Carbohydrate Counting and Meal Spacing
Placeholder: structured carb counts and spaced meals are the diet foundation.
- 3+2-3: Meals per day (Placeholder snack spacing)
- 30-45g: Carb target/meal (Placeholder guideline)
- High: Adherence effect (Placeholder impact)
- Up: Fiber emphasis (Placeholder note)
Meal planning basics
Placeholder: consistent portions and timing stabilize glucose swings.
Post-Meal Walking Activity Benefit
Placeholder: light activity after eating improves glucose uptake.
- 10-30m: Walk duration (Placeholder range)
- ~20%: Glucose drop (Placeholder estimate)
- <30m post-meal: Timing (Placeholder window)
- Variable: Adherence (Placeholder note)
Exercise timing effect
Placeholder: muscle activity clears glucose faster after meals.
Glucose Response Curve Tracking
Placeholder: home monitoring reveals the post-meal glucose curve.
- 4x: Checks per day (Placeholder frequency)
- 1hr: Peak time (Placeholder timing)
- <140: Target 1hr (Placeholder mg/dL)
- Weeks: Log duration (Placeholder note)
Reading the curve
Placeholder: flatter curves reflect better lifestyle response.
Percentage Achieving Glycemic Control
Placeholder: most GDM cases are managed by lifestyle alone.
- 70-85%: Lifestyle success (Placeholder rate)
- 15-30%: Need medication (Placeholder rate)
- 1-2wk: Time to assess (Placeholder note)
- Ongoing: Follow-up (Placeholder note)
Control outcomes
Placeholder: sustained adherence predicts glycemic success.
Escalation Trigger If Targets Not Met
Placeholder: repeated out-of-range readings prompt therapy escalation.
- 1-2wk: Trigger window (Placeholder note)
- Metformin/insulin: Next step (Placeholder option)
- >2x/wk high: Threshold (Placeholder rule)
- Continuous: Reassessment (Placeholder note)
When to escalate
Placeholder: consistent above-target glucose signals need for medication.
Placeholder: escalation is timely, not a failure of the patient.