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Chapter 4


American Diabetes Association Recommendations for Prediabetes


• Clients with prediabetes should be referred to an inten- sive nutrition therapy and PA behavioral counseling program adhering to the tenets of the Diabetes Pre- vention Program targeting loss of 7% body weight and should increase their moderate PA to at least 150 min/ wk. (A)8


• Follow-up counseling and maintenance programs for persons with prediabetes should be offered for long- term success in preventing diabetes. (B)8


Academy of Nutrition and Dietetics Guidelines: Ges- tational Diabetes Mellitus


• Weight loss during pregnancy is not recommended. In overweight or obese women with gestational dia- betes mellitus (GDM), a modest energy restriction (approximately 70% of DRI for pregnant women) is recommended to slow weight gain without causing maternal or fetal compromise and/or ketonuria. (GDM, Fair)13


• Based on the DRI, a minimum of 175 g carbohydrate per day is encouraged to provide glucose to the fetal brain. (GDM, Fair)13


• The amount and type of carbohydrate impacts glyce- mic control; carbohydrate in the range of 40% to 65% of total calories is recommended. (GDM, Good)13 • Self-monitoring of blood glucose (BG)


is recom-


mended after meals to assess the effect of food on glycemic control. (GDM, Good)13


• Protein and fat intake is based on the DRIs for preg- nant women (10% to 35% and 20% to 35% of energy intake, respectively). (GDM, Fair)13


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