Current dietetic practices in the management of gestational diabetes mellitus: a survey of Malaysian dietitians

The role of the 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 nu...

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Main Authors: Ahmad Shuhaimi, Farhanah, Mohammed Danial, Fatin Nasirah, Mohd Yusof, Barakatun Nisak, Mohamed Ismail, Nor Azlin, Mohd Shariff, Zalilah
Format: Article
Language:English
Published: Asian Network for Scientific Information 2014
Online Access:http://psasir.upm.edu.my/id/eprint/36949/
http://psasir.upm.edu.my/id/eprint/36949/1/Current%20dietetic%20practices%20in%20the%20management%20of%20gestational%20diabetes%20mellitus.pdf
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author Ahmad Shuhaimi, Farhanah
Mohammed Danial, Fatin Nasirah
Mohd Yusof, Barakatun Nisak
Mohamed Ismail, Nor Azlin
Mohd Shariff, Zalilah
author_facet Ahmad Shuhaimi, Farhanah
Mohammed Danial, Fatin Nasirah
Mohd Yusof, Barakatun Nisak
Mohamed Ismail, Nor Azlin
Mohd Shariff, Zalilah
author_sort Ahmad Shuhaimi, Farhanah
building UPM Institutional Repository
collection Online Access
description The role of the 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 the 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.
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spelling upm-369492017-10-27T05:02:43Z http://psasir.upm.edu.my/id/eprint/36949/ Current dietetic practices in the management of gestational diabetes mellitus: a survey of Malaysian dietitians Ahmad Shuhaimi, Farhanah Mohammed Danial, Fatin Nasirah Mohd Yusof, Barakatun Nisak Mohamed Ismail, Nor Azlin Mohd Shariff, Zalilah The role of the 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 the 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. Asian Network for Scientific Information 2014 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/36949/1/Current%20dietetic%20practices%20in%20the%20management%20of%20gestational%20diabetes%20mellitus.pdf Ahmad Shuhaimi, Farhanah and Mohammed Danial, Fatin Nasirah and Mohd Yusof, Barakatun Nisak and Mohamed Ismail, Nor Azlin and Mohd Shariff, Zalilah (2014) Current dietetic practices in the management of gestational diabetes mellitus: a survey of Malaysian dietitians. Asian Journal of Clinical Nutrition, 6 (3). pp. 67-74. ISSN 1992-1470; ESSN: 2077-2033 http://scialert.net/abstract/?doi=ajcn.2014.67.74 10.3923/ajcn.2014.67.74
spellingShingle Ahmad Shuhaimi, Farhanah
Mohammed Danial, Fatin Nasirah
Mohd Yusof, Barakatun Nisak
Mohamed Ismail, Nor Azlin
Mohd Shariff, Zalilah
Current dietetic practices in the management of gestational diabetes mellitus: a survey of Malaysian dietitians
title Current dietetic practices in the management of gestational diabetes mellitus: a survey of Malaysian dietitians
title_full Current dietetic practices in the management of gestational diabetes mellitus: a survey of Malaysian dietitians
title_fullStr Current dietetic practices in the management of gestational diabetes mellitus: a survey of Malaysian dietitians
title_full_unstemmed Current dietetic practices in the management of gestational diabetes mellitus: a survey of Malaysian dietitians
title_short Current dietetic practices in the management of gestational diabetes mellitus: a survey of Malaysian dietitians
title_sort current dietetic practices in the management of gestational diabetes mellitus: a survey of malaysian dietitians
url http://psasir.upm.edu.my/id/eprint/36949/
http://psasir.upm.edu.my/id/eprint/36949/
http://psasir.upm.edu.my/id/eprint/36949/
http://psasir.upm.edu.my/id/eprint/36949/1/Current%20dietetic%20practices%20in%20the%20management%20of%20gestational%20diabetes%20mellitus.pdf