{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T18:40:43Z","timestamp":1792521643404,"version":"4.5.0"},"reference-count":0,"publisher":"American Diabetes Association","license":[{"start":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T00:00:00Z","timestamp":1792454400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.diabetesjournals.org\/journals\/pages\/license"}],"funder":[{"DOI":"10.13039\/501100000361","name":"Diabetes UK","doi-asserted-by":"publisher","award":["17\/0005712"],"award-info":[{"award-number":["17\/0005712"]}],"id":[{"id":"10.13039\/501100000361","id-type":"DOI","asserted-by":"publisher"}]},{"name":"UK National Institute for Health Research (NIHR) Biomedical Research Centre Cambridge","award":["NIHR203312"],"award-info":[{"award-number":["NIHR203312"]}]},{"name":"European Foundation for the Study of Diabetes-Novo Nordisk Foundation","award":["NNF19SA058974"],"award-info":[{"award-number":["NNF19SA058974"]}]}],"content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>The optimal dietary carbohydrate intake for pregnant women is disputed internationally. Many authorities recommend a minimum of 175 g\/day of carbohydrates primarily to support maternal brain glucose requirements and normal fetal brain development. We assessed whether low (&amp;lt;175 g\/day) or very low (&amp;lt;120 g\/day) carbohydrate intake was associated with altered nutrient intake, glycemia, or pregnancy outcomes in women with gestational diabetes mellitus (GDM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESEARCH DESIGN AND METHODS<\/jats:title>\n                    <jats:p>Women recruited to the Dietary Intervention in Gestational Diabetes Trial (DiGest) completed masked continuous glucose monitoring and a 24-h dietary recall at baseline before random assignment to receive either a standard- (2,000 kcal\/day) or reduced-energy diet (1,200 kcal\/day) from \u223c29\u201336 weeks\u2019 gestation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>At baseline, 215 women completed a dietary assessment, of whom 66 (30.7%), 74 (34.4%), and 75 (34.9%) reported standard (\u2265175 g\/day), low (120\u2013175 g\/day), and very low carbohydrate intake (&amp;lt;120 g\/day), respectively. Women consuming fewer carbohydrates consumed less energy, less dietary fiber, and fewer vitamins (B and E) and minerals but proportionally more protein and fat. Consumption of &amp;lt;120 g\/day carbohydrates as assessed at baseline before the intervention was associated with a lower time above range (TAR) &amp;gt;120 mg\/dL (\u22126.8% [95% CI \u221213.4% to \u22120.2%]; P = 0.044) and lower birth weight (\u22129.6 [95% CI \u221218.7 to \u22120.6] centiles; P = 0.037), but no difference in large- or small-for-gestational-age birth weight was observed. Low carbohydrate intake as a proportion of total energy intake (&amp;lt;35%) without energy restriction was associated with reduced TAR but not with a difference in birth weight.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Lower carbohydrate intake at baseline was associated with modestly improved glycemia before random assignment in women with GDM, but vigilance to maintain adequate intake of micronutrients and fiber is required.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2337\/dc26-0199","type":"journal-article","created":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T18:25:38Z","timestamp":1792520738000},"update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":0,"title":["Low-Carbohydrate Diets, Nutritional Adequacy, Glycemia, and Perinatal Outcomes in Women With Gestational Diabetes Mellitus: A Secondary Analysis of the DiGest Trial"],"prefix":"10.2337","author":[{"given":"Ehtasham","family":"Ahmad","sequence":"first","affiliation":[{"name":"1University Hospitals of Leicester NHS Trust, Leicester General Hospital, Leicester, U.K."},{"name":"2Diabetes Research Centre, Leicester National Institute for Health and Care Research (NIHR) Biomedical Research Centre, University of Leicester, Leicester General Hospital, Leicester, U.K."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8603-1833","authenticated-orcid":false,"given":"Sarah","family":"Dib","sequence":"additional","affiliation":[{"name":"2Diabetes Research Centre, Leicester National Institute for Health and Care Research (NIHR) Biomedical Research Centre, University of Leicester, Leicester General Hospital, Leicester, U.K."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Jones","sequence":"additional","affiliation":[{"name":"3Institute of Metabolic Science\u2013Medical Research Laboratories, Cambridge Biomedical Campus, University of Cambridge, Cambridge, U.K."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda M.","family":"Oude Griep","sequence":"additional","affiliation":[{"name":"4Medical Research Council Epidemiology Unit, Institute of Metabolic Science, University of Cambridge, Cambridge, U.K."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6273-0170","authenticated-orcid":false,"given":"Roy","family":"Taylor","sequence":"additional","affiliation":[{"name":"5Magnetic Resonance Centre, Campus for Ageing and Vitality, Newcastle University, Newcastle upon Tyne, U.K."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura C.","family":"Kusinski","sequence":"additional","affiliation":[{"name":"2Diabetes Research Centre, Leicester National Institute for Health and Care Research (NIHR) Biomedical Research Centre, University of Leicester, Leicester General Hospital, Leicester, U.K."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4176-8329","authenticated-orcid":false,"given":"Claire L.","family":"Meek","sequence":"additional","affiliation":[{"name":"1University Hospitals of Leicester NHS Trust, Leicester General Hospital, Leicester, U.K."},{"name":"2Diabetes Research Centre, Leicester National Institute for Health and Care Research (NIHR) Biomedical Research Centre, University of Leicester, Leicester General Hospital, Leicester, U.K."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","published-online":{"date-parts":[[2026,10,20]]},"container-title":["Diabetes Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/doi\/10.2337\/dc26-0199\/899419\/dc260199.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/doi\/10.2337\/dc26-0199\/899419\/dc260199.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T18:25:38Z","timestamp":1792520738000},"score":1,"resource":{"primary":{"URL":"https:\/\/diabetesjournals.org\/care\/article\/doi\/10.2337\/dc26-0199\/172865\/Low-Carbohydrate-Diets-Nutritional-Adequacy"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,20]]},"references-count":0,"URL":"https:\/\/doi.org\/10.2337\/dc26-0199","relation":{},"ISSN":["0149-5992","1935-5548"],"issn-type":[{"value":"0149-5992","type":"print"},{"value":"1935-5548","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,20]]},"article-number":"dc260199"}}