Vol 90, No 1 (2019)
Research paper
Published online: 2019-01-31

open access

Page views 5293
Article views/downloads 3898
Get Citation

Connect on Social Media

Connect on Social Media

Effects of nutritional nursing intervention based on glycemic load for patient with gestational diabetes mellitus

Shaofang Lv1, Shanlan Yu2, Rongxiang Chi3, Dongmei Wang4
Pubmed: 30756370
Ginekol Pol 2019;90(1):46-49.

Abstract

Objectives: To determine the effects of nutritional nursing intervention based on glycemic load (GL) for patients with gestational diabetes mellitus.

Material and methods: One hundred thirty-four patients diagnosed with gestational diabetes mellitus at our hospital were selected from March 2015 to March 2017 and randomly divided into the observation (n = 67) and control groups (n = 67). All of the patients in the observation and control groups received conventional nutritional nursing. In addition, the patients in the observation group received nutritional nursing intervention based on GL. The changes in blood glucose levels and pregnancy outcomes were compared between the two groups after intervention.

Results: There were significant differences in fasting blood glucose (FBG) and the 2h postprandial glucose (2hPG) levels between the two groups (P < 0.05). There was a lower incidence of premature delivery, fetal macrosomia, eclampsia, preg- nancy hypertension syndrome, and fetal distress in the observation group.

Conclusions: Nutritional nursing intervention based on GL is more effective than traditional nutritional nursing for patients with gestational diabetes, and can effectively control the blood glucose level, reduce the incidence of pregnant complica- tions, and improve the pregnancy outcome. Thus, nutritional nursing intervention based on GL deserves to be popularized.

Article available in PDF format

View PDF Download PDF file

References

  1. Moon JHo, Kwak SH, Jang HC. Prevention of type 2 diabetes mellitus in women with previous gestational diabetes mellitus. Korean J Intern Med. 2017; 32(1): 26–41.
  2. Esposito K, Maiorino MI, Di Palo C, et al. Campanian Post-Prandial Hyperglycemia Study Group. Dietary glycemic index and glycemic load are associated with metabolic control in type 2 diabetes: The CAPRI experience. Metab Syndr Relat Disord. 2010; 8(3): 255–261.
  3. Miller CK, Gutshcall MD, Mitchell DC. Change in food choices following a glycemic load intervention in adults with type 2 diabetes. J Am Diet Assoc. 2009; 109(2): 319–324.
  4. American Diebetes Association. Standards of medical care in diabetes-2013. Diabetes Care. 2013; 36: S11–S66.
  5. Shang M, Lin L, Ma L, et al. Investigation on the suitability of the International Association of Diabetes and Pregnancy Study Group diagnostic criteria for gestational diabetes mellitus in China. J Obstet Gynaecol. 2014; 34(2): 141–145.
  6. Al Dhaheri AS, Henry CJ, Mohamad MN, et al. Glycaemic index and glycaemic load values of commonly consumed foods in the United Arab Emirates. Br J Nutr. 2017; 117(8): 1110–1117.
  7. Campbell AP, Rains TM. Dietary protein is important in the practical management of prediabetes and type 2 diabetes. J Nutr. 2015; 145(1): 164S–169S.
  8. Cheng G, Xue H, Luo J, et al. Relevance of the dietary glycemic index, glycemic load and genetic predisposition for the glucose homeostasis of Chinese adults without diabetes. Sci Rep. 2017; 7(1): 400.
  9. Dombrowski E, Fitzpatrick A, Hall-Alston J, et al. The effect of nutrition and exercise in addition to hypoglycemic medications on HbA1C in patients with type 2 diabetes mellitus: a systematic review. JBI Database of Systematic Reviews and Implementation Reports. 2014; 12(2): 141–187.