Document Detail

Nutritional management in diabetes and pregnancy.
MedLine Citation:
PMID:  400135     Owner:  NLM     Status:  MEDLINE    
During pregnancy it is necessary for the mother with diabetes to maintain careful control of the diabetes in order to lessen both fetal and maternal morbidity and mortality. The diet must take into account not only the metabolic requirements of the mother, but also those of the developing fetus. A total weight gain of 22 to 26 pounds is recommended, with the pattern of weight gain being more important than the total amount. Pregnancy is not a time for weight reduction. Caloric requirements can be met by the addition of 300 kcal. per day to the prepregnancy meal plan, or about 36 kcal. per kilogram. This can be met by the addition of 50 gms., carbohydrate and 30 gms. protein. Diets will contain approximately 1800 to 2500 calories a day. Calcium, iron, folic acid, and sodium also require attention in meal planning. The importance of regular meals and snacks must be emphasized. In particular, bed-time snacks are important because of the tendency towards overnight hypoglycemia and ketosis.
M Franz
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Diabetes care     Volume:  1     ISSN:  0149-5992     ISO Abbreviation:  Diabetes Care     Publication Date:    1978 Jul-Aug
Date Detail:
Created Date:  1981-04-13     Completed Date:  1981-04-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7805975     Medline TA:  Diabetes Care     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  264-70     Citation Subset:  IM    
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MeSH Terms
Body Weight
Calcium / administration & dosage
Diabetic Diet*
Dietary Carbohydrates / administration & dosage
Dietary Proteins / administration & dosage
Energy Intake
Fetus / physiology
Folic Acid / administration & dosage
Iron / administration & dosage
Nutritional Requirements
Pregnancy in Diabetics / diet therapy*
Sodium / administration & dosage
Reg. No./Substance:
0/Dietary Carbohydrates; 0/Dietary Proteins; 59-30-3/Folic Acid; 7439-89-6/Iron; 7440-23-5/Sodium; 7440-70-2/Calcium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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