By Michael Bryer-Ash
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Extra info for 100 questions & answers about diabetes
This may be related to the more gradual breakdown and absorption of the components of the meal, especially the carbohydrates, as discussed previously. Since, in all parts of the world, the explosive rise in diabetes is clearly linked to weight gain (with some population groups being more susceptible than others) rather than to a specific type of diet, the dietary focus should remain on eating a healthy diet that provides the recommended amounts of important nutrients, in quantities necessary to maintain a healthy weight (see Question 11) and prevent undesirable weight gain.
Am I at risk of diabetes in the future? Yes, you are at high risk both of having type 2 diabetes in the future and of having diabetes again with your next pregnancy. The reason for this is that women destined to get type 2 diabetes in middle age or beyond tend to be the same women who will develop diabetes in pregnancy. Therefore, the presence of diabetes in pregnancy is an indicator of future risk for type 2 diabetes. Because type 2 diabetes is a disorder of aging, the diabetes in pregnancy tends to be more severe and requires more intensive treatment with each successive If you are young (younger than 30), physically active, and lean, then you are not at high risk and regular screening is not necessary.
Since screening for diabetes with a fasting or random blood glucose measurement is rapid and inexpensive, there is no reason not to perform it at least annually in individuals at high risk and every 2 to 3 years in those at lesser, but still significant, risk. In general, all pregnant women should be screened for gestational diabetes between 24 and 28 weeks of pregnancy. Some authorities exclude younger (younger than 25 years old) women, who are otherwise at low risk, from the need for screening.
100 questions & answers about diabetes by Michael Bryer-Ash