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Gestational diabetes poses postpartum problems. (Type 2 Diabetes Risk is Extremely High).
STANFORD, CALIF. -- Postpartum counseling of women with gestational diabetes has become more important than ever in light of a recently improved understanding of the disorder's often far-reaching consequences and the availability of an effective new therapy, Dr. Judy E. Kalinyak said at a conference on perinatal and pediatric nutrition.
Women with gestational diabetes run a two-in-three risk of experiencing the disorder again in subsequent pregnancies.
"Many individuals who were diet-controlled during their first episode require diet and a little bit of insulin in their second. And if they continue to gain weight as they age, their need for insulin tends to get greater and they need it earlier in the pregnancy, explained Dr. Kalinyak, an endocrinologist at Stanford (Calif.) University
Various studies have shown that the risk of developing type 2 diabetes following an episode of gestational diabetes is 40%-60% over the subsequent 5-15 years.
"Beyond 15 years, it might go up to 60%, 70%, 80% depending on their genetic background and their inability to maintain their body weight," she added at the meeting, which was jointly sponsored by Symposia Medicus and Stanford University.
Identification of women with impaired glucose tolerance or frank type 2 diabetes is the purpose of the 75-g oral glucose tolerance test recommended 8 weeks after delivery or upon discontinuation of breast-feeding for all women with gestational diabetes.
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Source: HighBeam Research, Gestational diabetes poses postpartum problems. (Type 2 Diabetes Risk...