101. Dietary Quality and Glycemic Control Among Women with Gestational Diabetes Mellitus
- Author
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Gadgil, Meghana D, Ehrlich, Samantha F, Zhu, Yeyi, Brown, Susan D, Hedderson, Monique M, Crites, Yvonne, and Ferrara, Assiamira
- Subjects
Biomedical and Clinical Sciences ,Nutrition and Dietetics ,Prevention ,Nutrition ,Perinatal Period - Conditions Originating in Perinatal Period ,Pediatric ,Diabetes ,Metabolic and endocrine ,Adult ,Blood Glucose ,Diabetes ,Gestational ,Diet ,Diet ,Healthy ,Female ,Glycemic Index ,Humans ,Nutrition Assessment ,Postprandial Period ,Pregnancy ,diet ,gestational diabetes ,glycemic control ,nutrition ,pregnancy ,Medical and Health Sciences ,Public Health ,Biomedical and clinical sciences ,Health sciences - Abstract
Background/objectivePoor dietary quality, measured by the Healthy Eating Index 2010 (HEI-2010), is associated with risk of gestational diabetes mellitus (GDM) and type 2 diabetes. The aim was to investigate the association between dietary quality and glycemic control in women with GDM.Materials and methodsThe study included 1220 women with GDM. Dietary quality was calculated by HEI-2010 score from a Food Frequency Questionnaire administered shortly after GDM diagnosis; higher scores indicate higher dietary quality. Subsequent glycemic control was defined as ≥80% of all capillary glucose measurements meeting recommended clinical targets below 95 mg/dL for fasting, and below 140 mg/dL 1-hour glucose after meals.ResultsAs compared with Quartile 1 of HEI-2010 score, Quartiles 2, 3, and 4 showed increased adjusted odds of overall optimal glycemic control (odds ratio [95% confidence interval] 1.90 [1.34-2.70], 1.77 [1.25-2.52], and 1.55 [1.09-2.20], respectively). Increased odds of glycemic control were observed in Quartiles 2, 3, and 4 as compared with Quartile 1 of HEI-2010 score for 1-hour postbreakfast and 1-hour postdinner. Mean capillary glucose was lower in Quartiles 2, 3, and 4 of HEI-2010 score when compared with Quartile 1 for 1-hour postdinner (p = 0.03).ConclusionsClinicians should be aware that even a small improvement in diet quality may be beneficial for the achievement of improved glycemic control in women with GDM.Trial registrationClinical Trials.gov number, NCT01344278.
- Published
- 2019