Clin Nutr Res.  2020 Jan;9(1):73-79. 10.7762/cnr.2020.9.1.73.

Using a Mobile-based Nutritional Intervention Application Improves Glycemic Control but Reduces the Intake of Some Nutrients in Patients with Gestational Diabetes Mellitus: A Case Series Study

Affiliations
  • 1Department of Dietetics, Kangbuk Samsung Hospital, Seoul 03181, Korea. emkim82@gmail.com
  • 2Division of Endocrinology and Metabolism, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul 03181, Korea.

Abstract

The prevalence of gestational diabetes mellitus (GDM) has been increasing worldwide, as has the economic cost associated with this condition. GDM threatens the health of the mother and child, and thus proper monitoring and management are essential. Mobile healthcare services have been applied to manage some diseases, particularly chronic diseases. We aimed to evaluate the utility of a mobile application in nutritional intervention by observing cases of a mobile application in a series of patients with GDM. We provided a mobile-based intervention to GDM patients and collected biochemical and nutritional information. The mobile-based nutritional intervention was effective in controlling carbohydrate intake and improving blood glucose level for patients with GDM.

Keyword

Gestational diabetes; Diet therapy; Mobile applications; Diet, food, and nutrition

MeSH Terms

Blood Glucose
Child
Chronic Disease
Delivery of Health Care
Diabetes, Gestational*
Diet Therapy
Diet, Food, and Nutrition
Female
Humans
Mobile Applications
Mothers
Pregnancy
Prevalence
Blood Glucose

Figure

  • Figure 1 The overall process of nutrition management provided to participants.

  • Figure 2 Samples of nutrition fact listed in the mAPP, weekly nutrition education material, and tailored message. (A) Nutrition fact listed in the mAPP. (B) Weekly nutrition education material. (C) Tailored message. mAPP, mobile-application.

  • Figure 3 Individual nutrients intake status and blood glucose level throughout the study period. FBS, fasting blood sugar; PP2, 2-hours post-prandial glucose*; CHO, carbohydrate; RNI, recommended nutrient intake. *PP2 was measured after oral intake of 75 g glucose.


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