Gestational diabetes & diabetes in pregnancy

A Healthy, Low-Carbohydrate Diet During Pregnancy Is Associated With a Reduced Risk of Gestational Diabetes Mellitus

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

A healthy LCD during pregnancy characterized by high-quality carbohydrates, plant protein, and unsaturated fat was associated with a lower risk of GDM, whereas an unhealthy LCD consisting of low-quality carbohydrates, animal protein, and saturated fat was associated with a higher risk of GDM.

Study context

Population
Pregnant women in a prospective cohort in Wuhan, China; Gestational diabetes mellitus (GDM) screened by 75-g OGTT at 24–28 weeks
Participants
2,337 women
Exposure
Highest vs lowest quartile of overall, healthy and unhealthy low-carbohydrate diet (LCD) scores
Outcome
GDM
Follow-up
Between 24 and 28 weeks

Main finding

As reported in the abstract

Each group vs lowest quartileEstimate (95% CI)
Highest quartile
multivariable-adjusted RR (healthy LCD score) 0.68(0.49–0.94)
Highest quartile
multivariable-adjusted RR (unhealthy LCD score) 1.52(1.11–2.08)
Women diagnosed with GDM
257 (11.0%)

Observational data: associations, not effects.

Further findings

Macronutrient substitution and GDM

Substituting high-quality for low-quality carbohydrates and animal protein, and unsaturated for saturated fat: lower risk of GDM
13% to 29%

Original publication

A Healthy, Low-Carbohydrate Diet During Pregnancy Is Associated With a Reduced Risk of Gestational Diabetes Mellitus. J Clin Endocrinol Metab. Published 6 December 2023. doi:10.1210/clinem/dgad705

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.