[ Diabetes Type 1 ]

Vitamin D status and gestational diabetes mellitus

Dr Parul R Sheth, a health consultant specialising in reproductive biology, says that obesity during pregnancy can have a huge impact on the mother as well as baby’s health. While paatis and ammas insist on feeding the expectant mothers with calorie-packed meals to ensure that the baby is plump and chubby, doctors warn it may not be the route to good health for the newborn. moreover to warding off foods that might add empty calories with out being nutritious, you must have a being pregnant healthy dietweight-reduction plan competent so that you can be certain your baby is getting all the vital vitamins and minerals. #1 Eating for two: Your daily calorie requirement is roughly between 1800 to 2000 calories. Researchers found that around 36 percent of women who were allocated to interventions to help them manage their weight, had excessive weight gain over the course of their pregnancy compared with around 45 percent in the control groups. This excessive sugar is passed into the urine. It has, in fact, forced The Institute of Medicine and the National Research Council, USA, to issue a set of new guidelines.

Just eat some salty biscuits or fruit juices. If you are physically active during your pregnancy, rest assured that you are more energetic, relaxed, happy and content. John’s include:, Dr. Frequency of glucose intolerance was compared between Vit D sufficient and deficient groups. Insulin is the hormone that transforms glucose into energy. Untreated gestational diabetes can also lead to a greater likelihood of developing high blood pressure during pregnancy. I was only recommended to follow a strict diet.

Stop smoking or cut down your smoking when pregnant. In type 1, the patient’s body is unable to produce insulin. During pregnancy, all those extra hormones and the growing uterus take a huge toll on the digestive system, making it very sluggish. Treatment with insulin was associated with a significantly lower risk of complications. With increasing obesity, insulin resistance and better screening protocols, GDM is increasingly being diagnosed in Indian women. If you are obese and pregnant, your doctor may recommend a screening test for gestational diabetes earlier in your pregnancy. These are included in bread, pastry, rice, pasta, potatoes and all other starch products, as well as in fruit, milk, dairy products (except cheese) and all confectionery.

Importantly, no significant differences in growth trajectories between exposed and unexposed offspring were noted in infancy and early childhood (Fig. In mice, maternal hypercholesterolemia has been associated with atherosclerosis in offspring by influencing arterial gene expression (22). The first one in Mumbai, where the seat of the Maharashtra government is located, was attended by representatives from the state government along with researchers, nutritionists and program implementers. Bromelain is a combination of enzymes –which when consumed in large doses can cause uterine contractions and due it’s this property pineapple is considered unsafe to eat while you are pregnant. We intervened with Vit D replacement to study its impact on glucose tolerance in women with GDM. This was a prospective, pilot study conducted on women attending the antenatal clinic at a tertiary care center in western India during the period July–September 2014. Women with preexisting DM or glucose tolerance test (GTT) values of fasting blood glucose > 126 mg/dl or 2 h postglucose > 200 mg/dl or those taking metformin for polycystic ovary syndrome (PCOS) were excluded from the study.

Women with bad obstetric history (>3 spontaneous abortions), hypertension, renal, or hepatic dysfunction were also excluded. What you can do: If you have been sleeping for less than five or six hours in a day, its time you sleep more. Informed consent was obtained from the subjects, and the nature of the study explained in the language they understood. All subjects underwent routine antenatal tests as per existing institutional protocol. (1997). GDM was diagnosed in women with values greater than as specified (2 h plasma glucose > 140 mg/dl). Do not participate in risk-prone activities.

Ravi Retanakaran (University of Toronto: endocrinology). Remaining 51 women with a gestational period of < 28 weeks were included in the study. Limiting the intake of carbohydrates is the best way to reduce blood glucose level considerably. Walking is a great way to be physically active, without even noticing you are ‘exercising’! Standard advice regarding diet and exercise were given to all those diagnosed to have GDM by the same dietician. Use gloves when you garden. GTT was repeated after 6 weeks in these patients. Plums contain zero calories. Institutional ethical clearance was obtained. Frequency of glucose intolerance was compared between Vit D sufficient and insufficient/deficient groups. Number of glucose intolerant patients with Vit D insufficiency or deficiency who revert to NGT after the restoration of normal Vit D levels was evaluated. Here are sober, and one and two hours after drinking a glucose solution (75 g glucose) determined the blood sugar levels. Baseline characteristics of these two groups with respecting to their age, prepregnancy body mass index (BMI), and gestational period were comparable. Serum 25-OH Vit D levels in the GDM group were significantly lower compared with the group with NGT []. A report on the workshop will also be available. Following standard advice on diet and exercise with Vit D supplementation in women with GDM and Vit D insufficiency or deficiency, there was no significant change to NGT when compared to those with GDM and normal Vit D levels who received similar standard advice on diet and exercise []. We noted a greater frequency of Vit D deficiency in women with GDM compared to those with NGT, whereas they were similar in age, gestational period and BMI. Standard advice on diet and exercise was given to all women with GDM, whereas those with Vit D deficiency received supplementation of Vit D in addition. There was no statistically significant difference in the number of women with GDM reverting to NGT in the groups with or without Vit D deficiency. In this small study, we found that supplementing Vit D reversed GDM in 11.7% of patients with Vit D deficiency, which was statistically similar to those in normal Vit D group (17.6%) following a similar advice on diet and lifestyle modification. Most women would say that their daily commute, taking the stairs in their office, residence building or doing the usual household chores constitutes enough exercises and help burn those extra calories. The relevance of the results in day-to-day clinical practice and present day scenario are immense. The small size of the subject population and open-label intervention were weaknesses of the study. M., Abrams, B., Bodnar, L. We replaced Vit D with standard protocol without documenting normalization of serum Vit D levels in those in whom it was replaced which may be a weakness which was mainly due to short duration of time assigned for the study. This study can act as a template for future large studies in this field. In this pilot study, we found that Vit D deficiency is more frequently associated with GDM than women with NGT during pregnancy. However, replacing Vit D in those with deficiency did not significantly alter the glucose intolerance. This study further highlights the complex interaction between Vit D deficiency and glucose intolerance in pregnancy. It needs a larger, appropriately blinded randomized controlled trial to ascertain the truth. Until then, it will not be prudent to recommend routine screening for Vit D deficiency or its treatment in pregnancy. However, adequate Vit D supplements should be prescribed during pregnancy for its classical benefits on bone and mineral metabolism. The role of Vit D deficiency in GDM is not clear. Although the association is well recognized, the cause-effect relationship has not been established. In this open-labeled prospective study, we assessed the association of Vit D deficiency with GDM in comparison with a group with NGT and found that Vit D levels were more frequently low in pregnant women with GDM. However, the frequency of GDM was not different in Vit D deficient women compared with those with normal Vit D. The replacement of Vit D did not significantly alter the change to NGT in women with GDM over and above that achieved by diet and exercise counseling. The findings of this study require further confirmation by a larger study addressing its weaknesses.

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