The effect of high carbohydrate and low carbohydrate suppers on fasting blood glucose levels (BGLs) in gestational diabetes mellitus (GDM)

Dr Dorothy Graham0 个研究点目标入组 69 人开始时间: 2017年5月8日最近更新: 2021年7月26日

适应症

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•aHave gestational diabetes diagnosed on routine oral glucose tolerance test. OGTT will diagnose gestational diabetes if fasting BSL is greater than or equal to 5.1, 1 hour reading is greater than or equal to 10, 2 hours greater than or equal to 8.5.
•bBe on diet control (no oral hypoglycaemic agents or insulin)
•cHave two or more fasting BGLs of 4.7-5.4mmol/L in the week prior to recruitment
•dHave a singleton pregnancy
•eAre between 24 and 34 weeks gestation
•fHave not had hospital admissions or Celestone therapy for the 2 weeks of the study
•gHave no food allergies or intolerances that preclude them taking the snack
•hAre compliant with BGL monitoring
•iFasting BGL recorded between 6am to 8am with a minimum time of 8 hours since their evening snack
•jAre capable of giving informed consent
•kAre women aged greater than or equal to 18 years of age
•lHave dinner between the hours of 5pm and 8 pm, with a 2 hour minimum time between evening meal and evening snack

•aRequiring NovoRapid (fast acting insulin) with meals or requiring Protaphane (long acting insulin) during the two week period (as per treating physician’s decision)
•bPatients on metformin or other medications which may affect glucose metabolism (as per treating physician’s decision) during the study
•cShift workers, or irregular meal times for any other reason
•dgreater than or equal to 3 fasting BGLs greater or equal to 5.2mmol/L in the week prior to recruitment
•eMacrosomic foetus, defined as AC greater than 90 percentile or polyhydramnios
•fWomen who require an interpreting service
•gWomen who have had bariatric surgery

发起方

Dr Dorothy Graham