Nurse plays professionally, legitimately and morally a significant role to encouraging the physical activities and to decreasing the sedentary behaviors which helps to reduce the progression of T2DM from GDM (Aluş Tokat et al, 2016). In the cohort study conducted by Bao, et al in 2014 stated that women who have sitting behaviors and lack of physical activities increase the risk of building T2DM from GDM. If nurses insist women diagnosed with GDM to increased 5-metabolic equivalent hours per week (100 minutes per week) of moderate physical activities, it will decrease the risk of developing T2DM from GDM by 9% (Bao et al, 2014). If nurses recommend patient to increase their physical activities by 7.5-metabolic equivalent hours per week (150
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Viana et al (2014), compare three type of dietary interventions given by nurses during gestation which includes a low glycaemic index (GI), energy restriction, and low carbohydrate diets (Viana et al, 2014). Viana et al (2014) concluded that a low GI diet is the suitable intervention to be suggested rather than the controlled dietary interventions because the low GI diet uses less insulin. However, the guidelines of the Endocrine Society for Diabetes and Pregnancy suggest nurses recommend patients reduce 35-45% of the carbohydrate intake to attain the glycaemic index (Blumer et al, 2013). The average energy intake of women diagnosed with GDM in all BMI groups is 2050 kcal per day (Blumer et al, 2013). By reducing the energy intake to 1600-1800 kcal per day improves glycaemia and fasting insulinemia without affecting the birth weight or encouraging ketosis in women diagnosed with GDM. (Blumer et al, 2013). Louie et al (2015) compared a low GI with conventional high fiber, moderate glycaemic index (HF) diet. Louie et al (2015) concluded that maternal antenatal features were same in both low GI and HF groups. However, the post-partum weight loss in the low-GI group was higher than the HF group which was the clinically appropriate diet for women diagnosed with GDM (Louie et al,
Viana et al (2014), compare three type of dietary interventions given by nurses during gestation which includes a low glycaemic index (GI), energy restriction, and low carbohydrate diets (Viana et al, 2014). Viana et al (2014) concluded that a low GI diet is the suitable intervention to be suggested rather than the controlled dietary interventions because the low GI diet uses less insulin. However, the guidelines of the Endocrine Society for Diabetes and Pregnancy suggest nurses recommend patients reduce 35-45% of the carbohydrate intake to attain the glycaemic index (Blumer et al, 2013). The average energy intake of women diagnosed with GDM in all BMI groups is 2050 kcal per day (Blumer et al, 2013). By reducing the energy intake to 1600-1800 kcal per day improves glycaemia and fasting insulinemia without affecting the birth weight or encouraging ketosis in women diagnosed with GDM. (Blumer et al, 2013). Louie et al (2015) compared a low GI with conventional high fiber, moderate glycaemic index (HF) diet. Louie et al (2015) concluded that maternal antenatal features were same in both low GI and HF groups. However, the post-partum weight loss in the low-GI group was higher than the HF group which was the clinically appropriate diet for women diagnosed with GDM (Louie et al,