Recent Guideline Changes May Help to Reduce Gestational Diabetes Risk
In November 2013, a study related to gestational diabetes appeared in The Endocrine Society’s publication, the Journal of Clinical Endocrinology and Metabolism. It was titled Diabetes and Pregnancy: An Endocrine Society Clinical Practice Guideline. Upon its release, obstetricians undoubtedly started to question how they’ve been treating diabetic and pre-diabetic pregnant women for years.
The study was actually designed to come up with best practices that physicians could use to treat diabetic women of child bearing age. It looked at pregnant women with a pre-existing type 1 or type 2 diabetes diagnosis as well as those who developed gestational diabetes.
What the researchers found out during the study prompted them to recommend that obstetricians order specific diabetes testing during the initial prenatal visit as well as throughout the pregnancy. The diabetes testing methods that the researchers are calling for are the type that can detect very low blood glucose levels. The tests are considered the best course of action because of their extreme sensitivity. It is believed that they will be able to detect any insulin related issues far earlier than less sensitive diabetes testing supplies.
The new diabetes testing guidelines were not all that came out of the study. Researchers are also advocating that patients with gestational diabetes be encouraged to exercise a minimum of 30 minutes a day and undergo nutrition therapy. It is also recommended that in order to achieve the best outcomes, the patient’s nutrition therapy should be completed with medical oversight.
Interestingly enough, this news about the new guidelines hit the stands around the same time as the birth of a rather large baby in Utah. At birth, the baby weighed in at 14 pounds and was diagnosed as having type 1 diabetes. Large babies are not uncommon in cases where expectant mothers are already diabetic or develop gestational diabetes during gestation. Such births can cause both the mothers and children to experience health problems. Hopefully, the new guidelines will help minimize or prevent those health risks from occurring in the future.
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