Abstract
The historic practice of advising a low-carbohydrate and higher fat diet in the management of gestational diabetes mellitus has not been sufficiently tested. In addition to glucose, high maternal triglycerides and free fatty acids are independent risk factors for fetal macrosomia and excess neonatal adiposity. We tested the hypothesis that a higher complex carbohydrate/lower fat diet would result in higher postprandial glucose excursions but an overall 24-hour glucose area-under-the-curve resulted that is no different or lower than that of a low-carbohydrate/higher fat diet.
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