Objective      To determine the therapeutic effect of medical nutrition therapies (MNT) with different frequency of nutritional guidance on gestational diabetes mellitus (GDM).       Methods      A total of 90 identified gestational diabetes mellitus patients who receiving prenatal checkup in the Department of Obstetrics and Gynecology

Southwest Hospital from January to May 2012 were randomly and equally divided into observation group and control group. Both grou

ps were provided with individualized nutritional therapeutic foods by nutritionists based on their standard weight to limit daily energy intake

and their diet was adjusted by exchanging food arrangements recipes. Patients in control group were given face to face nutritional guidance for once

and those in observation group were given nutritional guidance from time to time in different manners

including face to face

telephone and regular nutrition clinic follow-up and education. Their diet was also adjusted based on their gestational weeks

body weight and blood glucose level. Then the fasting blood glucose and 2 hour blood glucose were compared between the 2 groups.       Results      Compared with control group

the 2 hour blood glucose in observation group were significantly decreased(

P

0.05)

and the amount of those with controlled blood glucose was higher in the observation group than in control group (55.6% vs 28.9%

P

0.05). The positive rate of urine acetone bodies was lower in the observation group than in control group though without significant difference (6.7% vs 17.8%

P

0.05).       Conclusion      It is more beneficial to practice the individualized MNT with continuous nutritional guidance in patients with gestational diabetes mellitus.