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Gestational diabetes

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Gestational diabetes and nutritional recommendations. Curr. Diabetes Rep. 4, 377-386. 44. Lock, D. R., Bar-Eyal, A., Voet, H., and Madar, Z. (2000). Glycemic indices of various foods given to pregnant diabetic subjects. Obstet. Gynecol. 71, 180-183. 45. Scholl, T. O., Chen, X., Khoo, C. S., and Lenders, C. (2004). The dietary glycemic index during pregnancy: Influence on infant birth weight, fetal growth, and biomarkers of carbohydrate metabolism. Am. J. Epidemiol. 159, 467-474. 46. Franz, M. J. (2006). The argument against glycemic index: What are the other options? Nestle Nutr.
Nutrition issues for people with gestational diabetes are discussed in Chapter 33 in this volume. Throughout the discussion of energy and nutrient intake, the focus is to achieve the goals of medical nutrition therapy of persons with diabetes.
They concluded that well-controlled gestational diabetes was associated with good outcomes in all maternal weight groups. In a study of Mexican American women with GDM who received culturally appropriate nutrition therapy, energy intake was prescribed at 37 ?3 kcal/kg for normal pre-pregnant weight (n = 42). Overweight (n = 46) and obese (n = 47) pregnant women were prescribed an average of 23 ?3 kcal/kg. At delivery neonatal weight of infants from normal-weight, overweight, and obese women were 3313 g?671, 3413 g?727, and 3448 g?654, respectively [37].
On the other hand, there is new evidence indicating that a prepregnancy diet, in particular a diet with low fiber and high glycemic load, has been associated with an increased risk of gestational diabetes [18]. X. CONCLUSION Currently, nutrition practice guidelines for GDM recommend a carbohydrate controlled food plan designed to promote adequate nutrition, appropriate weight gain, normoglycemia, and the absence of ketonuria. The food plan should be individualized, culturally appropriate, and adapted to the patient's food preferences and lifestyle.

The Natural Pharmacy: Complete A-Z Reference to Natural Treatments for Common Health Conditions

Alan R. Gaby, M.D., Jonathan V. Wright, M.D., Forrest Batz, Pharm.D. Rick Chester, RPh., N.D., DipLAc. George Constantine, R.Ph., Ph.D. Linnea D. Thompson, Pharm.D., N.D.
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Excess body weight is implicated as a risk factor for many different disorders, including heart disease (page 98), diabetes (page 152), several cancers (page 87) (such as breast cancer [page 65] in postmenopausal women, and cancers of the uterus, colon [page 123], and kidney), prostate enlargement (BPH [page 58]), female infertility (page 187), uterine fibroids, and gallstones (page 193), as well as several disorders of pregnancy, including gestational diabetes, preeclampsia, and gestational hypertension.

Natural Health Solutions

Mike Adams
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L-Carnipure supplement cuts risk of gestational diabetes. American Diabetes Association. Vitamin D deficiency linked to osteoporosis. 11th World Congress on Menopause. Vitamin C, B6 and D improve colon health. Journal of Nutrition. Melatonin improves sleep disorders. Northwestern University. The Basic Principles for Natural Health Although this book is organized by diseases or health conditions, it's important to understand that these conditions are only the symptoms of disease, not the causes. "High cholesterol" is an observation, not a disease.

The Leptin Diet: How Fit Is Your Fat?

Byron J. Richards
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These include toxemia, high blood pressure, gestational diabetes, hypothyroidism, miscarriage, and premature delivery. The risk for such problems is much higher in a mother who had leptin problems prior to pregnancy, reflected in her struggles with body weight and/or poor thyroid function. Maternal leptin resistance imposes major stress on the placenta and fetus, potentially altering normal nervous system development. Core development of appetite nerve circuitry may be disturbed, setting the stage for later-life leptin resistance and weight gain in the child.

Alternative Medicine the Definitive Guide, Second Edition

Larry Trivieri, Jr.
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In Type II bination of factors such as high stress, faulty diet, obesity, diabetes, the pancreas still produces insulin, but the cells GESTATIONAL DIABETES A third type of diabetes, gestational diabetes, is found in pregnant women and is a temporary condition. Characterized by excessive hunger, thirst, and the need to urinate, it is a mild condition and often goes unnoticed, but it is an important condition to treat because elevated blood sugar levels can damage the fetus. gestational diabetes can usually be controlled with diet but may require insulin.

Prescription for Natural Cures: A Self-Care Guide for Treating Health Problems with Natural Remedies Including Diet and Nutrition, Nutritional Supplements, Bodywork, and More

James F. Balch, M.D. and Mark Stengler, N.D.
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The third category is known as gestational diabetes, diabetes that occurs during a woman's pregnancy. All three types of diabetes are very serious medical conditions. When left unmon-itored and untreated, blood-sugar levels can swing from dramatically low (hypoglycemia) to dangerously high (hyperglycemia). Hypoglycemia comes on quickly and leaves you feeling dizzy, pale, sweaty, and confused. You may feel uncoordinated or have palpitations. If your glucose levels are not raised your symptoms could grow worse, and you could lapse into a coma. Hyperglycemia isn't much better.

Dr. Neal Barnard's Program for Reversing Diabetes: The Scientifically Proven System for Reversing Diabetes Without Drugs

Neal D. Barnard and Bryanna Clark Grogan
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With the same sorts of steps that tackle type 2 diabetes, we can often stop gestational diabetes from ever turning into type 2. GENES ARE NOT DESTINY Diabetes runs in families, but don't take that to mean that if one of your parents has diabetes, a similar diagnosis has to be your fate as well. You can change things. Let's take a look at type 1 diabetes first. Many children are born with genes that make it possible for them to develop type 1 diabetes, but most of them never do.

The Natural Pharmacy: Complete A-Z Reference to Natural Treatments for Common Health Conditions

Alan R. Gaby, M.D., Jonathan V. Wright, M.D., Forrest Batz, Pharm.D. Rick Chester, RPh., N.D., DipLAc. George Constantine, R.Ph., Ph.D. Linnea D. Thompson, Pharm.D., N.D.
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Nevertheless, it should be noted that being overweight while pregnant increases the incidence of various conditions in both the mother and the fetus, such as gestational diabetes and blood pressure problems (page 246). The risk is proportional to the amount of excess weight. Overweight women have a higher risk of cesarean deliveries and a higher incidence of anesthetic and post-operative complications in these deliveries. Poor responsiveness in the newborn, large head, and some birth defects are more frequent in infants of obese mothers. Maternal obesity increases the risk of newborn death.

The Omega-3 Connection: The Groundbreaking Anti-depression Diet and Brain Program

Andrew L. Stoll
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Gestational Diabetes. gestational diabetes develops or is discovered during pregnancy. It usually disappears when the pregnancy is over, but women who have had gestational diabetes have a far greater risk of developing diabetes later in their lives. Now a series of studies from Australia show that excess omega-6 fatty acids along with a deficit of the omega-3s may contribute to insulin resistance, and omega-3 fatty acid supplements may decrease insulin resistance or even prevent the development of diabetes.

Fundamentals of Naturopathic Endocrinology

Michael Friedman, ND
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The immediate risks of gestational diabetes to the mother include increase hypertension and preeclampsia; the later risk is developing diabetes itself. The risk to the fetus is fetal macrosomia (increased fetal size).75 The postulated mechanism for this is due to the high levels of fuels, such as glucose, amino acids, lipids, and insulin. Pregnancy is a complex metabolic state. There is a dramatic alteration in hormone levels, including increased levels of Cortisol, progesterone, prolactin, estrogen, and human chorionic gonadotropin.
Contributing Factors for Diabetes Greater than 120% desirable body weight <®> Imbalances of DHEA, Cortisol, and IGF-11° Sedentary lifestyle, high consumption of refined sugars •» Eating at fast-food restaurants, drinking soft drinks -» Nitric oxide deficiency" Delivered a baby weighing more than 9 pounds, or gestational diabetes Low birth weight12 Type I: Insulin Dependent Diabetes Mellitus (IDDM) In type I diabetes or insulin dependent diabetes mellitus (IDDM), the beta cells in the pancreas are being destroyed, which results in decreased insulin production.
History of gestational diabetes, insulin resistance and coronary risk. J Diabetes Complications 1999;13:216-23. 13. DespresJP, Lamarche B, Mauriege P, et al. Hyperinsulinemia as an independent risk factor for ischemic heart disease. N EnglJ Med 1996;334:952-57. 14. Tiihonen M, Partinen M, Narvanen S. The severity of obstructive sleep apnoea is associated with insulin resistance. J Sleep Res 1993;2:56-61. 15. Pujol P, Galtier-Dereure F, BringerJ. Obesity and breast cancer risk. Hum Reprod 1997;12:116-25. 16. Stoll BA. Essential fatty acids, insulin resistance, and breast cancer risk.

Healing Moves: How To Cure, Relieve, And Prevent Common Ailments With Exercise

Carol Krucoff and Mitchell Krucoff, M.D.
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Women at increased risk of gestational diabetes include those who are overweight, who have a family history of diabetes, and who are African American, Hispanic or Latino American, or Native American. Women who have gestational diabetes are at increased risk of developing type II diabetes, and some studies indicate that nearly 40 percent of women with a history of gestational diabetes develop type II diabetes in the future. A very small proportion of diabetes—1 to 2 percent of cases—results from certain genetic syndromes, surgery, drugs, malnutrition, infections, and other illnesses.

The Encyclopedia of Healing Foods

by Michael Murray, N.D. and Joseph Pizzorno, N.D.
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Gestational diabetes, which is a form of glucose intolerance that occurs during pregnancy. • Impaired glucose tolerance, which is a condition that includes prediabetic or borderline diabetes. Individuals with impaired glucose tolerance have blood glucose levels and glucose tolerance test (GTT) results that are intermediate between normal and clearly abnormal. Signs and Symptoms The classic symptoms of type 1 diabetes are frequent urination, excessive thirst, and excessive appetite. In type 2 diabetes, these symptoms may also be present but are usually much milder than in type 1.

Beat Diabetes Naturally: The Best Foods, Herbs, Supplements, and Lifestyle Strategies to Optimize Your Diabetes Care

Michael T. Murray
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In one study, fourteen women with gestational diabetes were given 100 mg of vitamin B6 each day for two weeks, which resulted in eliminating the diagnosis in twelve out of the fourteen women.32 magnesium ! Like chromium, magnesium is also involved in glucose metabolism. There is considerable evidence that diabetics should take supplemental magnesium: More than half of all people with diabetes show evidence of magnesium deficiency, and magnesium may prevent some complications of diabetes such as retinopathy and heart disease.

Dr. Neal Barnard's Program for Reversing Diabetes: The Scientifically Proven System for Reversing Diabetes Without Drugs

Neal D. Barnard and Bryanna Clark Grogan
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In type 2 and gestational diabetes, the pancreas is usually able to make insulin, but the body's cells resist its action. keep the amount of glucose or starch fairly constant from meal to meal and from day to day so the amount of medication required to help your body process glucose—your daily dosage—can stay the same, too. In short, these diets guide you on what, when, and how much to eat. New research has changed everything, however. We can now use diet changes to influence insulin sensitivity directly.

Beat Diabetes Naturally: The Best Foods, Herbs, Supplements, and Lifestyle Strategies to Optimize Your Diabetes Care

Michael T. Murray
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In obstetrics, gestational diabetes was almost the rule and seriously complicated pregnancies and deliveries were commonplace. In internal medicine, managing poorly controlled diabetes, premature heart disease, blindness, and end-stage kidney disease were routine. Sadly, in surgery, I became quite adept at performing amputations on so many diabetics who lost toes, feet, or legs to gangrene.

Mastering Leptin: The Leptin Diet, Solving Obesity and Preventing Disease, Second Edition

Byron J. Richards, CCN
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The excessive production of TNFa due to coexisting high leptin causes insulin resistance during pregnancy and increases the risk for gestational diabetes.555 The reason for high leptin levels in the female system is one of leptin resistance in the actual female organs. For example, fertility specialists have demonstrated that in-vitro fertilization is not likely to work in the presence of high leptin, indicating a clear leptin resistance preventing pregnancy from occurring.

Dr. Neal Barnard's Program for Reversing Diabetes: The Scientifically Proven System for Reversing Diabetes Without Drugs

Neal D. Barnard and Bryanna Clark Grogan
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Diabetes comes in three main types, called type 1, type 2, and gestational diabetes. Let's look at each one. Type 1 diabetes usually manifests in childhood or young adulthood. It used to be called childhood-onset or insulin-dependent diabetes. In type 1 diabetes, something has damaged the pancreas's ability to produce insulin, and you need to get it from an outside source—typically by injection. However, recent research has revealed a great deal about how diet changes can dramatically reduce the risk that diabetes will bring any serious complications your way, as you will see in Chapter 3.
Studies in which researchers gave chromium to people with type 1, type 2, or gestational diabetes have yielded mixed results. The problem may be that some studies were small and used rather small chromium doses, but some studies using higher doses (up to 1,000 micrograms) in individuals with type 2 diabetes have shown no benefit.7 As a result, most diabetes authorities do not recommend chromium supplements.8

Prescription for Nutritional Healing, 4th Edition: A Practical A-to-Z Reference to Drug-Free Remedies Using Vitamins, Minerals, Herbs & Food Supplements

Phyllis A. Balch, CNC
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Symptoms of gestational diabetes may include frequent urination, excessive thirst, and increased fatigue, but it is also likely that there will be no symptoms at all. Recommendations Q Eat a little at a time, but frequently. Do not miss meals, even if you are experiencing nausea. Q Discuss your dietary intake with your health care provider. Q Avoid foods rich in sugar, and remember that some carbohydrates increase blood sugar levels more than sugar. (See diabetes in Part Two.

Mastering Leptin: The Leptin Diet, Solving Obesity and Preventing Disease, Second Edition

Byron J. Richards, CCN
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New studies show that leptin problems directly increase the risk for gestational diabetes,92 preeclampsia (gestational high blood pressure and protein loss in the urine),93 placental insufficiency and dysfunction,94 increased inflammation (excess TNFa production),95 increased risk for a low birth weight baby,96 and premature delivery.97 Obese mothers are at high risk for all manner of serious pregnancy problems.98 Furthermore, women who experience leptin-resistant induced preeclampsia during pregnancy have a greater risk for heart disease later in life.

Prescription for Nutritional Healing, 4th Edition: A Practical A-to-Z Reference to Drug-Free Remedies Using Vitamins, Minerals, Herbs & Food Supplements

Phyllis A. Balch, CNC
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This is a urine test for gestational diabetes. It is usually taken at the first visit and on further visits if you are considered to be at high risk for the condition. • Blood type. This is taken in case a blood transfusion becomes necessary and to see if there are blood type incompatibilities (Rh- factor) between you and your baby. It is usually done during your first visit. • Drug test. This is a urine test for illicit drug use. It may be taken on your first visit. • Hemoglobin level. This is a blood test to check for anemia. It is usually done at your first visit. • Pap smear.

Dr. Neal Barnard's Program for Reversing Diabetes: The Scientifically Proven System for Reversing Diabetes Without Drugs

Neal D. Barnard and Bryanna Clark Grogan
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If you have type 1 diabetes or are using insulin for type 2 or gestational diabetes, you should check your glucose at least three times a day or according to whatever schedule your doctor recommends. If you have type 2 diabetes and are using oral medications, there is no optimal testing frequency. As a rule of thumb, however, when your diet, medications, exercise routine, or health status changes, it is important to test more frequently. If your doctor is not yet aware that you are about to make a change, now is the time to share that information.

Healing Moves: How To Cure, Relieve, And Prevent Common Ailments With Exercise

Carol Krucoff and Mitchell Krucoff, M.D.
See book keywords and concepts
Women who have gestational diabetes are at increased risk of developing type II diabetes, and some studies indicate that nearly 40 percent of women with a history of gestational diabetes develop type II diabetes in the future. A very small proportion of diabetes—1 to 2 percent of cases—results from certain genetic syndromes, surgery, drugs, malnutrition, infections, and other illnesses. These forms are classified as "other specific types of diabetes." In all forms of diabetes, early diagnosis is critical, because the longer it's left untreated, the greater the risk of serious complications.

Disease Prevention and Treatment

The Life Extension Editorial Staff
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About 2—5% of all pregnancies induce gestational diabetes, but it is usually a transient condition that terminates postpartum. However, the risk of developing diabetes in later years is greater for both mother and infant. The focus of this protocol is on Type II diabetes, the type that affects 90-95% of the diabetic population, defining contributing factors and detailing a comprehensive program to render the condition (if not reversible) highly manageable.

Defeating Diabetes

Brenda Davis and Tom Barnard
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Untreated, gestational diabetes can harm the fetus's heart and liver, and can result in serious birth defects or stillbirth if the mother's blood sugar is not controlled. Type 2 diabetes is often insidious. In fact, about half of those with type 2 diabetes don't know they have it because so many of the individual symptoms could be indicative of other problems. If you or someone you care about is experiencing several of the following symptoms, testing for diabetes is very important.

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