Nutrition Care in Gestational Diabetes Mellitus / 임상당뇨병

ABSTRACT

Maintaining blood glucose levels within recommended targets during pregnancy is associated with improved maternal and fetal outcomes. Optimal gestational nutrition care is required for maintenance of normoglycemia, appropriate gestational weight gain and prevention of ketosis. Energy intake is not different from pregnant women without diabetes and an optimal eating plan for gestational diabetes has not been not developed. Because carbohydrates affect blood glucose levels, especially postprandial levels, it is important to monitor the quantity and quality of carbohydrate intake in women with gestational diabetes. Macronutrient and micronutrient planning must be considered. After childbirth, postpartum care is important to women with gestational diabetes mellitus. To decrease the risk of type 2 diabetes, metabolic syndrome and hypertension, weight control and breastfeeding is recommended to women with gestational diabetes mellitus.