history of gestational diabetes presentation may 2015
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History of Gestational Diabetes Presentation
May 2015
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National Diabetes Education Program• US Department of Health and Human Services program jointly
sponsored by:
– National Institutes of Health
– Centers for Disease Control and Prevention
– With over 200 public and private partners
• Seeks to reduce the burden of diabetes in the US by facilitating adoption of proven approaches to prevent or delay the onset and progression of diabetes and its complications.
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Gestational Diabetes Mellitus (GDM)
• Diagnosed during pregnancy.
• Affects at least 7% and possibly as many as 18% of U.S. pregnancies.
• Occurs frequently with other risk factors for diabetes.
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Why is Gestational Diabetes a Concern AFTER Pregnancy?
• Immediately after pregnancy, 5% to 10% of women with GDM have diabetes, usually type 2.
• 35% to 60% chance of developing diabetes in the 10 to 20 years after delivery.
• Risk for cardiovascular disease may be increased.• Children of GDM pregnancies may be at greater risk for
future obesity and type 2 diabetes.
Buchanan TA, et al.Diabetes Care 2007; 30 Suppl 2: S105-11.
Kitzmiller JL, et al. Diabetes Care 2007; 30 Suppl 2: S225-35.
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Good News!
• Small steps can lower type 2 diabetes risk.
• Lifestyle changes include dietary changes and physical activity to lead to modest weight reduction and maintenance.
• Early detection of prediabetes may provide an opportunity to prevent or delay the onset of type 2 diabetes.
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Awareness of post GDM issues
• Awareness is low about health risks for women who have a history of GDM.
• Many women do not receive and/or are not aware of the need for follow-up testing.
• NDEP is raising awareness among providers about the importance of continuing to track and monitor GDM moms long after the pregnancy has ended.
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It’s Never Too Early . . . to Prevent Type 2 Diabetes
Outreach Goals:• ↓number of women with history of GDM who develop
diabetes• ↑awareness of health risks for children of that
pregnancy• ↑ awareness of timely testing• ↑ provider counseling about future health risks/steps to
prevent type 2 diabetes• ↑ adoption and maintenance of healthy behaviors
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What You Can Do to Help
Encourage women with a history of GDM to:• Continue positive lifestyle habits after delivery.• Get screened 6 to 12 weeks post partum – if test is normal,
get tested at least every 3 years.• If prediabetes is diagnosed, get tested annually for diabetes.• Breastfeed to help mom lose weight and improve the child’s
health.• Aim for pre-pregnancy weight within 6 to 12 months. If still
overweight, work to lose 5%-7% body weight over time.• Make healthy food choices/eat smaller portions.• Be active 30 minutes 5 days a week.
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Resources Available from NDEPwww.YourDiabetesInfo.org/GDM
• Use/adapt/share materials from NDEP:
– Ready-to-use articles
– Toolkits
– Tip Sheets/Fact Sheets
– Web banners
– Print and Broadcast PSAs
– Information available in English and Spanish
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Connect with NDEP • Online and social media outreach:
− “Like” NDEP on Facebook (facebook.com/ndepgov)
− Follow NDEP on Twitter (@NDEP)
− Subscribe to NDEP’s monthly e-newsletter, News & Notes
− Subscribe to NDEP’s RSS Feed
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Behavior Change Resources
NDEP’s Diabetes HealthSense Online Library: www.YourDiabetesInfo.org/HealthSense
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Fit for Two
• Behaviors‐ Physical activity ‐ Healthy eating
• Audiences‐ Adults
• Source: Weight-control Information Network www.win.niddk.nih.gov
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Food for Thought: Eating Well On a Budget
• Behaviors‐ Healthy Eating
• Audiences‐ Families
• Source: PBS
http://www.sesamestreet.org/parents/topicsandactivities/toolkits/food
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NDEP Behavior Change Video Series
• Available on Diabetes HealthSense at www.YourDiabetesInfo.org/HealthSense
• Series of short videos focused on helping people make lifestyle changes and cope with the demands of diabetes.
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