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