Gestational Diabetes (GDM)Nutrition & Diet
Research Summary
Analyzed using Evidence Intelligence™

Mediterranean diet reduces gestational diabetes risk by 40% in Hispanic women

Last updated May 16, 2026

Key finding

Mediterranean diet may reduce gestational diabetes risk by 40% in Hispanic women.

This study tested whether a Mediterranean diet could prevent gestational diabetes in Hispanic pregnant women. Researchers enrolled 600 Hispanic women early in pregnancy. Some received Mediterranean diet guidance with free olive oil and pistachios. Others got standard dietary advice to limit fat intake. Women following the Mediterranean diet had much lower rates of gestational diabetes. Only 15% developed it, compared to 26% in the standard care group. They also had better blood sugar control and fewer pregnancy complications. The benefits were consistent and meaningful. The study shows this dietary approach works well for preventing gestational diabetes in Hispanic women.

Quick read

Study at a glance

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EvidenceScore™

Moderate

Study type

Randomized Controlled Trials (RCTs)

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

Mediterranean diet may reduce gestational diabetes risk by 40% in Hispanic women.

Published in

Journal Reference

Publication details and source links for this paper.

Melero V, García de la Torre N, Assaf-Balut C, et al. Effect of a Mediterranean Diet-Based Nutritional Intervention on the Risk of Developing Gestational Diabetes Mellitus and Other Maternal-Fetal Adverse Events in Hispanic Women Residents in Spain. Nutrients. 2020;12(11):3505. doi:10.3390/nu12113505

Main Effects

Gestational diabetes → ↓ (strong reduction)

Blood sugar control → ↓ (moderate improvement)

Pregnancy complications → ↓ (moderate reduction)

evidence suggest

Evidence Suggest

  • A Mediterranean diet with olive oil and pistachios started early in pregnancy may reduce gestational diabetes risk by about 40% in Hispanic women
  • Women following this diet had better blood sugar control and needed insulin less often if gestational diabetes developed
  • The benefits were consistent in both research and real-world settings, though adherence was better when foods were provided free
who this applies

Who this applies to

Pregnant Hispanic women, particularly those at higher risk for gestational diabetes

keep in mind

Keep in Mind

Participants knew which diet they were following, which could affect results

between the lines

Between the Lines

  • Participants were not blinded to their diet group
  • Results apply specifically to Hispanic women in Spain
  • Diet adherence was lower without free food provision

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Mediterranean diet and Diabetes Incidence and Prevention.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Mediterranean diet improve gestational diabetes mellitus incidence?

Emerging Evidence

Mediterranean diet has been studied in relation to Gestational diabetes mellitus incidence, but the direction of effect is unclear.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Gestational diabetes mellitus incidence

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | unknown | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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