What to Do When Doctors Disagree on Diets for Women With Gestational Diabetes

Medical nutrition therapy is considered the cornerstone of treatment for gestational diabetes mellitus , even though there is no consensus on the best dietary approach to achieve optimal glycemic control and positive maternal and fetal outcomes. In this article , we present a case from our clinic of a woman with gestational mellitus , the evidence for the level of macronutrients to include in the diet , and the use of glycemic index for dietary planning. We also review the evidence for emerging dietary therapies and provide general recommendations that should be individualized to the patient.