Gestational Diabetes

The advice that many overweight and obese women are receiving on gestational weight gain from their providers is insufficient and often inappropriate, research shows.

Gestational Diabetes

A history of gestational diabetes could be a risk factor for later heart disease, highlighting that reproductive complications may unmask future disease risk.

Physicians’ groups are urging ob/gyns to have difficult conversations with obese women about their weight. Here’s one example of how utter bluntness can be an effective tactic.

Women who have had bariatric surgery require special care during pregnancy, particularly with assessment of micronutrient deficiencies and appropriate replacement. Here’s one ob/gyn’s approach.

All pregnant women should be tested for diabetes by 13 weeks’ gestation and tested again for gestational diabetes between 24 and 28 weeks’ gestation, say new guidelines.

Low levels of adiponectin before pregnancy were associated with a 5-fold increased risk of gestational diabetes. This risk was 7-fold in obese or overweight women.

The current treatment of mild gestational diabetes mellitus results in fewer cases of preeclampsia, shoulder dystocia, and macrosomia but seems to have no effect on neonatal hypoglycemia or future poor metabolic outcomes, concluded a systematic review and meta-analysis.

An independent panel convened by the National Institutes of Health has concluded that there is insufficient evidence to adopt a 1-step approach to the diagnosis of gestational diabetes mellitus (GDM).


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