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Established programs and recommendations for when to screen and monitor women with obesity, diabetes, or incident GDM already exist, but action prior to pregnancy or periconceptional would be ideal (Tsakiridis et al

Opting for a more GI Gentle diet can often be helpful, focusing on: Lean proteins like poultry, fish, eggs, and tofu Nut butters instead of whole nuts and seeds Well-cooked vegetables with a low to moderate fiber content (e.g., peeled zucchini, carrots, potatoes) Soft, easily digestible fruits (e.g., bananas, canned peaches, applesauce, melon) White bread, refined grains, pasta, and rice Eat small, frequent meals Large meals can overwhelm a sluggish stomach and worsen symptoms of bloating, nausea, and overfullness

Originally developed for type 2 diabetes, it has shown exceptional results in clinical trials for weight loss

Randomized and prospective trials versus older therapies and lifestyle care show significant findings

Finally, patience and realistic expectations are important

doi: 10.3390/nu11071664 50 WangYHeWWeiWMeiXYangMWangY
