Metabolic imbalances during pregnancy, such as GDM, might result in epigenetic changes which affect the offspring and might predispose to noncommunicable diseases later in life. Preventive measures for GDM must be initiated during pre-pregnancy and early pregnancy, in particular in women with high BMI. In pregnant women who develop GDM, medical nutrition therapy has to be provided by healthcare professionals. Omega-3 LCPUFA supplementation during the second half of pregnancy is effective to prevent premature birth and low birth weight. In developing societies, multiple micronutrient supplementation before and during pregnancy can contribute to better growth and cognitive development of the offspring. Annales Nestlé “How to Feed the Fetus” addresses short- and long-term consequences of nutrition and health issues before and during pregnancy.
