PMID- 31333107 OWN - NLM STAT- MEDLINE DCOM- 20200415 LR - 20200415 IS - 1873-4286 (Electronic) IS - 1381-6128 (Linking) VI - 25 IP - 22 DP - 2019 TI - Diet and Nutritional Interventions with the Special Role of Myo-Inositol in Gestational Diabetes Mellitus Management. An Evidence-Based Critical Appraisal. PG - 2467-2473 LID - 10.2174/1381612825666190722155512 [doi] AB - BACKGROUND: Gestational Diabetes Mellitus (GDM), defined as glucose intolerance with onset or first recognition during pregnancy, represents one of the most common maternal-fetal complications during pregnancy and it is associated with poor perinatal outcomes. To date, GDM is a rising condition over the last decades coinciding with the ongoing epidemic of obesity and Type 2 Diabetes Mellitus (T2DM). OBJECTIVE: The aim of this review is to discuss the role of diet and nutritional interventions in preventing GDM with the explanation of the special role of myo-inositol (MI) in this matter. METHODS: We performed an overview of the most recent literature data on the subject with particular attention to the effectiveness of diet and nutritional interventions in the prevention of GDM with the special role of MI. RESULTS: Nutritional intervention and physical activity before and during pregnancy are mandatory in women affected by GDM. Moreover, the availability of insulin-sensitizers such as different forms of inositol has dramatically changed the scenario, allowing the treatment of several metabolic diseases, such as those related to glucose dysbalance. Although the optimal dose, frequency, and form of MI administration need to be further investigated, diet supplementation with MI appears to be an attractive alternative for the GDM prevention as well as for the reduction of GDM-related complications. CONCLUSIONS: More studies should be conducted to prove the most effective nutritional intervention in GDM. Regarding the potential effectiveness of MI, further evidence in multicenter, randomized controlled trials is needed to draw firm conclusions. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.net. FAU - Reyes-Munoz, Enrique AU - Reyes-Munoz E AD - Department of Endocrinology, Instituto Nacional de Perinatologia Isidro Espinosa de los Reyes, Mexico City, Mexico. FAU - Guardo, Federica Di AU - Guardo FD AD - Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy. FAU - Ciebiera, Michal AU - Ciebiera M AD - Second Department of Obstetrics and Gynecology, The Center of Postgraduate Medical Education, Warsaw, Poland. FAU - Kahramanoglu, Ilker AU - Kahramanoglu I AD - Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Cerrahpasa Faculty of Medicine, Istanbul University, Istanbul, Turkey. FAU - Sathyapalan, Thozhukat AU - Sathyapalan T AD - Department of Diabetes and Endocrinology, University of Hull, Hull, United Kingdom. FAU - Lin, Li-Te AU - Lin LT AD - Department of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan. FAU - Shah, Mohsin AU - Shah M AD - Department of Physiology, Institute of Basic Medical Sciences, Khyber Medical University, Peshawar, Pakistan. FAU - Karaman, Erbil AU - Karaman E AD - Department of Obstetrics and Gynecology, Yuzuncu Yil University Medical Faculty, Van, Turkey. FAU - Fan, Shangrong AU - Fan S AD - Department of Obstetrics and Gynecology, Peking University Shenzhen Hospital, Shenzhen, China. FAU - Zito, Gabriella AU - Zito G AD - Department of Obstetrics and Gynecology, Institute for Maternal and Child Health-IRCCS "Burlo Garofolo", Trieste, Italy. FAU - Noventa, Marco AU - Noventa M AD - Department of Woman and Child Health, University of Padua, Padua, Italy. LA - eng PT - Journal Article PT - Review PL - United Arab Emirates TA - Curr Pharm Des JT - Current pharmaceutical design JID - 9602487 RN - 4L6452S749 (Inositol) SB - IM MH - Diabetes, Gestational/*diet therapy/*prevention & control MH - Female MH - Humans MH - Inositol/*administration & dosage MH - Pregnancy OTO - NOTNLM OT - Gestational diabetes mellitus OT - diet OT - management OT - metabolic diseases OT - myo-inositol OT - nutrition OT - prevention. EDAT- 2019/07/25 06:00 MHDA- 2020/04/16 06:00 CRDT- 2019/07/24 06:00 PHST- 2019/07/01 00:00 [received] PHST- 2019/07/20 00:00 [accepted] PHST- 2019/07/25 06:00 [pubmed] PHST- 2020/04/16 06:00 [medline] PHST- 2019/07/24 06:00 [entrez] AID - CPD-EPUB-99835 [pii] AID - 10.2174/1381612825666190722155512 [doi] PST - ppublish SO - Curr Pharm Des. 2019;25(22):2467-2473. doi: 10.2174/1381612825666190722155512.