GDM: Postpartum Care (2001)
Postpartum Care (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.)
Gestational Diabetes Mellitus Conclusion Statements: Postpartum Care (2001 CD)
The recurrence rate of GDM in subsequent pregnancies is 30% to 65%. Women who have had GDM are also at higher risk for developing type 2 diabetes mellitus. However, the risks of developing diabetes can be reduced with lifestyle changes including healthy food choices and physical activity to promote weight loss.
- 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.
- Evidence Summary: Gestational Diabetes and Breastfeeding (2001 CD)
Evidence Summary: Prevention of Gestational Diabetes and Type 2 Diabetes (2001 CD)
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
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- Eriksson J, Lindström J, Valle T, Aunola S, Hämäläinen H, Ilanne-Parikka P, Keinanen-Kiukaanniemi S, Laakso M, Lauhkonen M, Lehto P, Lehtonen A, Louheranta A, Mannelin M, Martikkala V, Sundvall J, Rastas M, Turpeinen A, Viljanen T, Uusitupa M, Tuomilehto J, on behalf of the Finnish Diabetes Prevention Study Group. Prevention of type II diabetes in subjects with impaired glucose tolerance: the Diabetes Prevention Study (DPS) in Finland: Study design and 1-year interim report on the feasibility of the lifestyle intervention programme. Diabetologia. 1999;42:793-801.
- MacNeill S, Dodds L, Hamilton DC, Armson BA, VandenHof M. Rates and risk factors for recurrence of gestational diabetes. Diabetes Care 2001;24:659-662.
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- Marshall JA, Bessesen DH, Hamman RF. High saturated fat and low starch and fibre are associated with hyperinsulinaemia in a non-diabetic population: the San Luis Valley Diabetes Study. Diabetologia. 1997;40(4):430-8.
- Moses RG. The recurrence rate of gestational diabetes in subsequent pregnancies. Diabetes Care 1996; 19:1348-1350.
- Moses RG, Shand JL, Tapsell LC. The recurrence of gestational diabetes: could dietary differences in fat intake be an explanation? Diabetes Care 1997; 20:1647-1650.
- Philipson EH, Super DM. Gestational diabetes mellitus: does it recur in subsequent pregnancy? Am J Obstet Gynecol 1989; 160:1324-1331.
- Salmeron J, Manson JE, Stampfer MJ, Colditz GA, Wing AL, Willett WC. Dietary fiber, glycemic load, and risk of non-insulin-dependent diabetes mellitus in women. JAMA 1997;277:472-477.
- Swinburn BA, Metcalf PA, Ley SJ. Long-term (5-year) effects of a reduced-fat diet intervention in individuals with glucose intolerance. Diabetes Care. 2001;24: 619-624.