Loading…
Carbohydrate Intake and Oral Glucose Tolerance Test Results in the Postpartum Period
Abstract Context The American Diabetes Association (ADA) recommends a 3-day preparatory diet prior to a diagnostic oral glucose tolerance test (OGTT), a test often recommended in postpartum individuals with a history of gestational diabetes (GDM). Objective Evaluate the relationship between carbohyd...
Saved in:
| Published in: | The journal of clinical endocrinology and metabolism 2023-09, Vol.108 (10), p.e1007-e1012 |
|---|---|
| Main Authors: | , , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c453t-a7b837288c4174e8ee744a2a7e5b9e4d3f543143225bf7794e7c4f39685d29ef3 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c453t-a7b837288c4174e8ee744a2a7e5b9e4d3f543143225bf7794e7c4f39685d29ef3 |
| container_end_page | e1012 |
| container_issue | 10 |
| container_start_page | e1007 |
| container_title | The journal of clinical endocrinology and metabolism |
| container_volume | 108 |
| creator | Rosenberg, Emily A Seely, Ellen W James, Kaitlyn Soffer, Marti D Nelson, Stacey Nicklas, Jacinda M Powe, Camille E |
| description | Abstract
Context
The American Diabetes Association (ADA) recommends a 3-day preparatory diet prior to a diagnostic oral glucose tolerance test (OGTT), a test often recommended in postpartum individuals with a history of gestational diabetes (GDM).
Objective
Evaluate the relationship between carbohydrate intake and OGTT glucose in 2 cohorts of postpartum individuals.
Methods
We performed analyses of postpartum individuals from 2 prospective studies with recent GDM (Balance after Baby Intervention, BABI, n = 177) or risk factors for GDM (Study of Pregnancy Regulation of INsulin and Glucose, SPRING, n = 104) .We measured carbohydrate intake using 24-hour dietary recalls (SPRING) or Food Frequency Questionnaire (BABI) and performed 2-hour 75-g OGTTs. The main outcome measure was 120-minute post-OGTT glucose.
Results
There was no relationship between carbohydrate intake and 120-minute post-OGTT glucose level in either study population (SPRING: β = 0.03, [−5.5, 5.5] mg/dL, P = .99; BABI: β = −3.1, [−9.5, 3.4] mg/dL, P = .35). Adding breastfeeding status to the model did not change results (SPRING β = −0.14, [−5.7, 5.5] mg/dL, P = .95; BABI β = −3.9, [−10.4, 2.7] mg/dL, P = .25). There was, however, an inverse relationship between glycemic index and 120-minute post OGTT glucose (BABI: β = −1.1, [−2.2, −0.03] mg/dL, P = .04).
Conclusion
Carbohydrate intake is not associated with post-OGTT glucose levels among postpartum individuals. Dietary preparation prior to the OGTT may not be necessary in this population. |
| doi_str_mv | 10.1210/clinem/dgad234 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10505539</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1210/clinem/dgad234</oup_id><sourcerecordid>3051784044</sourcerecordid><originalsourceid>FETCH-LOGICAL-c453t-a7b837288c4174e8ee744a2a7e5b9e4d3f543143225bf7794e7c4f39685d29ef3</originalsourceid><addsrcrecordid>eNqFkc1rFTEUxYMo9lndupSAG11Mm4-bZrISeWgtFFrkCe5CJnOnb-pM8kwyQv97U95rUTeu7oX7u4dzOIS85uyEC85O_TQGnE_7G9cLCU_IihtQjeZGPyUrxgRvjBbfj8iLnG8Z4wBKPidHUjOjjYAV2axd6uL2rk-uIL0Ixf1A6kJPr5Kb6Pm0-JiRbuKEyQVfN8yFfsW8TCXTMdCyRXodc9m5VJaZXmMaY_-SPBvclPHVYR6Tb58_bdZfmsur84v1x8vGVxulcbprpRZt64FrwBZRAzjhNKrOIPRyUCA5SCFUN2htALWHQZqzVvXC4CCPyYe97m7pZuw9hlJd210aZ5fubHSj_fsSxq29ib8sZ4opJU1VeHdQSPHnUrPZecwep8kFjEu2omVnTDNldEXf_oPexiWFms9KprhugQFU6mRP-RRzTjg8uuHM3jdm943ZQ2P14c2fGR7xh4oq8H4PxGX3P7HftvaiPQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3051784044</pqid></control><display><type>article</type><title>Carbohydrate Intake and Oral Glucose Tolerance Test Results in the Postpartum Period</title><source>Oxford Journals - Connect here FIRST to enable access</source><creator>Rosenberg, Emily A ; Seely, Ellen W ; James, Kaitlyn ; Soffer, Marti D ; Nelson, Stacey ; Nicklas, Jacinda M ; Powe, Camille E</creator><creatorcontrib>Rosenberg, Emily A ; Seely, Ellen W ; James, Kaitlyn ; Soffer, Marti D ; Nelson, Stacey ; Nicklas, Jacinda M ; Powe, Camille E</creatorcontrib><description>Abstract
Context
The American Diabetes Association (ADA) recommends a 3-day preparatory diet prior to a diagnostic oral glucose tolerance test (OGTT), a test often recommended in postpartum individuals with a history of gestational diabetes (GDM).
Objective
Evaluate the relationship between carbohydrate intake and OGTT glucose in 2 cohorts of postpartum individuals.
Methods
We performed analyses of postpartum individuals from 2 prospective studies with recent GDM (Balance after Baby Intervention, BABI, n = 177) or risk factors for GDM (Study of Pregnancy Regulation of INsulin and Glucose, SPRING, n = 104) .We measured carbohydrate intake using 24-hour dietary recalls (SPRING) or Food Frequency Questionnaire (BABI) and performed 2-hour 75-g OGTTs. The main outcome measure was 120-minute post-OGTT glucose.
Results
There was no relationship between carbohydrate intake and 120-minute post-OGTT glucose level in either study population (SPRING: β = 0.03, [−5.5, 5.5] mg/dL, P = .99; BABI: β = −3.1, [−9.5, 3.4] mg/dL, P = .35). Adding breastfeeding status to the model did not change results (SPRING β = −0.14, [−5.7, 5.5] mg/dL, P = .95; BABI β = −3.9, [−10.4, 2.7] mg/dL, P = .25). There was, however, an inverse relationship between glycemic index and 120-minute post OGTT glucose (BABI: β = −1.1, [−2.2, −0.03] mg/dL, P = .04).
Conclusion
Carbohydrate intake is not associated with post-OGTT glucose levels among postpartum individuals. Dietary preparation prior to the OGTT may not be necessary in this population.</description><identifier>ISSN: 0021-972X</identifier><identifier>EISSN: 1945-7197</identifier><identifier>DOI: 10.1210/clinem/dgad234</identifier><identifier>PMID: 37097924</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Blood Glucose - analysis ; Breast feeding ; Carbohydrates ; Clinical ; Diabetes ; Diabetes mellitus ; Diabetes, Gestational - diagnosis ; Diabetes, Gestational - epidemiology ; Dietary intake ; Female ; Glucose ; Glucose tolerance ; Glucose Tolerance Test ; Humans ; Population studies ; Postpartum ; Postpartum Period ; Pregnancy ; Pregnancy complications ; Prospective Studies ; Risk factors</subject><ispartof>The journal of clinical endocrinology and metabolism, 2023-09, Vol.108 (10), p.e1007-e1012</ispartof><rights>The Author(s) 2023. Published by Oxford University Press on behalf of the Endocrine Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2023</rights><rights>The Author(s) 2023. Published by Oxford University Press on behalf of the Endocrine Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><rights>The Author(s) 2023. Published by Oxford University Press on behalf of the Endocrine Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c453t-a7b837288c4174e8ee744a2a7e5b9e4d3f543143225bf7794e7c4f39685d29ef3</citedby><cites>FETCH-LOGICAL-c453t-a7b837288c4174e8ee744a2a7e5b9e4d3f543143225bf7794e7c4f39685d29ef3</cites><orcidid>0000-0001-5352-0585 ; 0000-0002-7060-7778</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,786,790,891,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37097924$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rosenberg, Emily A</creatorcontrib><creatorcontrib>Seely, Ellen W</creatorcontrib><creatorcontrib>James, Kaitlyn</creatorcontrib><creatorcontrib>Soffer, Marti D</creatorcontrib><creatorcontrib>Nelson, Stacey</creatorcontrib><creatorcontrib>Nicklas, Jacinda M</creatorcontrib><creatorcontrib>Powe, Camille E</creatorcontrib><title>Carbohydrate Intake and Oral Glucose Tolerance Test Results in the Postpartum Period</title><title>The journal of clinical endocrinology and metabolism</title><addtitle>J Clin Endocrinol Metab</addtitle><description>Abstract
Context
The American Diabetes Association (ADA) recommends a 3-day preparatory diet prior to a diagnostic oral glucose tolerance test (OGTT), a test often recommended in postpartum individuals with a history of gestational diabetes (GDM).
Objective
Evaluate the relationship between carbohydrate intake and OGTT glucose in 2 cohorts of postpartum individuals.
Methods
We performed analyses of postpartum individuals from 2 prospective studies with recent GDM (Balance after Baby Intervention, BABI, n = 177) or risk factors for GDM (Study of Pregnancy Regulation of INsulin and Glucose, SPRING, n = 104) .We measured carbohydrate intake using 24-hour dietary recalls (SPRING) or Food Frequency Questionnaire (BABI) and performed 2-hour 75-g OGTTs. The main outcome measure was 120-minute post-OGTT glucose.
Results
There was no relationship between carbohydrate intake and 120-minute post-OGTT glucose level in either study population (SPRING: β = 0.03, [−5.5, 5.5] mg/dL, P = .99; BABI: β = −3.1, [−9.5, 3.4] mg/dL, P = .35). Adding breastfeeding status to the model did not change results (SPRING β = −0.14, [−5.7, 5.5] mg/dL, P = .95; BABI β = −3.9, [−10.4, 2.7] mg/dL, P = .25). There was, however, an inverse relationship between glycemic index and 120-minute post OGTT glucose (BABI: β = −1.1, [−2.2, −0.03] mg/dL, P = .04).
Conclusion
Carbohydrate intake is not associated with post-OGTT glucose levels among postpartum individuals. Dietary preparation prior to the OGTT may not be necessary in this population.</description><subject>Blood Glucose - analysis</subject><subject>Breast feeding</subject><subject>Carbohydrates</subject><subject>Clinical</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes, Gestational - diagnosis</subject><subject>Diabetes, Gestational - epidemiology</subject><subject>Dietary intake</subject><subject>Female</subject><subject>Glucose</subject><subject>Glucose tolerance</subject><subject>Glucose Tolerance Test</subject><subject>Humans</subject><subject>Population studies</subject><subject>Postpartum</subject><subject>Postpartum Period</subject><subject>Pregnancy</subject><subject>Pregnancy complications</subject><subject>Prospective Studies</subject><subject>Risk factors</subject><issn>0021-972X</issn><issn>1945-7197</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNqFkc1rFTEUxYMo9lndupSAG11Mm4-bZrISeWgtFFrkCe5CJnOnb-pM8kwyQv97U95rUTeu7oX7u4dzOIS85uyEC85O_TQGnE_7G9cLCU_IihtQjeZGPyUrxgRvjBbfj8iLnG8Z4wBKPidHUjOjjYAV2axd6uL2rk-uIL0Ixf1A6kJPr5Kb6Pm0-JiRbuKEyQVfN8yFfsW8TCXTMdCyRXodc9m5VJaZXmMaY_-SPBvclPHVYR6Tb58_bdZfmsur84v1x8vGVxulcbprpRZt64FrwBZRAzjhNKrOIPRyUCA5SCFUN2htALWHQZqzVvXC4CCPyYe97m7pZuw9hlJd210aZ5fubHSj_fsSxq29ib8sZ4opJU1VeHdQSPHnUrPZecwep8kFjEu2omVnTDNldEXf_oPexiWFms9KprhugQFU6mRP-RRzTjg8uuHM3jdm943ZQ2P14c2fGR7xh4oq8H4PxGX3P7HftvaiPQ</recordid><startdate>20230918</startdate><enddate>20230918</enddate><creator>Rosenberg, Emily A</creator><creator>Seely, Ellen W</creator><creator>James, Kaitlyn</creator><creator>Soffer, Marti D</creator><creator>Nelson, Stacey</creator><creator>Nicklas, Jacinda M</creator><creator>Powe, Camille E</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>7TM</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-5352-0585</orcidid><orcidid>https://orcid.org/0000-0002-7060-7778</orcidid></search><sort><creationdate>20230918</creationdate><title>Carbohydrate Intake and Oral Glucose Tolerance Test Results in the Postpartum Period</title><author>Rosenberg, Emily A ; Seely, Ellen W ; James, Kaitlyn ; Soffer, Marti D ; Nelson, Stacey ; Nicklas, Jacinda M ; Powe, Camille E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c453t-a7b837288c4174e8ee744a2a7e5b9e4d3f543143225bf7794e7c4f39685d29ef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Blood Glucose - analysis</topic><topic>Breast feeding</topic><topic>Carbohydrates</topic><topic>Clinical</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes, Gestational - diagnosis</topic><topic>Diabetes, Gestational - epidemiology</topic><topic>Dietary intake</topic><topic>Female</topic><topic>Glucose</topic><topic>Glucose tolerance</topic><topic>Glucose Tolerance Test</topic><topic>Humans</topic><topic>Population studies</topic><topic>Postpartum</topic><topic>Postpartum Period</topic><topic>Pregnancy</topic><topic>Pregnancy complications</topic><topic>Prospective Studies</topic><topic>Risk factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rosenberg, Emily A</creatorcontrib><creatorcontrib>Seely, Ellen W</creatorcontrib><creatorcontrib>James, Kaitlyn</creatorcontrib><creatorcontrib>Soffer, Marti D</creatorcontrib><creatorcontrib>Nelson, Stacey</creatorcontrib><creatorcontrib>Nicklas, Jacinda M</creatorcontrib><creatorcontrib>Powe, Camille E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The journal of clinical endocrinology and metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rosenberg, Emily A</au><au>Seely, Ellen W</au><au>James, Kaitlyn</au><au>Soffer, Marti D</au><au>Nelson, Stacey</au><au>Nicklas, Jacinda M</au><au>Powe, Camille E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Carbohydrate Intake and Oral Glucose Tolerance Test Results in the Postpartum Period</atitle><jtitle>The journal of clinical endocrinology and metabolism</jtitle><addtitle>J Clin Endocrinol Metab</addtitle><date>2023-09-18</date><risdate>2023</risdate><volume>108</volume><issue>10</issue><spage>e1007</spage><epage>e1012</epage><pages>e1007-e1012</pages><issn>0021-972X</issn><eissn>1945-7197</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Abstract
Context
The American Diabetes Association (ADA) recommends a 3-day preparatory diet prior to a diagnostic oral glucose tolerance test (OGTT), a test often recommended in postpartum individuals with a history of gestational diabetes (GDM).
Objective
Evaluate the relationship between carbohydrate intake and OGTT glucose in 2 cohorts of postpartum individuals.
Methods
We performed analyses of postpartum individuals from 2 prospective studies with recent GDM (Balance after Baby Intervention, BABI, n = 177) or risk factors for GDM (Study of Pregnancy Regulation of INsulin and Glucose, SPRING, n = 104) .We measured carbohydrate intake using 24-hour dietary recalls (SPRING) or Food Frequency Questionnaire (BABI) and performed 2-hour 75-g OGTTs. The main outcome measure was 120-minute post-OGTT glucose.
Results
There was no relationship between carbohydrate intake and 120-minute post-OGTT glucose level in either study population (SPRING: β = 0.03, [−5.5, 5.5] mg/dL, P = .99; BABI: β = −3.1, [−9.5, 3.4] mg/dL, P = .35). Adding breastfeeding status to the model did not change results (SPRING β = −0.14, [−5.7, 5.5] mg/dL, P = .95; BABI β = −3.9, [−10.4, 2.7] mg/dL, P = .25). There was, however, an inverse relationship between glycemic index and 120-minute post OGTT glucose (BABI: β = −1.1, [−2.2, −0.03] mg/dL, P = .04).
Conclusion
Carbohydrate intake is not associated with post-OGTT glucose levels among postpartum individuals. Dietary preparation prior to the OGTT may not be necessary in this population.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>37097924</pmid><doi>10.1210/clinem/dgad234</doi><orcidid>https://orcid.org/0000-0001-5352-0585</orcidid><orcidid>https://orcid.org/0000-0002-7060-7778</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0021-972X |
| ispartof | The journal of clinical endocrinology and metabolism, 2023-09, Vol.108 (10), p.e1007-e1012 |
| issn | 0021-972X 1945-7197 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10505539 |
| source | Oxford Journals - Connect here FIRST to enable access |
| subjects | Blood Glucose - analysis Breast feeding Carbohydrates Clinical Diabetes Diabetes mellitus Diabetes, Gestational - diagnosis Diabetes, Gestational - epidemiology Dietary intake Female Glucose Glucose tolerance Glucose Tolerance Test Humans Population studies Postpartum Postpartum Period Pregnancy Pregnancy complications Prospective Studies Risk factors |
| title | Carbohydrate Intake and Oral Glucose Tolerance Test Results in the Postpartum Period |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-09-22T06%3A39%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Carbohydrate%20Intake%20and%20Oral%20Glucose%20Tolerance%20Test%20Results%20in%20the%20Postpartum%20Period&rft.jtitle=The%20journal%20of%20clinical%20endocrinology%20and%20metabolism&rft.au=Rosenberg,%20Emily%20A&rft.date=2023-09-18&rft.volume=108&rft.issue=10&rft.spage=e1007&rft.epage=e1012&rft.pages=e1007-e1012&rft.issn=0021-972X&rft.eissn=1945-7197&rft_id=info:doi/10.1210/clinem/dgad234&rft_dat=%3Cproquest_pubme%3E3051784044%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c453t-a7b837288c4174e8ee744a2a7e5b9e4d3f543143225bf7794e7c4f39685d29ef3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3051784044&rft_id=info:pmid/37097924&rft_oup_id=10.1210/clinem/dgad234&rfr_iscdi=true |