Sommario
Lo stato nutrizionale pre-gravidico e l’apporto di nutrienti in gravidanza possono condizionare decorso e esito della gravidanza. Nella gravidanza complicata da iperglicemia, la dieta deve garantire anche il mantenimento di adeguati livelli glicemici e rappresenta il cardine della gestione del diabete. Un’alimentazione equilibrata e l’eventuale supplementazione di micronutrienti diventano strumento essenziale per garantire un migliore controllo metabolico e per prevenire esiti materno-fetali negativi.
Bibliografia
American Diabetes Association (2019) Management of diabetes in pregnancy: standards of medical care in diabetes—2019. Diabetes Care 42(Suppl 1):S165–S172.
Yamamoto JM, Kellett JE, Balsells M et al. (2018) Gestational diabetes mellitus and diet: a systematic review and meta-analysis of randomized controlled trials examining the impact of modified dietary interventions on maternal glucose control and neonatal birth weight. Diabetes Care 41(7):1346–1361
Mahajan A, Donovan LE, Vallee R, Yamamoto JM (2019) Evidenced-based nutrition for gestational diabetes mellitus. Curr Diabetes Rep 19(10):94
Hernandez TL, Van Pelt RE, Anderson MA et al. (2016) Women with gestational diabetes mellitus randomized to a higher-complex carbohydrate/low-fat diet manifest lower adipose tissue insulin resistance, inflammation, glucose, and free fatty acids: a pilot study. Diabetes Care 39(1):39–42
Roskjær AB, Andersen JR, Ronneby H et al. (2015) Dietary advices on carbohydrate intake for pregnant women with type 1 diabetes. J Matern Fetal Neonatal Med 28(2):229–233
Xu Q, Ge Z, Hu J et al. (2019) The association of gestational weight gain and adverse pregnancy outcomes in women with gestational diabetes mellitus. Endocr Pract 25(11):1137–1150
Istituto Superiore di Sanità (2015) Acido folico e folati prima di una gravidanza. Acido folico e folati: vitamine per la vita. http://www.iss.it/acid/index.php?lang=1&id=181&tipo=10. Accessed on Nov. 03, 2019
Parker SE, Yazdy MM, Tinker SC et al. (2013) The impact of folic acid intake on the association among diabetes mellitus, obesity, and spina bifida. Am J Obstet Gynecol 209(3):239.e1-8
Società Italiana Nutrizione Umana (2014) LARN, 2014. http://www.sinu.it/html/cnt/larn.asp. Accessed on Nov. 03, 2019
Green R, Allen LH, Bjørke-Monsen AL et al. (2017) Vitamin B12 deficiency. Nat Rev Dis Primers 3:17040
Milman N, Byg KE, Bergholt T et al. (2006) Cobalamin status during normal pregnancy and postpartum: a longitudinal study comprising 406 Danish women. Eur J Haematol 76:521–525
Molloy AM, Kirke PN, Brody LC et al. (2008) Effects of folate and vitamin B12 deficiencies during pregnancy on fetal, infant, and child development. Food Nutr Bull 29(2 Suppl):S101–111
Ronnenberg AG, Goldman MB, Chen D et al. (2002) Preconception homocysteine and B vitamin status and birth outcomes in Chinese women. Am J Clin Nutr 76(6):1385–1391
Adaikalakoteswari A, Vatish M, Alam MT et al. (2017) Low vitamin B12 in pregnancy is associated with adipose derived circulating miRs targeting PPAR\(\gamma\) and insulin resistance. J Clin Endocrinol Metab 102(11):4200–4209
Croze ML, Soulage CO (2013) Potential role and therapeutic interests of myo-inositol in metabolic diseases. Biochimie 95(10):1811–1827
Scioscia M, Kunjara S, Gumaa K et al. (2007) Urinary excretion of inositol phosphoglycan P-type in gestational diabetes mellitus. Diabet Med 24(11):1300–1304
Crawford TJ, Crowther CA, Alsweiler J, Brown J (2015) Antenatal dietary supplementation with myo-inositol in women during pregnancy for preventing gestational diabetes. Cochrane Database Syst Rev 12:CD011507
Vitagliano A, Saccone G, Cosmi E et al. (2019) Inositol for the prevention of gestational diabetes: a systematic review and meta-analysis of randomized controlled trials. Arch Gynecol Obstet 299(1):55–68
Brown J, Crawford TJ, Alsweiler J, Crowther CA (2016) Dietary supplementation with myo-inositol in women during pregnancy for treating gestational diabetes. Cochrane Database Syst Rev 9:CD012048
Fraticelli F, Celentano C, Zecca IA et al. (2018) Effect of inositol stereoisomers at different dosages in gestational diabetes: an open-label, parallel, randomized controlled trial. Acta Diabetol 55(8):805–812
Brannon PM, Picciano MF (2011) Vitamin D in pregnancy and lactation in humans. Annu Rev Nutr 31:89–115
Aghajafari F, Nagulesapillai T, Ronksley PE et al. (2013) Association between maternal serum 25-hydroxyvitamin D level and pregnancy and neonatal outcomes: systematic review and meta-analysis of observational studies. BMJ 346:f1169
De-Regil LM, Palacios C, Lombardo LK, Pena-Rosas JP (2016) Vitamin D supplementation for women during pregnancy. Cochrane Database Syst Rev 1:CD008873
Corcoy R, Mendoza LC, Simmons D et al (2019) The DALI vitamin D randomized controlled trial for gestational diabetes mellitus prevention: no major benefit shown besides vitamin D sufficiency. Clin Nutr, pii:S0261-5614(19)30161-X
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Le autrici Elisabetta Torlone e Sara Perrettini dichiarano di non avere conflitti di interesse.
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Torlone, E., Parrettini, S. Nutrizione e nutraceutica in donne con iperglicemia in gravidanza. L'Endocrinologo 21, 101–107 (2020). https://doi.org/10.1007/s40619-020-00694-3
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DOI: https://doi.org/10.1007/s40619-020-00694-3