Of these 177 women were diagnosed with gestational diabetes mellitus gdm and 697 had normal glucose tolerance all gdmw received meddiet based medical nutrition therapy with a recommended daily extra virgin olive oil intake 40 ml and a daily handful of nuts. read medical nutrition therapy on gestational diabetics case studies uploaded by ann m martin the low gi diet may improve maternal and neonatal outcomes in gdm the liberalized carbohydrate intake is less restrictive culturally adaptable and may improve long term maternal adherence further research is needed to establish the optimal most sustainable and most acceptable medical nutrition . The insulin is a normal body hormone that is produced by the beta cells of the islets of langerhans in the pancreas the medical nutrition therapy on gestational diabetics case studies uploaded by stan and jan berenstain purpose of review to review the latest evidence for dietary interventions for treatment of gestational diabetes gdm recent. Medical nutrition therapy mnt plays an important role in the management of gestational diabetes mellitus gdm and accordingly it has a significant impact on women and newborns the primary objective of mnt is to ensure adequate pregnancy weight gain and fetus growth while maintaining euglycemia and avoiding ketones. Medical nutrition therapy mnt is certainly a major part of diabetes management however with this degree of hyperglycemia mnt would not be adequate as monotherapy treatment for gestational diabetes includes the use of insulin if fasting blood glucose levels are 95 mg dl 53 mmol l or 2 h postprandial values are 120 mg dl 67 mmol l