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Intervention
What are the nutrition interventions that may prevent the recurrence of GDM in women with previous GDM?
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Conclusion
Five studies were evaluated to investigate the relationship between nutrition interventions and the recurrence of gestational diabetes mellitus in women with a history of Gestational Diabetes Mellitus (GDM). In three studies reporting recurrence of GDM, prevalence ranged from 30% to 65%. Five studies evaluating modifiable risk factors for GDM recurrence include higher prepregnancy body mass index and weight gain between pregnancies.
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Grade: I
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
- Ungraded means a grade is not assignable.
What is the evidence of the relationship between breastfeeding and women with GDM?-
Conclusion
A matched population study and two reviews were evaluated to investigate breastfeeding in women with gestational diabetes mellitus (GDM). Short duration of breastfeeding results in long-term improvements in glucose metabolism even after adjustment for maternal age, BMI, and use of insulin during pregnancy. Breastfeeding may also reduce the risk of type 2 diabetes in children. Further research is needed regarding breastfeeding in women with gestational diabetes mellitus.
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Grade: III
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
- Ungraded means a grade is not assignable.
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Conclusion
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Monitoring and Evaluation
What are the nutrition interventions that may prevent the diagnosis of type 2 diabetes in women with previous GDM?
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Conclusion
Seven studies were evaluated to investigate the relationship between nutrition interventions and the diagnosis of type 2 diabetes in women with a history of gestational diabetes. In four studies reporting development of type 2 diabetes, ranging from two to fifteen years in length, prevalence ranged from 15% to 40%. All seven studies examining the association between history of GDM and type 2 diabetes mellitus reported that the risks of developing diabetes can be reduced with weight loss.
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Grade: I
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
- Ungraded means a grade is not assignable.
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Conclusion