Navigation Links
Kaiser Permanente study finds diabetes doubling before motherhood
Date:4/27/2008

April 27, 2008 (Oakland, Calif.) Diabetes before motherhood more than doubled in six years among teenage and adult women, according to a Kaiser Permanente study published in the May issue of Diabetes Care. http://care.diabetesjournals.org/

While previous studies have looked exclusively at gestational diabetes (diabetes that develops during pregnancy, then usually disappears after the baby is born), this is the largest and most diverse study to examine pre-pregnancy type 1 and type 2 diabetes, which is more dangerous than gestational diabetes and potentially harder to treat, as well as gestational diabetes.

Researchers at Kaiser Permanentes Department of Research & Evaluation in Pasadena looked at 175,249 women who gave birth in 11 Kaiser Permanente hospitals in Southern California between 1999 and 2005. Researchers found that there were twice as many births to women with diabetes in 2005 as there were in 1999. Fifty-two percent of the women in the study were Hispanic, 26 percent were White, 11 percent were Asian/Pacific Islanders and 10 percent were African-American.

This study found significant jumps in pre-pregnancy diabetes in every age, racial and ethnic group:

  • Diabetes increased fivefold among 13- to 19-year-olds giving birth

  • Diabetes doubled among women 20- and 39-year-olds giving birth

  • Diabetes increased by 40 percent among women 40 and older giving birth

  • African-American, Hispanic, and Asian/Pacific Islander women were more likely to have diabetes before pregnancy than White women.

More young women are entering their reproductive years with diabetes, in part due to the fact that our society has become more overweight and obese, said lead author Jean M. Lawrence, ScD, MPH, MSSA, a research scientist at Kaiser Permanentes Department of Research & Evaluation. While we currently dont know how to prevent type 1 diabetes, the steps to reducing risk of type 2 diabetes must start before childbearing years: healthy eating, active living and maintaining a healthy weight. These habits should begin in childhood and continue through adulthood.

Given that two-thirds of Americans are overweight or obese, and nearly 15 million children are overweight or obese, these study findings are especially relevant.

The health risks of having diabetes before becoming pregnant are greater to mother and baby than gestational diabetes, which occurs in 8 percent of pregnancies. Gestational diabetes occurs when pregnancy triggers insulin resistance in the second trimester and raises a womans blood glucose level and is associated with larger babies, childhood obesity, and increased maternal risk of developing type 2 diabetes. Women with pre-existing diabetes are more likely to have miscarriages, stillbirths, and babies with birth defects because they may have elevated blood sugar during the critical first trimester of pregnancy when the infants organs are developing.

My advice to women who have type 1 or type 2 diabetes and are thinking about becoming pregnant is: work with your health care professional to get your blood sugar in good control. If you are pre-diabetic or have type 2 diabetes and are overweight, work on reducing your weight by a few pounds before becoming pregnant, Lawrence said. And women with gestational diabetes should have their blood sugar level tested after theyve given birth to make sure it returns to normal.

Limiting obesity is the best way to reduce the rising incidence of type 2 diabetes in young women, says study co-author David Sacks, MD, a Kaiser Permanente perinatologist who specializes in maternal fetal medicine and treats up to 50 diabetic moms-to-be a year. Weve become a more sedentary and obese society so naturally type 2 diabetes has risen too. For Latina women, the risk is even higher for developing type 2 diabetes, so its really important to defy family history and work on achieving a healthy weight.

Sacks said Kaiser Permanentes electronic health record, Kaiser Permanente HealthConnect, makes it easier for physicians to monitor and treat their patients diabetes.

KP HealthConnect gives me an immediate record of my patients pre-pregnancy performance, and how compliant she has been with her diabetes protocol and follow-up, Sacks said.


'/>"/>

Contact: Danielle Cass
danielle.x.cass@kp.org
510-267-5354
Kaiser Permanente Division of Research
Source:Eurekalert

Related medicine news :

1. Inter-Con Security Officers to Launch Strikes at Kaiser Hospitals Across California
2. Trenita Ward Named Vice President, California Member Service Call Centers for Kaiser Permanente
3. Two Million People Using Kaiser Permanentes Personal Health Record
4. Gregory A. Adams Named Northern California Region President of Kaiser Foundation Health Plan and Hospitals
5. Kaiser Permanente Study Shows That a Larger Abdomen in Midlife Increases Risk of Dementia
6. Kevin Richardson Named Vice President, Sales, National & Multi-State Business for Kaiser Permanente
7. Kaiser Permanente Team Builds Prosthetic Hands for Charity
8. Kaiser Permanente Study Shows One-Third of Women Have Overactive Bladder, Incontinence or Other Pelvic Floor Disorders
9. Greg Cleary Named Vice President, Membership Administration for Kaiser Permanente
10. Grammy Winner Common, MTV, and Kaiser Family Foundation Launch Lyrics Contest to Promote HIV Testing
11. Kaiser Permanente Recognized With Leading Awards for The Amazing Food Detective Online Video Game
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:8/18/2017)... ... August 19, 2017 , ... Mr. Noppadon Pakprot, Deputy Governor ... Thailand Health and Wellness Tourism Showcase 2017 yesterday, which unveiled the latest “Functional ... Tourism Products and Business at TAT said, “Thailand has long been recognized as ...
(Date:8/18/2017)... (PRWEB) , ... August 18, 2017 , ... ... “Vision & Hearing” campaign, advocating for active, healthy lifestyles and highlighting the importance ... for individuals with hearing impairments and shares the latest innovations in hearing aid ...
(Date:8/18/2017)... ... August 18, 2017 , ... The Dawn Johnson Insurance ... a new charity drive to generate community support for efforts to educate the local ... and treatments for all types of cancer. , Each day in America, roughly ...
(Date:8/18/2017)... ... 2017 , ... MLM Insurance Group, a Miami area provider ... is working to support the Take Stock In Children Foundation during a regional ... The Take Stock In Children Foundation (TSC) offers guidance and assistance to low ...
(Date:8/18/2017)... ... August 18, 2017 , ... “Emotions are sacred, valid, honored, encouraged. ... Louis-based positive education company Generation Mindful. To help change the mindset of parents and ... emotional skills, she created the Time-In Toolkit, which launched on Kickstarter 3 weeks ago ...
Breaking Medicine News(10 mins):
(Date:7/31/2017)... , July 31, 2017  Diplomat Pharmacy, Inc. (NYSE: ... southeast Michigan by Crain,s Detroit ... private and public companies by three-year revenue growth. This year,s ... To view the complete list, visit ... 50 is an incredible triumph," said Phil Hagerman , ...
(Date:7/31/2017)... 7D Surgical, developer of ground breaking surgical navigation ... Surgical System to support its strategic sales plan in ... and Virginia.  7D Surgical has entered into an exclusive sales ... medical facilities within those markets. ... Spartan Medical Purchases ...
(Date:7/28/2017)... , July 28, 2017 EnvoyHealth, a Diplomat company, ... a program for CleverCap LITE, a technology designed to ... to deliver innovative health technology solutions and services that ... CleverCap LITE offers medication monitoring ... bottle cover: Records ...
Breaking Medicine Technology: