Type 2 diabetes and pregnancy, a modern condition

Type 2 diabetes and pregnancy, a modern condition

The older name for type 2 diabetes is Maturity Onset Diabetes reflecting the fact that it usually develops over the age of 50.  As we grow older our pancreas seems to make less insulin. This is just at the time of our lives when we exercise less and gain weight, so the amount of insulin needed to keep the glucose in check increases. Just like the household budget must balance for happiness, if you need more insulin that your pancreas can’t make – there will be problems this time  in the form of diabetes. The obesity epidemic and its presence in younger women pushes up the need for insulin and so we are seeing more diabetes in women of a fertile age.

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Keeping weight gain in pregnancy in check

Keeping weight gain in pregnancy in check

Controlling weight gain in pregnancy is a challenge.  Weight gain is normal but too much carries more risk for a large baby, for gestational diabetes and maybe even long term risk for obesity in the offspring.  In a previous blog we have looked at what amount of weight gain is normal but for many the pounds just seem to pour on regardless of what they do.  Keeping track of your weight is useful to guide things and you may find the chart we made from the Institute of Medicine recommendations useful. What can be done to keep the weight gain in check.  A recent study came up with a simple approach which seemed to work and may help.

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Weight Gain in Pregnancy

Weight Gain in Pregnancy

Just how much weight gain is normal in pregnancy?  We know the baby, placenta and fluid around the baby comes to about 5 Kg (11 lbs) but the mom also has a bigger blood volume, lays down some more fat stores and may carry excess fluid.  The Institute of Medicine in the US released suggestions for weight gain in pregnancy in May 2009 and Health Canada are using much the same.  I find it easiest to plot the weight gain on a page over the course of the pregnancy. You can down load the sheet I created based on the IOM recommendations as a PDF file, found under charting,  just print it in landscape format and use it yourself.

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