Just last week, the Centers for Disease Control and Prevention (CDC) said in a news story that 30 percent of gestational diabetes mellitus (GDM), the official term for gestational diabetes, had accumulated in women who gave birth between 2016 and 2020.
The firm noted that the rate of gestational diabetes increases with maternal age, the mass index of the pre-pregnancy frame and plurality, that is, the number of births compatible with pregnancy (twins, triplets, etc. ).
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Gestational diabetes rates ranged from 4. 7 in Mississippi to 12. 6 in Alaska in 2020, according to the CDC study.
“About 50 percent of people with gestational diabetes later develop type 2 diabetes,” the CDC said.
She also said the rate of GD varies by mother’s race, with a rate among non-Hispanic Asians of 14. 9% and the lowest among non-Hispanic black women of 6. 5% among the six largest teams of Hispanic descent and race studied, according to the recent report.
“During pregnancy, the mother’s hormones ‘compete’ with hormones produced through the placenta and cause a weakening or sensitivity of insulin activity,” said Sue-Ellen Anderson-Haynes, a national spokeswoman for the Chicago-based Academy of Nutrition and Nutrition. Dietetics.
“When this happens, the mother cannot keep her blood sugar level within an overall diversity and wants medical intervention to keep it stable during pregnancy. “
“This is insulin resistance,” he added.
“When this happens, the mother cannot keep her blood sugar level within an overall diversity and wants medical intervention to keep it stable during pregnancy. “
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There are key steps that can be taken to pay and save it in advance.
Research has shown that some tactics to reduce the risk of developing gestational diabetes come with seeking the recommendation of a nutritionist nutritionist (RDN) to help make nutrition and lifestyle changes to safely lower blood sugar, Anderson-Haynes said.
She encourages women, before becoming pregnant, to be at a healthy weight by “eating nutritious foods and engaging in normal physical activity on peak days of the week,” which can “reduce the threat of a GDM. “
Also, “pay attention to what you eat,” he said.
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Try to “limit fried foods, ultra-processed foods like chips, chips, subtle carbohydrates like white rice, high-fat foods, especially saturated fats, processed meats, and foods with added sugar, such as sugary drinks,” Anderson-Haynes added. .
“Instead, prefer balanced nutrition consisting of cereals, fruits, vegetables, dairy products and protein foods. “
He said the nutritional control of GDM is similar to that of type 1 diabetes mellitus (caused by an autoimmune reaction in which the pancreas does not produce enough insulin), as well as type 2 diabetes mellitus (caused by insulin resistance due to weight gain and lifestyle).
The foods he recommends are high in fiber, healthy nutritional fats, low-fat dairy products (or dairy substitutes), and lean proteins, with an emphasis on a low glycemic index.
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Also eat carbohydrates that slowly raise blood sugar (some starchy vegetables, fruits, whole-grain breads, rice paste, etc. ), as well as many non-starchy vegetables, such as leafy greens, carrots, peppers, and more.
“Individualizing nutrition is key,” he said. There is no precise amount of carbohydrates, fats, proteins, etc. that everyone eats. This is also true for other people with diabetes or prediabetes. “
But if moms extend pregnancy with gestational diabetes mellitus, Anderson-Haynes says their obstetrician and gynecologist can refer them to a multidisciplinary team that includes an endocrinologist, a maternal-fetal fitness specialist and an RDN who is also a qualified diabetes care and education specialist. .
“For many women, GMP can be controlled with nutritional and lifestyle interventions. “
Sometimes, however, insulin is needed if those adjustments don’t lower your blood sugar, according to criteria from the American Diabetes Association of Medical Care in Diabetes.
After pregnancy, women with GDM deserve to follow up with a diabetes care team at their postpartum visit, which typically takes place 6 to 8 weeks after pregnancy.
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The team preferably includes an endocrinologist and an RDN specialized in female fitness and diabetes.
Both healthcare providers and patients want to act temporarily when GDM is diagnosed to prevent the progression of type 2 diabetes.
Treatment treatments will be individualized.
While some women would possibly want medication to control their peak blood sugar, others would possibly just want to control their nutrition and lifestyle, she noted.
The good news is that type 2 diabetes is preventable: Studies seem to indicate that it can go into remission with an extensive remedy under medical supervision, Anderson-Haynes said.
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She recommends some nutritional “pearls” to follow to stay healthy.
“Simple tips include: on plant foods (fruits, vegetables, nuts, seeds, and total grains), restrict fried and ultra-processed foods, foods with added sugar, and sugary drinks. “
And don’t exercise many days of the week, have good sleep hygiene, and control tension properly.
Adults aim for a daily intake of 1. 5 to 2 cups of fruit or equivalent, according to the U. S. Dietary Guidelines. USA 2020-2025.
And women restrict their intake of added sugar to 6 teaspoons (25 grams of sugar), while men restrict their intake to nine teaspoons (36 grams of sugar) every day, according to the American Heart Association.
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“Dry culmination has more sugar than total culmination because sugar is more concentrated since water is removed,” Anderson-Haynes said.
“Fruits involve herbal sugar and are for you because they provide a lot of nutrients like fiber and antioxidants. “
“Take it simply with smoothie bowls and fruit drinks. “
However, too much fruit, especially in one serving, can lead to spikes in blood sugar if balanced with other nutrients.
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“So take it easy with smoothie bowls and fruit drinks,” he advised.
Finally, he said health care providers and patients want to act temporarily if gddly is diagnosed to prevent the progression of type 2 diabetes.
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For more information, he recommends the Academy of Nutrition and Dietetics online page, the American Diabetes Association’s online page, or the “How an NDR can help with diabetes” online page when the recommendation is for an RDN.