Describe the appropriate medical nutrition therapy for pregnant women with diabetes


Nutrient requirements during pregnancy are similar for women with and without diabetes. In women with diabetes, however, carbohydrate intakes must be balanced with insulin treatment and physical activity to avoid hypoglycemia and hyperglycemia. To help with this goal, women should consume meals and snacks at similar times each day, and select carbohydrate sources that facilitate glucose control after meals, such as whole grains, fruits, and vegetables. An evening snack is usually required to prevent overnight hypoglycemia and ketosis. When insulin dosages are adjusted, the diabetic woman will need to modify her carbohydrate intake as well.

Nutritional Science

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