Auinger W
Wien Klin Wochenschr. 1978 Apr 14;90(8):263-8.
The extent to which glucose tolerance can be improved by a carbohydrate-reduced diet in pregnant women with latent diabetes was investigated and, furthermore, whether this measure can reduce the incidence of high birth weight in the infants. 1. In a group of pregnant women who were thought to have some carbohydrate, metabolic disturbance on the basis of adipositas, glycosuria, hereditary taint or a history of infants with birth weights over 4000 g, the oral glucose tolerance test (GTT), showed a significant improvement under diet during pregnancy in comparison with a control group without diet. 2. Although an increase in the mean GTT after birth is to be expected--and was observed in the control group--, under diet the GTT values actually decreased post partum. 3. The extent of improvement in the GTT values depended on the degree of carbohydrate reduction in the diet. 4. In the years 1968 to 1976 all pregnant women with latent (gestational) diabetes showing high GTT values were submitted to a carbohydrate-reduced diet. This measure contributed to a reduction in the incidence of birth weights over 4000 g from 7.8% to 4.8%.
研究了碳水化合物限制饮食对潜在糖尿病孕妇糖耐量的改善程度，此外，还研究了该措施是否能降低婴儿高出生体重的发生率。1. 在一组因肥胖、糖尿、遗传因素或有出生体重超过4000g婴儿史而被认为存在某种碳水化合物代谢紊乱的孕妇中，口服葡萄糖耐量试验（GTT）显示，与未进行饮食控制的对照组相比，孕期饮食控制期间糖耐量有显著改善。2. 虽然出生后平均GTT值预计会升高——对照组中也观察到了这种情况——但在饮食控制组中，产后GTT值实际上下降了。3. GTT值的改善程度取决于饮食中碳水化合物减少的程度。4. 1968年至1976年期间，所有糖耐量值较高的潜在（妊娠）糖尿病孕妇都采用了碳水化合物限制饮食。这一措施使出生体重超过4000g的发生率从7.8%降至4.8%。
