TY - JOUR
T1 - Lower daily carbohydrate consumption than recommended by the Institute of Medicine is common among women with type 2 diabetes in early pregnancy in Denmark
AU - Ásbjörnsdóttir, Björg
AU - Ronneby, Helle
AU - Vestgaard, Marianne
AU - Ringholm, Lene
AU - Nichum, Vibeke Ladefoged
AU - Jensen, Dorte M
AU - Raben, Anne
AU - Damm, Peter
AU - Mathiesen, Elisabeth R
N1 - CURIS 2019 NEXS 190
Copyright © 2019. Published by Elsevier B.V.
PY - 2019/6
Y1 - 2019/6
N2 - Aims: To secure adequate carbohydrate supply in pregnancy, the Institute of Medicine (IOM)recommends a minimum amount of carbohydrates of 175 g daily. Currently a low carbohydrate diet is a popular health trend in the general population and this might also be common among overweight and obese pregnant women with type 2 diabetes (T2D). Thus, we explored carbohydrate consumption among pregnant women with T2D including women with type 1 diabetes (T1D)for comparison. Methods: A retrospective cohort study of consecutive women with T2D (N = 96)and T1D (N = 108), where dietary records were collected at the first antenatal visit. Results: Among women with T2D and T1D, bodyweight at the first visit was 90.8 ± 22 (mean ± SD)and 75.5 ± 15 kg (P < 0.001)while HbA1c was 6.6 ± 1.2% (49 ± 13 mmol/mol)and 6.6 ± 0.8% (48 ± 8 mmol/mol), P = 0.8, respectively. The average daily carbohydrate consumption from the major carbohydrate sources was similar in the two groups (159 ± 56 and 167 ± 48 g, P = 0.3), as was the level of total daily physical activity (median (interquartile range)): 215 (174–289)and 210 (178–267)metabolic equivalent of task-hour/week (P = 0.9). A high proportion of women with T2D and T1D (52% and 40%, P = 0.08)consumed fewer carbohydrates than recommended by the IOM. The prevalence of ketonuria (≥4 mmol/L)was 1% in both groups. Conclusions: In early pregnancy, a lower daily carbohydrate consumption than recommended by the IOM was common among women with T2D. The results were quite similar to women with T1D, despite a markedly higher bodyweight in women with T2D. Reassuringly, ketonuria was rare in both groups.
AB - Aims: To secure adequate carbohydrate supply in pregnancy, the Institute of Medicine (IOM)recommends a minimum amount of carbohydrates of 175 g daily. Currently a low carbohydrate diet is a popular health trend in the general population and this might also be common among overweight and obese pregnant women with type 2 diabetes (T2D). Thus, we explored carbohydrate consumption among pregnant women with T2D including women with type 1 diabetes (T1D)for comparison. Methods: A retrospective cohort study of consecutive women with T2D (N = 96)and T1D (N = 108), where dietary records were collected at the first antenatal visit. Results: Among women with T2D and T1D, bodyweight at the first visit was 90.8 ± 22 (mean ± SD)and 75.5 ± 15 kg (P < 0.001)while HbA1c was 6.6 ± 1.2% (49 ± 13 mmol/mol)and 6.6 ± 0.8% (48 ± 8 mmol/mol), P = 0.8, respectively. The average daily carbohydrate consumption from the major carbohydrate sources was similar in the two groups (159 ± 56 and 167 ± 48 g, P = 0.3), as was the level of total daily physical activity (median (interquartile range)): 215 (174–289)and 210 (178–267)metabolic equivalent of task-hour/week (P = 0.9). A high proportion of women with T2D and T1D (52% and 40%, P = 0.08)consumed fewer carbohydrates than recommended by the IOM. The prevalence of ketonuria (≥4 mmol/L)was 1% in both groups. Conclusions: In early pregnancy, a lower daily carbohydrate consumption than recommended by the IOM was common among women with T2D. The results were quite similar to women with T1D, despite a markedly higher bodyweight in women with T2D. Reassuringly, ketonuria was rare in both groups.
KW - Faculty of Science
KW - Carbohydrate
KW - Pregnancy
KW - Type 2 diabetes
KW - Type 1 diabetes
U2 - 10.1016/j.diabres.2019.05.012
DO - 10.1016/j.diabres.2019.05.012
M3 - Journal article
C2 - 31121274
SN - 0168-8227
VL - 152
SP - 88
EP - 95
JO - Diabetes Research and Clinical Practice
JF - Diabetes Research and Clinical Practice
ER -
