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The Effect of Nutrition on the Treatment of Gestational Diabetes

Yıl 2023, Cilt: 2 Sayı: 2, 88 - 96, 31.07.2023
https://doi.org/10.59312/ebshealth.1206222

Öz

Pregnancy is a journey that takes about 40 weeks. During this period, a new life forms and grows in the uterus. Gestational diabetes is the most common endocrinological disorder in pregnancy. It can cause significant health problems in mother and baby. These problems can be counted as fetal macrosomia, cesarean section, birth defects, Type 2 DM and obesity in later periods. In addition to medical risk factors, it is important to know the effects of a diet rich in processed meats, saturated fats, simple carbohydrates and low in fiber on pregnant and infants, and to provide appropriate treatment in terms of reducing the risk of mortality and morbidity. This review article aimed to examine the effect of diet, macronutrients and vitamin-mineral intake from micronutrients on the formation of gestational diabetes.

Kaynakça

  • Bao, W., Bowers, K., Tobias, D.K., Hu, F.B., & Zhang, C. (2013). Prepregnancy dietary protein ıntake, major dietary protein sources, and the risk of gestational diabetes mellitus: A prospective cohort study. Diabetes Care, 36(7): 2001–2008.
  • Bao, W., Tobias, D. K., Hu, F. B., Chavarro, J. E., & Zhang, C. (2016). Pre-pregnancy potato consumption and risk of gestational diabetes mellitus: prospective cohort study. BMJ (Clinical research ed.), 352, h6898.
  • Barbieiri, P., Nunes, J. C., Torres, A. G., Nishimura, R. Y., Zuccolotto, D. C., Crivellenti, L. C., Sartorelli, D. S. (2016). Indices of dietary fat quality during midpregnancy is associated with gestational diabetes. Nutrition, 32(6), 656-661.
  • Beal J. A. (2018). Baby bottles and Bisphenol A (BPA): Still a parental concern. MCN. The American Journal Of Maternal Child Nursing, 43(6), 349.
  • Blackburn, B., Cox, K., Zhang, Y., Anderson, D., Wilkins, D., & Porucznik, C. (2020). Effect of rinsing canned foods on bisphenol-a exposure: The hummus experiment. Experimental Results, 1, E45.
  • Chen, L., Du, S., Song, H., Chen, J., Lv, C., & Li, C. (2022). The effect of dietary protein intake on the risk of gestational diabetes. Journal of Food Quality, 2022.
  • Cho, N. H., Shaw, J. E., Karuranga, S., Huang, Y., da Rocha Fernandes, J. D., Ohlrogge, A. W., & Malanda, B. (2018). IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes Research And Clinical Practice, 138, 271–281.
  • Cooper, J. E., Kendig, E. L., & Belcher, S. M. (2011). Assessment of Bisphenol A released from reusable plastic, aluminium and stainless steel water bottles. Chemosphere, 85(6), 943–947.
  • Dominguez, L. J., Martinez-Gonzalez, M. A., Basterra -Gortari, F. J. (2014). Fast food consumption and gestational diabetes incidence in the SUN Project. PLoS ONE 9(9): e106627.
  • Dong J.-Y., Ikehara S., Kimura T., Cui M., Kawanishi Y., Kimura T., Ueda K., Iso H. (2020). The Japan environment and children’s study group. Self-reported eating speed and ıncidence of gestational diabetes mellitus: The Japan environment and children’s study. Nutrients, 12, 1296.
  • Duarte-Gardea, M. O., Gonzales-Pacheco, D. M., Reader, D. M., Thomas, A. M., Wang, S. R., Gregory, R. P., Piemonte, T. A., Thompson, K. L., & Moloney, L. (2018). Academy of Nutrition and Dietetics Gestational Diabetes Evidence-Based Nutrition Practice Guideline. Journal of the Academy of Nutrition and Dietetics, 118(9), 1719–1742.
  • Dülger, Ö., Özcan, J., Savan, K., Uluğ, U. (2016). Gebelik boyunca az kilo alımı gestasyonel diyabet riskini artırır mı? Turkiye Klinikleri J Gynecol Obst., 129-33.
  • Hamer, M., & Chida, Y. (2007). Intake of fruit, vegetables, and antioxidants and risk of type 2 diabetes: systematic review and meta-analysis. Journal of hypertension, 25(12), 2361–2369.
  • He, J. R., Yuan, M. Y., Chen, N. N., Lu, J. H., Hu, C. Y., Mai, W. B., Zhang, R. F., Pan, Y. H., Qiu, L., Wu, Y. F., Xiao, W. Q., Liu, Y., Xia, H. M., & Qiu, X. (2015). Maternal dietary patterns and gestational diabetes mellitus: a large prospective cohort study in China. The British Journal Of Nutrition, 113(8), 1292–1300.
  • Hod, M., Kapur, A., Sacks, D. A., Hadar, E., Agarwal, M., Di Renzo, G. C., Cabero Roura, L., McIntyre, H. D., Morris, J. L., & Divakar, H. (2015). The International Federation of Gynecology and Obstetrics (FIGO) Initiative on gestational diabetes mellitus: A pragmatic guide for diagnosis, management, and care. International Journal of Gynaecology and Obstetrics, 131 Suppl 3, 173–211.
  • International Diabetes Federation (2021). IDF Diabetes Atlas, 2021 (10. Baskı). Belgium. diabetesatlas.org
  • International Diabetes Federation (2019). IDF Diabetes Atlas, 2021 (9. Baskı). Belgium. diabetesatlas.org
  • Khan, N. G., Correia, J., Adiga, D., Rai, P. S., Dsouza, H. S., Chakrabarty, S., & Kabekkodu, S. P. (2021). A comprehensive review on the carcinogenic potential of bisphenol A: clues and evidence. Environmental Science and Pollution Research International, 28(16), 19643–19663.
  • Liu, C., Zhong, C., Chen, R., Zhou, X., Wu, J., Han, J., Yang, N. (2020). Higher dietary vitamin C intake is associated with a lower risk of gestational diabetes mellitus: A longitudinal cohort study. Clinical Nutrition, 39(1), 198-203.
  • Luoto, R., Laitinen, K., Nermes, M., & Isolauri, E. (2010). Impact of maternal probiotic-supplemented dietary counselling on pregnancy outcome and prenatal and postnatal growth: a double-blind, placebo-controlled study. The British Journal of Nutrition, 103(12), 1792–1799.
  • Mahan, LK., Escott-Stump, S., Raymond, J. (2012). Krause‘s food and the nutrition care process (13th edition). Missouri (USA). Elsevier.
  • Metzger, B. E., Lowe, L. P., Dyer, A. R., Trimble, E. R., Chaovarindr, U., Mclntyre, H. D & HAPO Study Cooperative Research Group. (2008). Pregnancy Outcome (HAPO) Study Cooperative Research Group. N Engl J Med, 358, 991-2002.
  • Mitanchez, D., Ciangura, C., & Jacqueminet, S. (2020). How can maternal lifestyle interventions modify the effects of gestational diabetes in the neonate and the offspring? A systematic review of meta-analyses. Nutrients, 12(2), 353.
  • Muraki, I., Imamura, F., Manson, J. E., Hu, F. B., Willett, W. C., van Dam, R. M., & Sun, Q. (2013). Fruit consumption and risk of type 2 diabetes: results from three prospective longitudinal cohort studies. BMJ (Clinical research ed.), 347, f5001.
  • Ottman, N., Smidt, H., de Vos, W. M., & Belzer, C. (2012). The function of our microbiota: who is out there and what do they do?. Frontiers in Cellular and Infection Microbiology, 2, 104.
  • Parlea, L., Bromberg, I., Feig, D., Vieth, R., Merman, E., Lipscombe, L. (2012). Association between serum 25‐hydroxyvitamin D in early pregnancy and risk of gestational diabetes mellitus. Diabetic Medicine, 29(7), e25-e32.
  • Poston, L., Briley, AL., Seed, PT., Kelly, FJ., Shennan, AH. (2006); Vitamins in Preeclampsia (VIP) Trial Consortium. Vitamin C and vitamin E in pregnant women at risk for pre-eclampsia (VIP trial): randomised placebo-controlled trial. Lancet, 367, 1145-1154.
  • Rasmussen, K. M., Yaktine, A. L., & Institute of Medicine (US) and National Research Council (US) Committee to Reexamine IOM Pregnancy Weight Guidelines (Eds.). (2009). Weight gain during pregnancy: reexamining the guidelines. National Academies Press (US).
  • Rasmussen, L., Poulsen, C. W., Kampmann, U., Smedegaard, S. B., Ovesen, P. G., & Fuglsang, J. (2020). Diet and healthy lifestyle in the management of gestational diabetes mellitus. Nutrients, 12(10), 3050.
  • Rudra, C. B., Sorensen, T. K., Leisenring, W. M., Dashow, E., Williams, M. A. (2007). Weight characteristics and height in relation to risk of gestational diabetes mellitus. American Journal of Epidemiology, 165(3), 302–308.
  • Saleh L., Schrier N.L., Bruins M.J., Steegers E.A., Meiracker A.H.V.D., Visser W. (2018). Effect of oral protein hydrolysate on glucose control in patients with gestational diabetes. Clin. Nutr. 37, 878–883.
  • Samimi, M., Jamilian, M., Asemi, Z., & Esmaillzadeh, A. (2015). Effects of omega-3 fatty acid supplementation on insulin metabolism and lipid profiles in gestational diabetes: Randomized, double-blind, placebo-controlled trial. Clinical Nutrition (Edinburgh, Scotland), 34(3), 388–393. https://doi.org/10.1016/j.clnu.2014.06.005
  • Shahgheibi, S., Farhadifar, F., & Pouya, B. (2016). The effect of vitamin D supplementation on gestational diabetes in high-risk women: Results from a randomized placebo-controlled trial. Journal of Research in Medical Sciences : The Official Journal of Isfahan University of Medical Sciences, 21, 2.
  • Silverman, B. L., Rizzo, T. A., Cho, N. H., Metzger, B. E. (1998). Long-term effects of the intrauterine environment. The Northwestern University Diabetes in Pregnancy Center. Diabetes Care, 21 Suppl 2, 142-151.
  • American Diabetes Association. (2013). Standards of medical care in diabetes. Diabetes care; 36 Suppl 1(Suppl 1), 11–66.
  • Stern, C., Schwarz, S., Moser, G., Cvitic, S., Jantscher-Krenn, E., Gauster, M., Hiden, U. (2021). placental endocrine activity: adaptation and disruption of maternal glucose metabolism in pregnancy and the ınfluence of fetal sex. International Journal of Molecular Sciences, 22(23), 12722.
  • Tobias, D. K., Zhang, C., Chavarro, J., Bowers, K., Rich-Edwards, J., Rosner, B., Mozaffarian, D., & Hu, F. B. (2012). Prepregnancy adherence to dietary patterns and lower risk of gestational diabetes mellitus. The American Journal of Clinical Nutrition, 96(2), 289–295.
  • Turnbaugh, P. J., Hamady, M., Yatsunenko, T., Cantarel, B. L., Duncan, A., Ley, R. E., Sogin, M. L., Jones, W. J., Roe, B. A., Affourtit, J. P., Egholm, M., Henrissat, B., Heath, A. C., Knight, R., & Gordon, J. I. (2009). A core gut microbiome in obese and lean twins. Nature, 457(7228), 480–484.
  • Wang, H. K., Cheng, D. C., Yang, Y. M., Wang, X. H., Chen, Y., Zhang, L., Xu, X. M. (2021). The role of high-content complex dietary fiber in medical nutrition therapy for gestational diabetes mellitus. Frontiers in Pharmacology, 12, 684898.
  • Yong, H. Y., Mohd Shariff, Z., Mohd Yusof, B. N., Rejali, Z., Tee, Y. Y. S., Bindels, J., van der Beek, E. M. (2020). Independent and combined effects of age, body mass index and gestational weight gain on the risk of gestational diabetes mellitus. Scientific Reports, 10(1), 8486.
  • Zhang, C., Liu, S., Solomon, CG. (2006). Dietary fiber intake, dietary glycemic load, and the risk for gestational diabetes mellitus. Diabetes Care, 29(10), 2223-2230.
  • Zhang, W., Xia, W., Liu, W., Li, X., Hu, J., Zhang, B., Xu, S., Zhou, Y., Li, J., Cai, Z., & Li, Y. (2019). Exposure to Bisphenol A substitutes and gestational diabetes mellitus: A prospective cohort study in China. Frontiers in Endocrinology, 10, 262.

Gestasyonel Diyabet Tedavisinde Beslenmenin Etkisi

Yıl 2023, Cilt: 2 Sayı: 2, 88 - 96, 31.07.2023
https://doi.org/10.59312/ebshealth.1206222

Öz

Hamilelik yaklaşık 40 hafta süren yolculuktur. Bu dönemde rahmin içinde yeni bir canlı oluşur ve büyür. Her hafta bebek için ayrı bir dönüm noktasıdır. Özellikle 24-28.haftalar arasında gestasyonel diyabetus mellitus (GDM) tanısı alan anne ve bebek için hamilelik süreci daha önemli hale gelir. GDM gebelikte en sık görülen endokrinolojik bozukluktur. Gestasyonel diyabet hem anne hem bebekte fetal makrozomi, sezaryen doğum, doğum defektleri, ilerleyen dönemlerde Tip 2 DM ve obezite gibi önemli sağlık sorunlarına neden olabilmektedir. Tıbbi risk faktörlerinin yanı sıra diyet risklerinin anne ve bebek üzerindeki etkilerinin iyi bilinmesi ve uygun tedavinin sağlanması mortalite ve morbidite riskinin azaltılması açısından önemlidir. Düzensiz ve kötü beslenmenin hamilelikte yeri yoktur. Bu derleme yazı, beslenme şeklinin, makro besinler ve mikro besinlerden vitamin-mineral alımının, çevresel faktörlerin gestasyonel diyabet oluşumuna etkisini incelemektedir.

Kaynakça

  • Bao, W., Bowers, K., Tobias, D.K., Hu, F.B., & Zhang, C. (2013). Prepregnancy dietary protein ıntake, major dietary protein sources, and the risk of gestational diabetes mellitus: A prospective cohort study. Diabetes Care, 36(7): 2001–2008.
  • Bao, W., Tobias, D. K., Hu, F. B., Chavarro, J. E., & Zhang, C. (2016). Pre-pregnancy potato consumption and risk of gestational diabetes mellitus: prospective cohort study. BMJ (Clinical research ed.), 352, h6898.
  • Barbieiri, P., Nunes, J. C., Torres, A. G., Nishimura, R. Y., Zuccolotto, D. C., Crivellenti, L. C., Sartorelli, D. S. (2016). Indices of dietary fat quality during midpregnancy is associated with gestational diabetes. Nutrition, 32(6), 656-661.
  • Beal J. A. (2018). Baby bottles and Bisphenol A (BPA): Still a parental concern. MCN. The American Journal Of Maternal Child Nursing, 43(6), 349.
  • Blackburn, B., Cox, K., Zhang, Y., Anderson, D., Wilkins, D., & Porucznik, C. (2020). Effect of rinsing canned foods on bisphenol-a exposure: The hummus experiment. Experimental Results, 1, E45.
  • Chen, L., Du, S., Song, H., Chen, J., Lv, C., & Li, C. (2022). The effect of dietary protein intake on the risk of gestational diabetes. Journal of Food Quality, 2022.
  • Cho, N. H., Shaw, J. E., Karuranga, S., Huang, Y., da Rocha Fernandes, J. D., Ohlrogge, A. W., & Malanda, B. (2018). IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes Research And Clinical Practice, 138, 271–281.
  • Cooper, J. E., Kendig, E. L., & Belcher, S. M. (2011). Assessment of Bisphenol A released from reusable plastic, aluminium and stainless steel water bottles. Chemosphere, 85(6), 943–947.
  • Dominguez, L. J., Martinez-Gonzalez, M. A., Basterra -Gortari, F. J. (2014). Fast food consumption and gestational diabetes incidence in the SUN Project. PLoS ONE 9(9): e106627.
  • Dong J.-Y., Ikehara S., Kimura T., Cui M., Kawanishi Y., Kimura T., Ueda K., Iso H. (2020). The Japan environment and children’s study group. Self-reported eating speed and ıncidence of gestational diabetes mellitus: The Japan environment and children’s study. Nutrients, 12, 1296.
  • Duarte-Gardea, M. O., Gonzales-Pacheco, D. M., Reader, D. M., Thomas, A. M., Wang, S. R., Gregory, R. P., Piemonte, T. A., Thompson, K. L., & Moloney, L. (2018). Academy of Nutrition and Dietetics Gestational Diabetes Evidence-Based Nutrition Practice Guideline. Journal of the Academy of Nutrition and Dietetics, 118(9), 1719–1742.
  • Dülger, Ö., Özcan, J., Savan, K., Uluğ, U. (2016). Gebelik boyunca az kilo alımı gestasyonel diyabet riskini artırır mı? Turkiye Klinikleri J Gynecol Obst., 129-33.
  • Hamer, M., & Chida, Y. (2007). Intake of fruit, vegetables, and antioxidants and risk of type 2 diabetes: systematic review and meta-analysis. Journal of hypertension, 25(12), 2361–2369.
  • He, J. R., Yuan, M. Y., Chen, N. N., Lu, J. H., Hu, C. Y., Mai, W. B., Zhang, R. F., Pan, Y. H., Qiu, L., Wu, Y. F., Xiao, W. Q., Liu, Y., Xia, H. M., & Qiu, X. (2015). Maternal dietary patterns and gestational diabetes mellitus: a large prospective cohort study in China. The British Journal Of Nutrition, 113(8), 1292–1300.
  • Hod, M., Kapur, A., Sacks, D. A., Hadar, E., Agarwal, M., Di Renzo, G. C., Cabero Roura, L., McIntyre, H. D., Morris, J. L., & Divakar, H. (2015). The International Federation of Gynecology and Obstetrics (FIGO) Initiative on gestational diabetes mellitus: A pragmatic guide for diagnosis, management, and care. International Journal of Gynaecology and Obstetrics, 131 Suppl 3, 173–211.
  • International Diabetes Federation (2021). IDF Diabetes Atlas, 2021 (10. Baskı). Belgium. diabetesatlas.org
  • International Diabetes Federation (2019). IDF Diabetes Atlas, 2021 (9. Baskı). Belgium. diabetesatlas.org
  • Khan, N. G., Correia, J., Adiga, D., Rai, P. S., Dsouza, H. S., Chakrabarty, S., & Kabekkodu, S. P. (2021). A comprehensive review on the carcinogenic potential of bisphenol A: clues and evidence. Environmental Science and Pollution Research International, 28(16), 19643–19663.
  • Liu, C., Zhong, C., Chen, R., Zhou, X., Wu, J., Han, J., Yang, N. (2020). Higher dietary vitamin C intake is associated with a lower risk of gestational diabetes mellitus: A longitudinal cohort study. Clinical Nutrition, 39(1), 198-203.
  • Luoto, R., Laitinen, K., Nermes, M., & Isolauri, E. (2010). Impact of maternal probiotic-supplemented dietary counselling on pregnancy outcome and prenatal and postnatal growth: a double-blind, placebo-controlled study. The British Journal of Nutrition, 103(12), 1792–1799.
  • Mahan, LK., Escott-Stump, S., Raymond, J. (2012). Krause‘s food and the nutrition care process (13th edition). Missouri (USA). Elsevier.
  • Metzger, B. E., Lowe, L. P., Dyer, A. R., Trimble, E. R., Chaovarindr, U., Mclntyre, H. D & HAPO Study Cooperative Research Group. (2008). Pregnancy Outcome (HAPO) Study Cooperative Research Group. N Engl J Med, 358, 991-2002.
  • Mitanchez, D., Ciangura, C., & Jacqueminet, S. (2020). How can maternal lifestyle interventions modify the effects of gestational diabetes in the neonate and the offspring? A systematic review of meta-analyses. Nutrients, 12(2), 353.
  • Muraki, I., Imamura, F., Manson, J. E., Hu, F. B., Willett, W. C., van Dam, R. M., & Sun, Q. (2013). Fruit consumption and risk of type 2 diabetes: results from three prospective longitudinal cohort studies. BMJ (Clinical research ed.), 347, f5001.
  • Ottman, N., Smidt, H., de Vos, W. M., & Belzer, C. (2012). The function of our microbiota: who is out there and what do they do?. Frontiers in Cellular and Infection Microbiology, 2, 104.
  • Parlea, L., Bromberg, I., Feig, D., Vieth, R., Merman, E., Lipscombe, L. (2012). Association between serum 25‐hydroxyvitamin D in early pregnancy and risk of gestational diabetes mellitus. Diabetic Medicine, 29(7), e25-e32.
  • Poston, L., Briley, AL., Seed, PT., Kelly, FJ., Shennan, AH. (2006); Vitamins in Preeclampsia (VIP) Trial Consortium. Vitamin C and vitamin E in pregnant women at risk for pre-eclampsia (VIP trial): randomised placebo-controlled trial. Lancet, 367, 1145-1154.
  • Rasmussen, K. M., Yaktine, A. L., & Institute of Medicine (US) and National Research Council (US) Committee to Reexamine IOM Pregnancy Weight Guidelines (Eds.). (2009). Weight gain during pregnancy: reexamining the guidelines. National Academies Press (US).
  • Rasmussen, L., Poulsen, C. W., Kampmann, U., Smedegaard, S. B., Ovesen, P. G., & Fuglsang, J. (2020). Diet and healthy lifestyle in the management of gestational diabetes mellitus. Nutrients, 12(10), 3050.
  • Rudra, C. B., Sorensen, T. K., Leisenring, W. M., Dashow, E., Williams, M. A. (2007). Weight characteristics and height in relation to risk of gestational diabetes mellitus. American Journal of Epidemiology, 165(3), 302–308.
  • Saleh L., Schrier N.L., Bruins M.J., Steegers E.A., Meiracker A.H.V.D., Visser W. (2018). Effect of oral protein hydrolysate on glucose control in patients with gestational diabetes. Clin. Nutr. 37, 878–883.
  • Samimi, M., Jamilian, M., Asemi, Z., & Esmaillzadeh, A. (2015). Effects of omega-3 fatty acid supplementation on insulin metabolism and lipid profiles in gestational diabetes: Randomized, double-blind, placebo-controlled trial. Clinical Nutrition (Edinburgh, Scotland), 34(3), 388–393. https://doi.org/10.1016/j.clnu.2014.06.005
  • Shahgheibi, S., Farhadifar, F., & Pouya, B. (2016). The effect of vitamin D supplementation on gestational diabetes in high-risk women: Results from a randomized placebo-controlled trial. Journal of Research in Medical Sciences : The Official Journal of Isfahan University of Medical Sciences, 21, 2.
  • Silverman, B. L., Rizzo, T. A., Cho, N. H., Metzger, B. E. (1998). Long-term effects of the intrauterine environment. The Northwestern University Diabetes in Pregnancy Center. Diabetes Care, 21 Suppl 2, 142-151.
  • American Diabetes Association. (2013). Standards of medical care in diabetes. Diabetes care; 36 Suppl 1(Suppl 1), 11–66.
  • Stern, C., Schwarz, S., Moser, G., Cvitic, S., Jantscher-Krenn, E., Gauster, M., Hiden, U. (2021). placental endocrine activity: adaptation and disruption of maternal glucose metabolism in pregnancy and the ınfluence of fetal sex. International Journal of Molecular Sciences, 22(23), 12722.
  • Tobias, D. K., Zhang, C., Chavarro, J., Bowers, K., Rich-Edwards, J., Rosner, B., Mozaffarian, D., & Hu, F. B. (2012). Prepregnancy adherence to dietary patterns and lower risk of gestational diabetes mellitus. The American Journal of Clinical Nutrition, 96(2), 289–295.
  • Turnbaugh, P. J., Hamady, M., Yatsunenko, T., Cantarel, B. L., Duncan, A., Ley, R. E., Sogin, M. L., Jones, W. J., Roe, B. A., Affourtit, J. P., Egholm, M., Henrissat, B., Heath, A. C., Knight, R., & Gordon, J. I. (2009). A core gut microbiome in obese and lean twins. Nature, 457(7228), 480–484.
  • Wang, H. K., Cheng, D. C., Yang, Y. M., Wang, X. H., Chen, Y., Zhang, L., Xu, X. M. (2021). The role of high-content complex dietary fiber in medical nutrition therapy for gestational diabetes mellitus. Frontiers in Pharmacology, 12, 684898.
  • Yong, H. Y., Mohd Shariff, Z., Mohd Yusof, B. N., Rejali, Z., Tee, Y. Y. S., Bindels, J., van der Beek, E. M. (2020). Independent and combined effects of age, body mass index and gestational weight gain on the risk of gestational diabetes mellitus. Scientific Reports, 10(1), 8486.
  • Zhang, C., Liu, S., Solomon, CG. (2006). Dietary fiber intake, dietary glycemic load, and the risk for gestational diabetes mellitus. Diabetes Care, 29(10), 2223-2230.
  • Zhang, W., Xia, W., Liu, W., Li, X., Hu, J., Zhang, B., Xu, S., Zhou, Y., Li, J., Cai, Z., & Li, Y. (2019). Exposure to Bisphenol A substitutes and gestational diabetes mellitus: A prospective cohort study in China. Frontiers in Endocrinology, 10, 262.
Toplam 42 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Beslenme Bilimi, Endokrinoloji, Ebelik (Diğer), Sağlık Kurumları Yönetimi
Bölüm Derlemeler
Yazarlar

Tevhide Çelenk 0000-0002-9364-0802

Yayımlanma Tarihi 31 Temmuz 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 2 Sayı: 2

Kaynak Göster

APA Çelenk, T. (2023). Gestasyonel Diyabet Tedavisinde Beslenmenin Etkisi. Doğu Karadeniz Sağlık Bilimleri Dergisi, 2(2), 88-96. https://doi.org/10.59312/ebshealth.1206222

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