Application of individualized nutritional intervention therapy in patients with gestational diabetes mellitu
Objective: To evaluate the effect of individualized nutritional intervention therapy in patients with gestational diabetes mellitus (GDM). Methods: 80 GDM inpatients admitted to the First Affiliated Hospital of Hainan Medical College from December 2015 to June 2018 were enrolled. According to the...
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Editorial Board of Journal of Hainan Medical University
2020-12-01
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doaj-a9b96cfe205c4181ad7d08923270de292021-01-13T08:30:39ZengEditorial Board of Journal of Hainan Medical UniversityJournal of Hainan Medical University1007-12371007-12372020-12-0126242831Application of individualized nutritional intervention therapy in patients with gestational diabetes mellituDan-Dan Xie0Xiao-Pan Chen1Department of Clinical Nutrition, The First Affiliated Hospital of Hainan Medical College, Haikou Hainan, 570102, ChinaDepartment of Clinical Nutrition, The First Affiliated Hospital of Hainan Medical College, Haikou Hainan, 570102, ChinaObjective: To evaluate the effect of individualized nutritional intervention therapy in patients with gestational diabetes mellitus (GDM). Methods: 80 GDM inpatients admitted to the First Affiliated Hospital of Hainan Medical College from December 2015 to June 2018 were enrolled. According to the random number table method, the patients were divided into 4 groups, with 20 cases in each group. Group 1 used food exchange combined glycemic index method, group 2 used food exchange combined blood glucose load method, group 3 used glycemic index combined with blood glucose load method, group 4 combined glycemic index and blood glucose load method based on food exchange . After the intervention, the changes of blood glucose level, biochemical indexes and fetal growth and development indexes of the four groups were observed. Results: After nutritional intervention, the blood glucose levels of the four groups of patients decreased to varying degrees compared with before the intervention. The difference was statistically significant (P <0.05). In order to evaluate the advantages and disadvantages of the four methods, the blood glucose levels of the four groups of patients were further compared between groups: compared with group 1, group 2, group 4 and group 3, the differences were statistically significant (P <0.01 or 0.05). There was significant difference in blood glucose 2 hours after dinner between group 4 and group 1 and group 2 (P <0.05). Comparing the biochemical indexes and fetal growth and development indexes of the four groups, the differences were not statistically significant (P >0.05). Conclusion: Individualized nutritional intervention therapy can significantly improve the blood glucose level of GDM patients, and at the same time meet the needs of the mother's own physiology and fetal growth and development. Among them, the nutrition intervention method that combines the glycemic index and the blood glucose load on the basis of the food exchange portion has a better effect on improving the blood glucose level of the patient.http://www.hnykdxxb.com/PDF/202024/07.pdfgestational diabetes mellitusfood exchange portionglycemic indexblood glucose loadnutrition intervention |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Dan-Dan Xie Xiao-Pan Chen |
spellingShingle |
Dan-Dan Xie Xiao-Pan Chen Application of individualized nutritional intervention therapy in patients with gestational diabetes mellitu Journal of Hainan Medical University gestational diabetes mellitus food exchange portion glycemic index blood glucose load nutrition intervention |
author_facet |
Dan-Dan Xie Xiao-Pan Chen |
author_sort |
Dan-Dan Xie |
title |
Application of individualized nutritional intervention therapy in patients with gestational diabetes mellitu |
title_short |
Application of individualized nutritional intervention therapy in patients with gestational diabetes mellitu |
title_full |
Application of individualized nutritional intervention therapy in patients with gestational diabetes mellitu |
title_fullStr |
Application of individualized nutritional intervention therapy in patients with gestational diabetes mellitu |
title_full_unstemmed |
Application of individualized nutritional intervention therapy in patients with gestational diabetes mellitu |
title_sort |
application of individualized nutritional intervention therapy in patients with gestational diabetes mellitu |
publisher |
Editorial Board of Journal of Hainan Medical University |
series |
Journal of Hainan Medical University |
issn |
1007-1237 1007-1237 |
publishDate |
2020-12-01 |
description |
Objective: To evaluate the effect of individualized nutritional intervention therapy in patients
with gestational diabetes mellitus (GDM). Methods: 80 GDM inpatients admitted to the
First Affiliated Hospital of Hainan Medical College from December 2015 to June 2018 were
enrolled. According to the random number table method, the patients were divided into 4
groups, with 20 cases in each group. Group 1 used food exchange combined glycemic index
method, group 2 used food exchange combined blood glucose load method, group 3 used
glycemic index combined with blood glucose load method, group 4 combined glycemic index
and blood glucose load method based on food exchange . After the intervention, the changes of
blood glucose level, biochemical indexes and fetal growth and development indexes of the four
groups were observed. Results: After nutritional intervention, the blood glucose levels of the
four groups of patients decreased to varying degrees compared with before the intervention.
The difference was statistically significant (P <0.05). In order to evaluate the advantages and
disadvantages of the four methods, the blood glucose levels of the four groups of patients were
further compared between groups: compared with group 1, group 2, group 4 and group 3, the
differences were statistically significant (P <0.01 or 0.05). There was significant difference
in blood glucose 2 hours after dinner between group 4 and group 1 and group 2 (P <0.05).
Comparing the biochemical indexes and fetal growth and development indexes of the four
groups, the differences were not statistically significant (P >0.05). Conclusion: Individualized
nutritional intervention therapy can significantly improve the blood glucose level of GDM
patients, and at the same time meet the needs of the mother's own physiology and fetal growth
and development. Among them, the nutrition intervention method that combines the glycemic
index and the blood glucose load on the basis of the food exchange portion has a better effect
on improving the blood glucose level of the patient. |
topic |
gestational diabetes mellitus food exchange portion glycemic index blood glucose load nutrition intervention |
url |
http://www.hnykdxxb.com/PDF/202024/07.pdf |
work_keys_str_mv |
AT dandanxie applicationofindividualizednutritionalinterventiontherapyinpatientswithgestationaldiabetesmellitu AT xiaopanchen applicationofindividualizednutritionalinterventiontherapyinpatientswithgestationaldiabetesmellitu |
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