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It’s appreciated for addressing an interesting area of research about the efficacy of medical nutrition treatment based on the Mediterranean Diet (MedDiet).
The study was a secondary analysis of the St Carlos GDM Prevention Study, conducted between January and December 2015 in Hospital Clinico San Carlos (Madrid, Spain). The author used MedDiet-MNT in order to observe its effects on mother’s glycemic level and also the prenatal outcome.
According to this study, there were two groups. Both groups received dietary recommendation to follow MD guideline, the difference was just in intervention group, they added portion for virgin olive oil and nuts. Basically both groups had similar diet recommendation, so further clinical experiment is highly needed to determine the exact effect of adding portion in extra virgin olive oil and nuts on lowering risk of GDM.
Although this diet had several benefits, the use of adding portion on extra virgin oil and pistachios in the intervention group treatment still becomes a question. In the other study, traditional Mediterranean diet had positive effect on lowering risk of GDM in pregnant women (Izadi, 2016), this outcome also occurred in the study conducted by Perez,Ferre (2014) that MD could reduce risk of GDM. So, if the traditional way has been reported successful in lowering GDM risk, is that really necessary to modify the basic guideline of MedDiet?
1. Izadi V, Tehrani H, Haghighatdoost F, et.a...
1. Izadi V, Tehrani H, Haghighatdoost F, et.al. Adherence to the DASH and Mediterranean diets is associated with decreased risk for gestational diabetes mellitus. Nutrition 2016;32:1092-6. doi:10.1016/j.nut.2016.03.006.
2. Perez-Ferre N, Valle LD, Torrej MJ, et.al. Diabetes Mellitus and Abnormal Glucose Tolerance Development After Gestational Diabetes: A Three-year, Prospective, Randomized, Clinical based, Mediterranean lifestyle Interventional Study with Parallel Groups. Clinical Nutrition 2015;34:579-585. doi:10.1016/j.clnu.2014.09.005.