GDM: Weight Management (2001)
Weight management (Gestational Diabetes Mellitus 2001)
Gestational Diabetes Medical Nutrition Therapy Protocol (2001)
The ADA 2001 Gestational Diabetes MNT Evidence-based guide for practice was originally published in a compact disk (CD) format. This 2001 project was published to the online Evidence Analysis Library for the benefit of ADA members, even though it does not follow the current online format and may be missing some of the components. (The current evidence analysis projects include the following components: question, conclusion, grade, search plan and results, evidence summary, overview table, worksheets, and quality check lists.)
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Assessment
Gestational Diabetes Mellitus Conclusion Statements: Hypocaloric Diets for Obese Women (2001 CD)
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Conclusion
Random control trials have shown that restricting calories to 1200 kcal/day in obese women (BMI>30) with GDM results in ketonemia/ketonuria whereas restricting calories to ~1800 kcal/day does not result in ketonemia or ketonuria.
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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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Evidence Summary: Gestational Diabetes and Hypocaloric Diets for Obese Women (2001 CD)
Gestational Diabetes Mellitus Conclusion Statements: Weight Gain (2001 CD)
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Conclusion
Optimum neonatal outcomes occur in women who gain the recommended weight based on prepregnancy BMI of the Institute of Medicine Guidelines. Overweight and obese women with GDM benefit from nutrition counseling by a dietitian to decrease the rate of weight gain, fasting and postpartum serum glucose, and normalize infant birthweight.
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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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Evidence Summary: Gestational Diabetes and Weight Gain (2001 CD)