Evidenced-Based Nutrition for Gestational Diabetes Mellitus
Abstract
Purpose of review To review the latest evidence for dietary interventions for treatment of gestational diabetes (GDM). Recent findings High-quality systematic reviews demonstrate no major advantages between the low-carbohydrate or calorie-restricted diets. However, the low glycemic index (GI) diet, characterized by intake of high-quality, complex carbohydrates, demonstrated lower insulin use and reduced risk of macrosomia in multiple reviews. Recent evidence suggests the Mediterranean diet is safe in pregnancy, though trials are needed to determine its efficacy over conventional dietary advice. Currently, there are insufficient data to support the safety of the ketogenic diet for the treatment of GDM. The low GI diet may improve maternal and neonatal outcomes in GDM. The liberalized carbohydrate intake is less restrictive, culturally adaptable, and may improve long-term maternal adherence. Further research is needed to establish the optimal, most sustainable, and most acceptable medical nutrition therapy for management of women with GDM.
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Guidelines for daily caloric intake in women with GDM vary widely.
“Guidelines for daily caloric intake in women with GDM vary widely [57].”
From Medical Nutrition Therapy for Women with Gestational Diabetes: Current Practice and Future Perspectives (2025) · cites this paper as [57]
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- Authors
- Mahajan, A., Donovan, L. E., Vallee, R., & Yamamoto, J. M.
- Affiliations
- University of Calgary (CA)
- Alberta Health Services (CA)
- Corresponding author
- Yamamoto, Jennifer M.
- Venue
- Current Diabetes Reports
- Published
- 2019-08-31
- Volume
- 19
- Issue
- 10
- Pages
- 94-94
- ISSN
- 1534-4827 (ISSN-L)
- 1539-0829
- OpenAlex
- W2971325773
- Cited by
- 68
- References
- 68
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 10 · 2023: 15 · 2022: 14 · 2021: 5 · 2020: 13
- FWCI
- 1.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Diabetes Reports (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Physiology › Diet and metabolism studies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- gestational diabetes mellitus, dietary intervention, low glycemic index diet, Mediterranean diet, ketogenic diet, low-carbohydrate diet, caloric restriction, macrosomia, insulin use, maternal and neonatal outcomes, medical nutrition therapy, dietary adherence
- MeSH terms
- Diet, Female, Humans, Nutritional Status, Pregnancy, Diabetes, Gestational, Glycemic Index
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