Gestational Diabetes
Conditions
Brief summary
The purpose of the study is to see if a low glycemic index diet will reduce blood sugar levels in pregnant women with high blood sugar levels.
Detailed description
Women with gestational hyperglycemia, including women with gestational diabetes and impaired glucose tolerance of pregnancy, consuming a low glycemic index (GI) diet will experience better blood glucose control thereby decreasing the risk associated complication(s).
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* women with gestational hyperglycemia * age between 18 and 45 inclusive * willing and able to comply with protocol
Exclusion criteria
* \<18 or \>45 years of age * other chronic or acute illness which affects carbohydrate metabolism * known multiple pregnancy * \>34 weeks gestation * language barrier (no translator available)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fasting serum glucose | Baseline and 4 weeks |
| A1c | Baseline and 4 weeks |
| Self-blood-glucose-monitoring results | daily until delivery |
Secondary
| Measure | Time frame |
|---|---|
| dosage and frequency of insulin | duration of pregnancy |
| ultrasound measurements (if available) | according to clinical practice |
| fasting lipids | Baseline and 4 weeks |
| fasting c-reactive protein | Baseline and 4 weeks |
| infant birth weight | at birth |
| maternal weight gain throughout pregnancy | weekly |
| infant plasma calcium | at birth |
| infant bilirubin at birth obtained via heel prick | at birth |
| birth complications | at birth |
| perceptions of educational materials | — |
| perceptions of diet treatments | — |
| infant blood glucose | at birth |
| number of individuals who receive insulin treatment while participating in the study | duration of pregnancy |
| latency to insulin requirement/ gestational age when prescribed insulin | duration of pregnancy |
Countries
Canada