{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T07:09:39Z","timestamp":1784790579892,"version":"3.55.0"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Medical nutrition therapy is first\u2010line treatment for Gestational Diabetes Mellitus (GDM). The high popularity of low carbohydrate diets may impact on the acceptability of the diet recommended by dietitians for management of GDM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study assessed the experience of women prescribed the Standardised Gestational Diabetes (SGD) diet (45%\u201350%, 25%\u201330%, 15%\u201320% from carbohydrate, fat and protein, respectively).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional survey of women with GDM was undertaken to collect viewpoints on the SGD diet. Pregnant women with pre\u2010gestational diabetes, twins, non\u2010English speakers and women with no or limited English literacy were excluded. Standard care was provided to all participants. The survey was offered at least one week after an individual dietitian review appointment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 135 women completed the survey. The majority perceived the SGD diet carbohydrate amounts and distribution as \u2018about right\u2019\u201479.3% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009107) and 72.6% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200998), respectively. Only 3.7% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095) perceived the advised carbohydrate amount as \u2018too much\u2019 or \u2018far too much\u2019. Conversely, a considerable proportion reported that they were advised to reduce their intake and to increase meal\u2010snack frequency compared to their usual diet\u201462.9% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200985) and 43.7% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200959), respectively. Women reported high rates of diet compliance, with 70.4% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200995) \u2018often\u2019 or \u2018always\u2019 following the diet, despite 48.2% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200965) reporting the diet being \u2018challenging\u2019 or \u2018very challenging\u2019 to follow.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite the popularity of low carbohydrate diets in the general population, our cohort of women with GDM perceived the amount and frequency of carbohydrate intake recommended by dietitians as \u2018about right\u2019.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.70121","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T11:19:28Z","timestamp":1775474368000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Do Dietitians Recommend Too Much Carbohydrate? A Cross\u2010Sectional Survey of Gestational Diabetes Mellitus Dietary Advice: A Patient Perspective"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-5136-6982","authenticated-orcid":false,"given":"Laura C.","family":"Kourloufas","sequence":"first","affiliation":[{"name":"Diabetes Centre, Bankstown\u2010Lidcombe Hospital  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robyn A.","family":"Barnes","sequence":"additional","affiliation":[{"name":"Diabetes Centre, Bankstown\u2010Lidcombe Hospital  Sydney Australia"},{"name":"District Diabetes Coordinator, South Western Sydney Local Health District  Sydney Australia"},{"name":"School of Medicine, Western Sydney University  Campbelltown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeff R.","family":"Flack","sequence":"additional","affiliation":[{"name":"Diabetes Centre, Bankstown\u2010Lidcombe Hospital  Sydney Australia"},{"name":"School of Medicine, Western Sydney University  Campbelltown New South Wales Australia"},{"name":"Faculty of Medicine and Health, University of NSW  Randwick New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tang","family":"Wong","sequence":"additional","affiliation":[{"name":"Diabetes Centre, Bankstown\u2010Lidcombe Hospital  Sydney Australia"},{"name":"School of Medicine, Western Sydney University  Campbelltown New South Wales Australia"},{"name":"Faculty of Medicine and Health, University of NSW  Randwick New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc12-2345"},{"key":"e_1_2_8_3_1","unstructured":"International Diabetes Federation \u201cIDF Diabetes Atlas\u20149th Edition \u201d[Cited July 20 2021] 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