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Insulin Use In Pregnancy: An Update

As of June 2015 in the United States, 2.7% of women who are 18–44 years of age have a diagnosis of type 1 or type 2 diabetes (1). About 5% of all diagnosed diabetes is type 1 diabetes, and 90–95% is type 2 diabetes. It is projected that, by 2050, one in three people will have some type of diabetes. An estimated 5,000 new cases of type 2 diabetes will be diagnosed annually in American children <20 years of age (2). Gestational diabetes mellitus (GDM) could affect up to 8.7% of all pregnancies in the United States (3). The Centers for Disease Control and Prevention reports that these numbers are still on the rise (2). As the age of diabetes diagnosis decreases in U.S. youth, the prevalence of pregestational diabetes is likely to increase in the pregnant population. Maternal diabetes causes complications in the embryo/fetus that start in the uterus, are present immediately after birth, and could potentially last a lifetime. Women with type 1 diabetes or type 2 diabetes diagnosed before or during the first trimester of pregnancy are at the greatest risk for fetal congenital anomalies and spontaneous abortions. This risk is associated with both frequent and severe hyperglycemia befo Continue reading >>

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Popular Questions

  1. ihavelostmymarbles

    Any one else a type 1 Diabetic?

    I am a type 1 diabetic of 8 years and I've been having a bit of confusion lately. Endocrinologist tell their patients "high protein and fat diets and avoid carbs" they recommend foods like meat dairy and eggs which I obviously can't do and have no desire to switch back to an Omni diet. What are some of your experiences as a vegan type 1 diabetic, or even type 2

  2. Rika_chany

    Vegan type 1 diabetic here! I've had diabetes for 15 years and been vegan for 4 years.
    Since going vegan my blood sugars and HbA1c (long-time blood sugar) have improved significantly. After eating a vegan meal my levels are more stable than they were after eating omni food.
    I was never told by any doctor (and I've had several...) to avoid carbs, rather I should avoid eating too much fat because my sugars will go up (which is true! Even though fat has no carbs, I notice it every time I eat something fatty) and try to eat as healthy as possible (e.g. complex carbs). Otherwise I could eat whatever I want, as long as I took my insulin.
    I also know several other type 1 diabetics that eat a balanced diet (carbs/fat/protein in normal proportions, sugary sweets sometimes too). A friend of mine saw his blood sugar levels go down after eating oatmeal every day for breakfast and changing nothing else.
    I'm from Europe though, so maybe that's why I've never heard from any doctor to avoid carbs.

  3. lu_xun

    There's a guy on YouTube with type one diabetes called "mastering diabetes." I have no idea how valid his advice is but good luck friend :)

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