Diabetes Metab J.  2011 Aug;35(4):354-363. 10.4093/dmj.2011.35.4.354.

A Comparative Study of Eating Habits and Food Intake in Women with Gestational Diabetes according to Early Postpartum Glucose Tolerance Status

• Hwang YJ
• Park BK
• Park S
• Kim SH

• KMID: 2281642
• DOI: http://doi.org/10.4093/dmj.2011.35.4.354

Abstract

BACKGROUND
Women with gestational diabetes mellitus (GDM) are at high risk for type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD); continuous life-style intervention, especially diet, is central to managing T2DM and CVD. However, little is known about the dietary patterns of women with GDM after delivery. The goal of this study was to compare the eating habits and food intakes of women diagnosed with GDM during the early postpartum period.
METHODS
We performed a 75 g oral glucose tolerance test (OGTT) in 184 women with GDM between 6 and 12 weeks after delivery. Based on the results of the OGTT, the subjects were divided into three groups according to the American Diabetes Association criteria; normal glucose tolerance (NGT) (n=100), pre-diabetes (n=73), and diabetes mellitus (DM) (n=11). Eating habits and usual food intake after delivery were investigated using a questionnaire, based on 24 hour-recall, which was administered by a trained dietitian. The daily intake data were analyzed using CAN Pro 3.0. Blood tests were performed pre- and post-delivery.
RESULTS
Eating habits were not significantly different among the three groups. However, animal fat consumption was significantly different among the three groups. The intake ratio of fat calories to total calories was also significantly higher in the pre-diabetes and DM groups.
CONCLUSION
Although diet in the period 6 to 12 weeks postpartum did not influence glucose level, it may be important to educate women with GDM about the risks of excessive animal fat intake during pregnancy and the postpartum period in order to prevent later onset of T2DM.

Keyword

Animal fat; Early postpartum period; Eating habits; Food intake; Gestational diabetes mellitus; Ratio of fat calories

MeSH Terms

Animals
Cardiovascular Diseases
Diabetes Mellitus
Diabetes Mellitus, Type 2
Diabetes, Gestational
Diet
Eating
Female
Glucose
Glucose Tolerance Test
Hematologic Tests
Humans
Postpartum Period
Pregnancy
Surveys and Questionnaires
Glucose

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