textbook Problem

Elizabeth is a 36-year-old who entered pregnancy with a BMI of 23.5 kg/m2. She began receiving prenatal care at 32 weeks’ gestation and was screened for gestational diabetes the next day. Results of her oral glucose tolerance test revealed the following blood glucose levels:

  Fasting:    90 mg/dL

  1-hour:    195 mg/dL

  2-hour:    163 mg/dL

  Elizabeth’s health care provider advised her to consume a “no white food, no-sugar, low-carbohydrate diet” and to keep her weight gain low throughout the rest of pregnancy. She delivered a large infant (4750 g) at 39 weeks’ gestation.

4.    What was wrong with the dietary advice Elizabeth was given?

Summary Introduction

To explain: The dietary recommendation of Person E that went wrong.

Introduction: Gestational diabetes is a metabolic abnormality caused by an increase in the glucose level in the blood during pregnancy. Lack of adequate physical activity, unhealthy diet, and obesity are some of the primary causes for developing this disease. Dietary changes and weight management are found to be effective in gestational diabetes; however, an individualized program is needed for it to be most effective.


Person E is a 36-year-old woman who has a BMI of 23.5kg/m2 at the beginning of her pregnancy. At 32 week gestation, she began her prenatal care and was diagnosed with gestational diabetes. Her blood glucose levels after oral glucose tolerance test were tested to be 90 mg/dL in fasting condition and 195 mg/dL and 163 mg/dL after one and two hours, respectively. She was advised to consume a no white, no sugar, and low carbohydrate diet while managing her weight gain during the rest of her pregnancy. At 37 week gestation, she delivered a large infant weighing 4750 g.

Person E was recommended a ''no white food, no-sugar, low-carbohydrate diet''. However, the specifics were not explained to her properly...

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