Question

Elizabeth’s Story: Gestational Diabetes

Elizabeth is a 36 year old who entered pregnancy with a BMI of 23.5 kg/m. She began receiving prenatal care at 32 weeks gestation and was screened for gestational diabetes the next day. Results of her oral glucose tolerance test revealed the following blood glucose levels:

Fasting: 90mg/dl

1 hour: 195 mg/dl

2 hour: 163 mg/dl

Elizabeth’s health care provided advised her to consume a no-sugar, low carbohydrate diet and to keep her weight gain low throughout the rest of the pregnancy. She delivered a large infant (4750 grams) at 39 weeks gestation.

Questions (answers must be at least 2-3 sentences):

1. Was Elizabeth insulin resistant?

2. What was wrong with the dietary advice Elizabeth was given?

3. List three components of appropriate dietary advice for women with gestational diabetes.

Answer 1

List three components of appropriate dietary advice for women with gestational diabetes.

1.Dividing the meals as small and frequent meals as the baby requires balanced nutrition

2. Starch and protein in breakfast without skipping the breakfast is helpful

3. careful while eating sugar free labelled products as it contains more carbohydrates.

What was wrong with the dietary advice Elizabeth was given?

No sugar low carbohydrate diet. As most of the sugar frr products have more carbohydrates, fats and little amount of nutrition which is most essential for the baby

Was Elizabeth insulin resistant?

No she is having gestational diabetes.

Insulin resistance is a pathological condition in which cells fails to respond to insulin.