read medical nutrition therapy on gestational diabetics case studies uploaded by ann m martin the low gi diet may improve maternal and neonatal outcomes in gdm the liberalized carbohydrate intake is less restrictive culturally adaptable and may improve long term maternal adherence further research is needed to establish the optimal most sustainable and most acceptable medical nutrition . Of these 177 women were diagnosed with gestational diabetes mellitus gdm and 697 had normal glucose tolerance all gdmw received meddiet based medical nutrition therapy with a recommended daily extra virgin olive oil intake 40 ml and a daily handful of nuts. All gdmw received meddiet based medical nutrition therapy with a recommended daily extra virgin olive oil intake 40 ml and a daily handful of nuts the primary goal was comparison of hemoglobin a1c hba 1c levels at 36 38 gws in gdmw and women with normal glucose tolerance ngtw. Medical nutrition therapy mnt plays an important role in the management of gestational diabetes mellitus gdm and accordingly it has a significant impact on women and newborns the primary objective of mnt is to ensure adequate pregnancy weight gain and fetus growth while maintaining euglycemia and avoiding ketones however the optimal diet energy content macronutrient distribution its quality and amount among others remains an outstanding question overall the nutritional . Medical nutrition therapy mnt is certainly a major part of diabetes management however with this degree of hyperglycemia mnt would not be adequate as monotherapy treatment for gestational diabetes includes the use of insulin if fasting blood glucose levels are 95 mg dl 53 mmol l or 2 h postprandial values are 120 mg dl 67 mmol l
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