• Intervention
    Is there a specific amount, type, form of carbohydrate, fat and protein for women with gestational diabetes?
    • Conclusion

      Ten studies were evaluated to investigate the consumption of macronutrients in pregnant women and women with gestational diabetes mellitus.  Carbohydrate intake affects postprandial blood glucose levels; Increased postprandial blood glucose levels are associated with increased incidence of large-for-gestational age infants and increased rate of Cesarean sections.  Three studies showed improved outcomes at carbohydrate intakes of less than 45% of energy .  Research is limited regarding protein, fat, fiber and glycemic index in women with gestational diabetes mellitus; further research is needed in these areas.   

    • Grade: II
      • 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.