Gestational diabetes & diabetes in pregnancy

Premeal Whey Protein Lowers Postprandial Blood Glucose in Women With Gestational Diabetes Mellitus: A Randomized, Crossover Clinical Trial

Diabetes CarePublished Randomised controlled trial

Authors' conclusion

Premeal whey consumption acutely lowers postprandial blood glucose in women with GDM and those with NGT, with 15-30 g lowering the glucose iAUC of women with GDM. These findings emphasize the need for long-term studies to assess the impact of whey premeals in pregnancies affected by GDM.

Study context

Population
Pregnant women with and without gestational diabetes mellitus (GDM), 20–36 weeks' gestation; lab and home (CGM) settings12 GDM, 12 normal glucose tolerance (NGT)
Comparison
Premeal whey protein vs placebo before oral glucose tolerance test (OGTT)
Primary endpoint
Incremental AUC (incremental area under the curve (iAUC)) for glucose
Follow-up
3 hours after OGTT
Methodological detailsplacebo-controlled, single-blinded, crossover
  • Placebo-controlled
  • Single-blinded
  • Crossover

Primary result

As reported in the abstract

Peak glucose after OGTT
Whey vs PlaceboDifference, mmol/L (95% CI)
Women with GDM
−1.0(−1.6 to −0.4)
Women without GDM
−0.7(−1.3 to −0.1)

Further findings

OutcomeDifference (mmol/L) (95% CI)
Incremental glucose peaks at home (CGM), GDM30 g whey; maximum reduction; dose-dependent−2.0 (−2.5 to −1.5)

Insulin, GIP and GLP-1 levels

Increased rapidly after whey consumption in both groups

Original publication

Premeal Whey Protein Lowers Postprandial Blood Glucose in Women With Gestational Diabetes Mellitus: A Randomized, Crossover Clinical Trial. Diabetes Care. Published 22 April 2025. doi:10.2337/dc24-2831

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