open access

Vol 58, No 4 (2007)
Original papers
Published online: 2007-05-17
Submitted: 2013-02-15
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A comparison of the effectiveness, tolerability and safety of high and low carbohydrate diets in women with gestational diabetes

Katarzyna Cypryk, Patrycja Kamińska, Marcin Kosiński, Magdalena Pertyńska-Marczewska Andrzej Lewiński
Endokrynologia Polska 2007;58(4):313-320.

open access

Vol 58, No 4 (2007)
Original papers
Published online: 2007-05-17
Submitted: 2013-02-15

Abstract

Introduction: Nutrition therapy is an integral part of the management of gestational diabetes mellitus (GDM). Most women with GDM are treated by nutritional management alone. The goal of our study was to compare low and high carbohydrate diets in their effectiveness, safety and tolerability in women with GDM.
Material and methods: The study group consisted of 30 Caucasian women newly diagnosed with GDM, with a mean age of 28.7 ± 3.7 years and pregnancy duration of 29.2 ± 5.4 weeks. The patients were randomised into two groups: those on a low and those on a high carbohydrate diet (45% vs. 65% respectively of energy supply coming from carbohydrates). The presence of urine ketones was controlled every day. After two weeks daily glucose profiles and compliance with the recommended diets were analysed.
Results: Glucose concentration before implementation of the diet regimen did not differ between groups. No changes in fasting blood glucose were noticed in the group that had followed a low carbohydrate diet, although a significant decrease in glucose concentration was observed after breakfast (102 ± 16 vs. 94 ± 11 mg/dl), lunch (105 ± 12 vs. 99 ± 9 mg/dl) and dinner (112 ± 16 vs. 103 ± 13 mg/dl) (p < 0.05). In the high carbohydrate diet group fasting and after-breakfast glucose concentration did not change. A significant decrease in glycaemia was noticed after lunch (106 ± 15 vs. 96 ± 7 mg/dl) and dinner (107 ± 12 vs. 97 ± 7 mg/dl) (p < 0.05). Ketonuria was not observed in either group. Obstetrical outcomes did not differ between groups.
Conclusions: Both high and low carbohydrate diets are effective and safe. A diet with carbohydrate limitation should be recommended to women who experience the highest glycaemia levels after breakfast. (Pol J Endocrinol 2007; 58 (4): 314-319)

Abstract

Introduction: Nutrition therapy is an integral part of the management of gestational diabetes mellitus (GDM). Most women with GDM are treated by nutritional management alone. The goal of our study was to compare low and high carbohydrate diets in their effectiveness, safety and tolerability in women with GDM.
Material and methods: The study group consisted of 30 Caucasian women newly diagnosed with GDM, with a mean age of 28.7 ± 3.7 years and pregnancy duration of 29.2 ± 5.4 weeks. The patients were randomised into two groups: those on a low and those on a high carbohydrate diet (45% vs. 65% respectively of energy supply coming from carbohydrates). The presence of urine ketones was controlled every day. After two weeks daily glucose profiles and compliance with the recommended diets were analysed.
Results: Glucose concentration before implementation of the diet regimen did not differ between groups. No changes in fasting blood glucose were noticed in the group that had followed a low carbohydrate diet, although a significant decrease in glucose concentration was observed after breakfast (102 ± 16 vs. 94 ± 11 mg/dl), lunch (105 ± 12 vs. 99 ± 9 mg/dl) and dinner (112 ± 16 vs. 103 ± 13 mg/dl) (p < 0.05). In the high carbohydrate diet group fasting and after-breakfast glucose concentration did not change. A significant decrease in glycaemia was noticed after lunch (106 ± 15 vs. 96 ± 7 mg/dl) and dinner (107 ± 12 vs. 97 ± 7 mg/dl) (p < 0.05). Ketonuria was not observed in either group. Obstetrical outcomes did not differ between groups.
Conclusions: Both high and low carbohydrate diets are effective and safe. A diet with carbohydrate limitation should be recommended to women who experience the highest glycaemia levels after breakfast. (Pol J Endocrinol 2007; 58 (4): 314-319)
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Keywords

gestational diabetes mellitus; diet; carbohydrates; treatment

About this article
Title

A comparison of the effectiveness, tolerability and safety of high and low carbohydrate diets in women with gestational diabetes

Journal

Endokrynologia Polska

Issue

Vol 58, No 4 (2007)

Pages

313-320

Published online

2007-05-17

Bibliographic record

Endokrynologia Polska 2007;58(4):313-320.

Keywords

gestational diabetes mellitus
diet
carbohydrates
treatment

Authors

Katarzyna Cypryk
Patrycja Kamińska
Marcin Kosiński
Magdalena Pertyńska-Marczewska Andrzej Lewiński

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