Medical Nutrition Therapy Program
An Evidence-Based Practice
Medical Nutrition Therapy (MNT) is a nutrition and education program for pregnant women with diabetes. A high prevalence of diabetes in pregnancy is associated with a high rate of maternal and neonatal hospitalizations related to diabetes. The MNT program consists of individual nutrition counseling with an intensive education component. The program includes a nutrition assessment, nutrition intervention, and glucose self-monitoring. Counseling and individual nutrition assessments and recommendations are made by dietitians who work with the pregnant women on a weekly basis.
Goal / Mission
The goal of the Medical Nutrition Therapy program is to decrease perinatal complications in pregnant women with type 2 Diabetes in Mexico City.
Results / Accomplishments
The program was evaluated using a quasi-experimental design. Women were assigned to either an MNT program or a control group. Women in the MNT group had a lower risk of preeclampsia, fewer maternal hospitalizations due to uncontrolled hyperglycemia (p<0.001), and neonatal deaths in women with both types of diabetes (p=0.001) compared to the control group. Neonatal death risk reduction attributed to the MNT program was 6.4% in women with type 2 diabetes and 5.1% in women with gestational diabetes.
About this Promising Practice
- Primary Contact
- Otilia Perichart-Perera
Instituto Nacional de Perinatología
Instituto Nacional de Perinatología Isidro Espinosa de los
Reyes, Montes Urales 800, Lomas de Virreyes 11000,
Mexico City, Mexico
Health / Maternal, Fetal & Infant Health
Health / Exercise, Nutrition, & Weight
Health / Diabetes
- Instituto Nacional de Perinatología
- Date of publication
- For more details
- Target Audience
- Women, Racial/Ethnic Minorities