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Impact of Fiber Supplement on Gestational Diabetes and Preterm Birth


Core Concepts
Fiber supplement intake during pregnancy can reduce the risk of gestational diabetes and preterm birth in women with high insulin resistance.
Abstract
Researchers conducted a study on pregnant women with high insulin resistance to assess the impact of a fiber supplement on gestational diabetes and preterm birth. Key Takeaways High insulin resistance women showed improved glucose metabolism and reduced risk of gestational diabetes and preterm birth with fiber supplement intake. The intervention did not affect lipid profiles or other outcomes. Why This Matters Gestational diabetes poses risks for maternal and perinatal complications and future type 2 diabetes. High TyG index in early pregnancy is linked to gestational diabetes development. Enhancing glucose metabolism in high TyG index women may prevent gestational diabetes. Study Design 295 women with a TyG index ≥ 8.5 before 20 weeks' gestation were randomly assigned. Women received oral dietary fiber powder or usual care during weeks 20-24. Participants underwent glucose tolerance tests and additional assessments. Key Results Fiber supplement group had lower gestational diabetes incidence and blood glucose levels. No significant differences in other parameters between groups. Women receiving the supplement had longer gestational age and lower preterm birth rates. Limitations Small sample size and single-center study. Short duration of the dietary fiber intervention. Disclosures Study had no commercial funding. Authors had no disclosures.
Stats
"The incidence of gestational diabetes among women in the group who ingested the fiber supplement was 11.2%, significantly less than the 23.7% rate among women who served as controls." "Mean gestational age at delivery among women who received the fiber supplement was 39.07 weeks, significantly greater than the 38.58-week average among the controls." "The incidence of preterm delivery at less than 37 weeks was 2.3% among women who used the fiber supplement, significantly less than the 9.4% rate among the controls."
Quotes
"Improving glucose metabolism in women with a high TyG index during pregnancy might help prevent gestational diabetes."

Key Insights Distilled From

by Miriam E. Tu... at www.medscape.com 05-22-2023

https://www.medscape.com/viewarticle/992287
Dietary Fiber Cut Gestational Diabetes, Preterm Birth

Deeper Inquiries

How can the findings of this study be applied to broader populations?

The findings of this study suggest that daily oral fiber supplementation in pregnant women with high insulin resistance can lead to improved glucose metabolism, reduced risk of gestational diabetes, and fewer preterm births. These results could potentially be applied to broader populations by incorporating dietary fiber interventions as a preventive measure for gestational diabetes in high-risk individuals. Healthcare providers could consider recommending fiber supplements or dietary modifications to pregnant women with similar risk factors to improve outcomes and reduce complications associated with gestational diabetes.

What are potential drawbacks of relying solely on dietary interventions for gestational diabetes prevention?

While dietary interventions, such as fiber supplementation, can be beneficial in preventing gestational diabetes, there are potential drawbacks to relying solely on these approaches. One limitation is the adherence to dietary recommendations, as pregnant women may find it challenging to consistently follow a specific dietary plan. Additionally, dietary interventions may not address all risk factors for gestational diabetes, such as genetic predispositions or lifestyle factors. It is essential to consider a holistic approach to gestational diabetes prevention, including regular monitoring, physical activity, and other lifestyle modifications, in addition to dietary interventions.

How can healthcare providers encourage better dietary habits in pregnant women to improve outcomes?

Healthcare providers play a crucial role in encouraging better dietary habits in pregnant women to improve outcomes. They can provide education and counseling on the importance of a balanced diet rich in fiber, fruits, vegetables, and whole grains. Healthcare providers can also offer personalized dietary plans tailored to the individual needs and preferences of pregnant women. Additionally, incorporating regular follow-up appointments to monitor dietary habits, offering resources for healthy recipes, and involving dietitians or nutritionists in the care team can further support pregnant women in adopting and maintaining better dietary habits throughout pregnancy. By promoting a supportive and informative environment, healthcare providers can empower pregnant women to make healthier food choices and improve maternal and neonatal outcomes.
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