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Journal of Education, Health and Sport

Methods of treating gestational diabetes through an adapted diet and physical activity
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Methods of treating gestational diabetes through an adapted diet and physical activity

Authors

  • Klaudia Skorek Stefan Kardynał Wyszyński Province Specialist Hospital In Lublin https://orcid.org/0009-0002-9131-1017
  • Rafał Babiak Stefan Kardynał Wyszyński Province Specialist Hospital in Lublin, Kraśnicka 100 avenue, 20-718 Lublin, Poland https://orcid.org/0009-0000-2602-1406
  • Karolina Bajak Stefan Kardynał Wyszyński Province Specialist Hospital in Lublin, Kraśnicka 100 avenue, 20-718 Lublin, Poland https://orcid.org/0009-0006-2486-6388
  • Paulina Czuchryta Stefan Kardynał Wyszyński Province Specialist Hospital in Lublin, Kraśnicka 100 avenue, 20-718 Lublin, Poland https://orcid.org/0009-0003-2620-4300
  • Anastazja Domańska Stefan Kardynał Wyszyński Province Specialist Hospital in Lublin, Kraśnicka 100 avenue, 20-718 Lublin, Poland https://orcid.org/0009-0001-8332-120X
  • Agnieszka Gawęda Stefan Kardynał Wyszyński Province Specialist Hospital in Lublin, Kraśnicka 100 avenue, 20-718 Lublin, Poland https://orcid.org/0009-0000-6960-1531
  • Agata Grabek Stefan Kardynał Wyszyński Province Specialist Hospital in Lublin, Kraśnicka 100 avenue, 20-718 Lublin, Poland https://orcid.org/0009-0007-6855-7410
  • Julia Rutkowska Independent Public Clinical Hospital No 1 in Lublin, Stanisława Staszica 16, 20-400 Lublin https://orcid.org/0009-0001-8606-3680
  • Żaneta Rzęsa-Tokarczyk Rydygier Specialist Hospital in Krakow, os. Złotej jesieni 1, 31-826 Kraków https://orcid.org/0009-0008-6161-5160
  • Agnieszka Urbańczyk Independent Public Clinical Hospital No 1 in Lublin, Stanisława Staszica 16, 20-400 Lublin https://orcid.org/0009-0000-1964-1340

DOI:

https://doi.org/10.12775/JEHS.2023.38.01.014

Keywords

GDM, gestational diabetes mellitus, low glycemic index, nutrition physical activity, pregnancy, diet

Abstract

Gestational diabetes mellitus (GDM) is a carbohydrate tolerance disorder that results in elevated blood glucose levels and was first recognized during pregnancy. Diabetes is the most common metabolic complication that complicates pregnancy. Therefore, it is important to quickly diagnose and prevent the effects of diabetes, which may arise in the mother and fetus. The occurrence of diabetes during pregnancy is a risk factor for diabetes and cardiovascular diseases later in life. Studies have shown a reduction in complications in patients with gestational diabetes after personalized health education in the field of nutrition. All pregnant women should be screened for impaired glucose tolerance as soon as possible after pregnancy is diagnosed. In the risk group, additionally, a 75g OGTT test should be performed on the first visit. Gestational diabetes affects one in ten pregnant women worldwide, and this percentage is increasing day by day. The main goal is to strive, during therapy, to equalize the glycemic value. The aim of this publication is to present the diagnostic process and, most importantly, the treatment of diabetes diagnosed in pregnancy. The publication focuses on gestational diabetes treated with an adapted diet, exercise and lifestyle changes. This publication describes how to create a balanced diet with a low glycemic index and how to choose physical exercise for a patient with gestational diabetes.

References

Rasmussen L, Poulsen CW, Kampmann U, Smedegaard SB, Ovesen PG, Fuglsang J. Diet and Healthy Lifestyle in the Management of Gestational Diabetes Mellitus. Nutrients. 2020 Oct 6;12(10):3050. doi: 10.3390/nu12103050. PMID: 33036170; PMCID: PMC7599681.

Shepherd E, Gomersall JC, Tieu J, Han S, Crowther CA, Middleton P. Combined diet and exercise interventions for preventing gestational diabetes mellitus. Cochrane Database Syst Rev. 2017 Nov 13;11(11):CD010443. doi: 10.1002/14651858.CD010443.pub3. PMID: 29129039; PMCID: PMC6485974.

Burmeister JE, Scapini A, da Rosa Miltersteiner D, da Costa MG, Campos BM. Glucose-added dialysis fluid prevents asymptomatic hypoglycaemia in regular haemodialysis. Nephrol Dial Transplant. 2007;22:1184–1189.

Lende M, Rijhsinghani A. Gestational Diabetes: Overview with Emphasis on Medical Management. Int J Environ Res Public Health. 2020 Dec 21;17(24):9573. doi: 10.3390/ijerph17249573. PMID: 33371325; PMCID: PMC7767324.

Zalecenia kliniczne dotyczące postepowania u chorych na cukrzyce 2022 – Stanowisko Polskiego Towarzystwa Diabetologicznego. Current Topics in Diabetes. Official Journal of the Diabetes Poland. 2022.

Diagnostic Criteria and Classification of Hyperglycaemia First Detected in Pregnancy. World Health Organization 2013

Zhang Y, Zhang HH, Lu JH, Zheng SY, Long T, Li YT, Wu WZ, Wang F. Changes in serum adipocyte fatty acid-binding protein in women with gestational diabetes mellitus and normal pregnant women during mid- and late pregnancy. J Diabetes Investig. 2016;7:797–804.

Crowther CA, Hiller JE, Moss JR, et al. Effect of treatment of gestational diabetes mellitus on pregnancy outcomes. N Engl J Med 2005;352(24):2477–86.

Landon MB, Spong CY, Thom E, et al. A multicenter, randomized trial of treatment for mild gestational diabetes. N Engl J Med 2009;361(14):1339–48.

Xu S, Yu Q, Mi J, Li H. Clinical efficacy of nutritional diet therapy on gestational diabetes mellitus. Am J Transl Res. 2022 May 15;14(5):3488-3493. PMID: 35702079; PMCID: PMC9185033.

Weinert LS. International Association of Diabetes and Pregnancy Study Groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy: comment to the International Association of Diabetes and Pregnancy Study Groups Consensus Panel. Diabetes Care. 2010;33:e97.

Rizzo TA, Dooley SL, Metzger BE, et al. Prenatal and perinatal influences on longterm psychomotor development in offspring of diabetic mothers. Am J Obstet Gynecol 1995;173(6):1753–8.

Carolan M., Gill G.K., Steele C. Women’s experiences of factors that facilitate or inhibit gestational diabetes self-management. BMC Pregnancy Childbirth. 2012;12:99. doi: 10.1186/1471-2393-12-99.

Vasile FC, Preda A, Ștefan AG, Vladu MI, Forțofoiu MC, Clenciu D, Gheorghe IO, Forțofoiu M, Moța M. An Update of Medical Nutrition Therapy in Gestational Diabetes Mellitus. J Diabetes Res. 2021 Nov 18;2021:5266919. doi: 10.1155/2021/5266919. PMID: 34840988; PMCID: PMC8616668.

Esfahani A., Wong J.M.W., Mirrahimi A., Srichaikul K., Jenkins D.J.A., Kendall C.W.C. The Glycemic Index: Physiological Significance. J. Am. Coll. Nutr. 2009;28:439S–445S. doi: 10.1080/07315724.2009.10718109.

Atkinson F.S., Foster-Powell K., Brand-Miller J.C. International Tables of Glycemic Index and Glycemic Load Values: 2008. Diabetes Care. 2008;31:2281–2283. doi: 10.2337/dc08-1239.

Agata Lewandowska. Niski Indeks Glikemiczny. Dieta dla zdrowia. 2019. ISBN 978-83-8151-041-7

Vega-López S, Venn BJ, Slavin JL. Relevance of the Glycemic Index and Glycemic Load for Body Weight, Diabetes, and Cardiovascular Disease. Nutrients. 2018 Sep 22;10(10):1361. doi: 10.3390/nu10101361. PMID: 30249012; PMCID: PMC6213615.

Mousa A., Naqash A., Lim S. Macronutrient and Micronutrient Intake during Pregnancy: An Overview of Recent Evidence. Nutrients. 2019;11:443. doi: 10.3390/nu11020443.

Mijatovic-Vukas J, Capling L, Cheng S, Stamatakis E, Louie J, Cheung NW, Markovic T, Ross G, Senior A, Brand-Miller JC, Flood VM. Associations of Diet and Physical Activity with Risk for Gestational Diabetes Mellitus: A Systematic Review and Meta-Analysis. Nutrients. 2018 May 30;10(6):698. doi: 10.3390/nu10060698. PMID: 29849003; PMCID: PMC6024719.

Swain E. B., Jakus P. M., Rice G., et al. Socioeconomic consequences of mercury use and pollution. Ambio . 2007;36(1):45–61. doi: 10.1579/0044-7447(2007)36[45:SCOMUA]2.0.CO;2.

Storelli M. M., Marcotrigiano G. O. Fish for human consumption: risk of contamination by mercury. Food Additives and Contaminants . 2000;17(12):1007–1011. doi: 10.1080/02652030050207792.

Grembecka M., Ksylitol – rola w diecie oraz profilaktyce i terapii chorób człowieka, [w:] ,,Bromatologia i Chemia Toksykologiczna”, nr1/2015, s. 1- 10

Zimmer M. Sieroszewski P. Oszukowski P. Huras H. Fuchs T. Pawłosek A., Polish Society of Gynecologists and Obstetricians recommendations on supplementation in pregnancy. 07/2020 st. 170 – 181, ISSN 2451 – 0122

Koren O., Goodrich J.K., Cullender T.C., Spor A., Laitinen K., Bäckhed H.K., Gonzalez A., Werner J.J., Angenent L.T., Knight R., et al. Host remodeling of the gut microbiome and metabolic changes during pregnancy. Cell. 2012;150:470–480. doi: 10.1016/j.cell.2012.07.008.

Wang X., Liu H., Li Y., Huang S., Zhang L., Cao C., Baker P.N., Tong C., Zheng P., Qi H. Altered gut bacterial and metabolic signatures and their interaction in gestational diabetes mellitus. Gut Microbes. 2020;12:1–13. doi: 10.1080/19490976.2020.1840765.

Ionescu RF, Enache RM, Cretoiu SM, Gaspar BS. Gut Microbiome Changes in Gestational Diabetes. Int J Mol Sci. 2022 Oct 25;23(21):12839. doi: 10.3390/ijms232112839. PMID: 36361626; PMCID: PMC9654708.

Pan J., Pan Q., Chen Y., Zhang H., Zheng X. Efficacy of probiotic supplement for gestational diabetes mellitus: A systematic review and meta-analysis. J. Matern Fetal Neonatal Med. 2019;32:317–323. doi: 10.1080/14767058.2017.1376318.

Blumer I., Hadar E., Hadden D. R., et al. Diabetes and pregnancy: an endocrine society clinical practice guideline. The Journal of Clinical Endocrinology and Metabolism . 2013;98(11):4227–4249. doi: 10.1210/jc.2013-2465.

Schiattarella A., Lombardo M., Morlando M., Rizzo G. The impact of a plant-based diet on gestational diabetes: a review. Antioxidants (Basel) . 2021;10(4):p. 557. doi: 10.3390/antiox10040557.

Yisahak SF, Hinkle SN, Mumford SL, Li M, Andriessen VC, Grantz KL, Zhang C, Grewal J. Vegetarian diets during pregnancy, and maternal and neonatal outcomes. Int J Epidemiol. 2021 Mar 3;50(1):165-178. doi: 10.1093/ije/dyaa200. PMID: 33232446; PMCID: PMC7938506.

Committee on Practice Bulletins-Obstetrics. ACOG Practice Bulletin No. 190: gestational diabetes mellitus. Obstet Gynecol 2018;131(2):e49–64.

Duarte-Gardea M. O., Gonzales-Pacheco D. M., Reader D. M., et al. Academy of nutrition and dietetics gestational diabetes evidence-based nutrition practice guideline. Journal of the Academy of Nutrition and Dietetics . 2018;118(9):1719–1742. doi: 10.1016/j.jand.2018.03.014.

Harrison AL, Shields N, Taylor NF, et al. Exercise improves glycaemic control in women diagnosed with gestational diabetes mellitus: a systematic review. J Physiother 2016;62(4):188–96.

Coe DP, Conger SA, Kendrick JM, et al. Postprandial walking reduces glucose levels in women with gestational diabetes mellitus. Appl Physiol Nutr Metab 2018;43(5):531–4.

Committee on Practice Bulletins-Obstetrics. ACOG Practice Bulletin No. 190: gestational diabetes mellitus. Obstet Gynecol 2018;131(2):e49–64.

United States Department of Health Human and Services. Physical Activity Guidelines for Americans 2nd edition. Available from: https://health.gov 2018.

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Published

2023-10-05

How to Cite

1.
SKOREK, Klaudia, BABIAK, Rafał, BAJAK, Karolina, CZUCHRYTA, Paulina, DOMAŃSKA, Anastazja, GAWĘDA, Agnieszka, GRABEK, Agata, RUTKOWSKA, Julia, RZĘSA-TOKARCZYK, Żaneta and URBAŃCZYK, Agnieszka. Methods of treating gestational diabetes through an adapted diet and physical activity. Journal of Education, Health and Sport. Online. 5 October 2023. Vol. 38, no. 1, pp. 200-217. [Accessed 28 June 2025]. DOI 10.12775/JEHS.2023.38.01.014.
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Issue

Vol. 38 No. 1 (2023)

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Review Articles

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Copyright (c) 2023 Klaudia Skorek, Rafał Babiak, Karolina Bajak, Paulina Czuchryta, Anastazja Domańska, Agnieszka Gawęda, Agata Grabek, Julia Rutkowska, Żaneta Rzęsa-Tokarczyk, Agnieszka Urbańczyk

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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