Open AccessThe role of dietotherapy in prevention of a diabetic fetopathy at women with gestational diabetes mellitus
Author(s) -
Natalia Y. Arbatskaya,
Nadezhda Gennadjevna Ignatova,
Marina Vladislavovna Moldovanova,
Elena Petrovna Mel'nikova,
Violetta Vladimirovna Kandalina
Publication year - 2013
Publication title -
žurnalʺ akušerstva i ženskihʺ boleznej
Language(s) - English
Resource type - Journals
eISSN - 1684-0461
pISSN - 1683-9366
DOI - 10.17816/jowd6239-15
Subject(s) - medicine , gestational diabetes , fetal macrosomia , glycemic , pregnancy , diabetes mellitus , obstetrics , gestation , insulin , fetus , endocrinology , genetics , biology
The Gestational Diabetes Mellitus (GDM) is the disease, being characterized a hyperglycemia for the first time revealed during pregnancy. The main method of GDM treatment is diet. During our research we compared efficiency of different recommendations about a diet therapy in prevention of macrosomia, the birth with large gestation age (LGA) and other diabetic fetopathy (DF) manifestations. Our results showed that a diet with a low and medium glycemic index of products, a fractional food taking into account physiological secretion of insulin and insulinoresistance during pregnancy allows to achieve a target values of glucose from pregnant women with GDM, decrease the frequency of purpose of insulin therapy because of pre-natal manifestations of DF, decrease the risk of macrosomia development and frequency of cesarean section in connection with the LGA a fetus.