The Impact of Personalized Nutritional Support on Complications and Pregnancy Outcomes in Advanced Maternal Age Women with Gestational Diabetes Mellitus

Jiaqi Xiong

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¹ Far Eastern University, Nicanor Reyes Sr. Street, Sampaloc, Manila 1008, Metro Manila, Philippines,

JCNR 2026 , 10(1), 48–55; https://doi.org/10.26689/jcnr.v10i1.13784

© 2026 by the Authors. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )

Abstract

Objective: To explore the clinical effect of personalized nutritional support in elderly women with gestational diabetes (GDM), and explore its impact on the incidence of maternal complications and pregnancy outcomes. Methods: A total of 90 elderly pregnant women with gestational diabetes who were delivered in our hospital from January 2023 to January 2024 were selected as the research objects. They were randomly divided into an observation group and a control group, with 45 cases in each group. The control group only received routine pregnancy care and basic nutrition guidance, while the observation group received personalized nutrition support on this basis. Compare the blood glucose control, incidence of pregnancy complications, pregnancy outcomes, and neonatal outcomes between two groups of parturient. Result: After intervention, the fasting blood glucose (FPG), 2-hour postprandial blood glucose (2hPG), and glycated hemoglobin (HbA1c) of the observation group were significantly lower than those of the control group, and the differences were statistically significant (p < 0.05); The incidence of complications such as gestational hypertension syndrome, polyhydramnios, premature rupture of membranes, and postpartum hemorrhage in the observation group was significantly lower than that in the control group, and the difference was statistically significant (p < 0.05); The cesarean section rate in the observation group was significantly lower than that in the control group, and the incidence of adverse neonatal outcomes such as fetal distress, macrosomia, neonatal asphyxia, and neonatal hypoglycemia in the observation group was significantly lower than that in the control group, with statistical significance (p < 0.05). Conclusion: Individualized nutritional support for elderly women with gestational diabetes can effectively improve the level of maternal blood sugar control, reduce the incidence of complications during pregnancy, and improve the outcome of pregnancy and neonatal outcomes, which is of high clinical value.

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