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To the Editor:—
Dr. Wishnofsky's points concerning the dietary needs for a diabetic-obstetric patient are well taken. The requirement of protein in the diet of such a patient who has had adequate protein intake before pregnancy is about 1.5 Gm. of protein per kilogram of body weight per day, but larger amounts of protein are given if the patient has not had adequate protein intake to make up for the past deficit. The optimum aim is nearly 2 Gm. of protein per kilogram of body weight to insure that the mother and fetus get sufficient protein and also to prevent possible toxemia. Although the cause of toxemia of pregnancy is conjectural, it is believed by various investigators that a high-protein, well-balanced diet acts as a preventive of toxemia of pregnancy. Many pregnant diabetic women are on a low-protein-intake diet because of the high cost of a high-protein diet. Others find
Blotner H. DIABETES AND PREGNANCY. JAMA. 1959;170(5):625. doi:10.1001/jama.1959.03010050119019
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