Should pregnant women with diabetes eat most carbs in the morning?

Original Title

Effect of High Versus Low Carbohydrate Intake in the Morning on Glycemic Variability and Glycemic Control Measured by Continuous Blood Glucose Monitoring in Women with Gestational Diabetes Mellitus—A Randomized Crossover Study

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Summary

This study tested if eating most carbs at breakfast helps control blood sugar in pregnant women with diabetes.

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Proposed Mechanism
Morning Carbohydrate Distribution Improves Insulin Sensitivity via Enhanced Insulin Secretion and GLP-1 Response
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Quality Analysis
Methodology
59%
Moderate QualityOverall Score
Randomized Controlled TrialMedicine

Systematic Reviews & Meta-Analyses

Max 100

Randomized Controlled Trials

Max 90

Cohort Studies

Max 72

Case-Control Studies

Max 58

Cross-Sectional Studies

Max 44

Case Reports & Case Series

Max 30

Expert Opinion & Narrative Reviews

Max 5
StrongerWeaker
Randomized Controlled Trials
Level 1b
59

59 / 90

Evidence Score

Participants are randomly assigned to treatment or control groups, minimizing bias. Considered the gold standard for testing whether an intervention causes an effect.

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59%
Moderate QualityOverall Score

Publication

Journal

Nutrients

Year

2020

Authors

L. Rasmussen, Maria Lund Christensen, C. W. Poulsen, C. Rud, A. S. Christensen, J. Andersen, Ulla Kampmann, P. Ovesen

Open Access
49 citations
Analysis v1