Current dietetic practices in the management of gestational diabetes mellitus

A survey of Malaysian dietitians

A. S. Farhanah, M. D. Fatin Nasirah, M. Y. Barakatun Nisak, Nor Azlin Mohamed Ismail, M. S. Zalilah

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

The role of t he dietitian in the management of Gestational Diabetes Mellitus (GDM) is highly recognised. However, consensuses on dietetic approaches for the management of GDM in Malaysia are scarce. This study aimed to examine the current dietetic practices in the management of GDM and to compare nutrient recommendations provided by dietitians to those of several established international guidelines. A survey was conducted among dietitians who were working in government affiliated hospitals across Malaysia. Of 148 questionnaires posted to dietitians, a total of 101 were returned representing an overall response rate of 68%. The majority of t he dietitians (80%) reported that they see women with GDM in their daily practices with more than half (53%) having counselled 5 to 9 women per day during the previous 3 months. Flexible carbohydrate exchanges (82%) was the most common recommendation on carbohydrate intake followed by advice regarding small frequent meals spread over the day (62%) and portion control by using the plate method (54%). Only 11% dietitians incorporated the use of the glycaemic index as a measure of carbohydrate intake into their intervention. While recommendations regarding protein intake were consistent with established guidelines, the amount of carbohydrate recommended by the dietitians was higher than that in established guidelines. Although consistency was seen in key components of nutrition intervention, there were differences in the delivery of nutrient recommendations particularly in regard to dietary carbohydrate intake indicating a need for consensus on dietetic practice guidelines for the management of GDM.

Original languageEnglish
Pages (from-to)67-74
Number of pages8
JournalAsian Journal of Clinical Nutrition
Volume6
Issue number3
DOIs
Publication statusPublished - 2014

Fingerprint

gestational diabetes
Dietetics
Gestational Diabetes
Nutritionists
Practice Management
dietitians
dietetics
carbohydrate intake
Carbohydrates
Malaysia
Guidelines
Dietary Carbohydrates
carbohydrates
Glycemic Index
portion size
Food
dietary carbohydrate
glycemic index
nutritional intervention
nutrients

Keywords

  • Current practice
  • Dietitian
  • Gestational diabetes mellitus
  • Medical nutrition therapy

ASJC Scopus subject areas

  • Food Science
  • Nutrition and Dietetics
  • Pediatrics, Perinatology, and Child Health

Cite this

Current dietetic practices in the management of gestational diabetes mellitus : A survey of Malaysian dietitians. / Farhanah, A. S.; Fatin Nasirah, M. D.; Barakatun Nisak, M. Y.; Mohamed Ismail, Nor Azlin; Zalilah, M. S.

In: Asian Journal of Clinical Nutrition, Vol. 6, No. 3, 2014, p. 67-74.

Research output: Contribution to journalArticle

Farhanah, A. S. ; Fatin Nasirah, M. D. ; Barakatun Nisak, M. Y. ; Mohamed Ismail, Nor Azlin ; Zalilah, M. S. / Current dietetic practices in the management of gestational diabetes mellitus : A survey of Malaysian dietitians. In: Asian Journal of Clinical Nutrition. 2014 ; Vol. 6, No. 3. pp. 67-74.
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