Diabetes During Pregnancy the Mother Thought that Causes Obesity in Children

Diabetes and Obesity

Diabetes during pregnancy are not treated well almost certainly result in a double risk for the offspring will be obese in childhood , but the treatment is performed by maternal hyperglycemia can fix , the researchers said . Examination of the previous record of 9,000 mother-child pairs showed that the risk of obesity in childhood increases the magnitude of hyperglycemia in the mother during pregnancy, said Teresa Hillier, MD, Kaiser Permanente Center for research Fellow in Child and Health. Knowing about diabetes, symptoms, causes and how to prevent it.

The researchers also found that immediate treatment of diabetes in pregnancy reduces the risk of obesity in children than women who do not care , reported in the September issue of the journal Diabetes Care. About Gestational Diabetes

"My advice for pregnant women is three times," said Dr. Hillier. "In the debate to discuss detection of gestational diabetes your doctor, usually between 24 and 28 weeks gestation; if you have diabetes during pregnancy, do the treatment with your doctor, and do the treatment closely during pregnancy. the best thing you should do is reduce the risk of obesity in children. 

"The authors found records of 9,439 mother - child, from the Kaiser Permanente facility in Hawaii and parts tenggaran Pacific. In both regions, universal screening for diabetes during pregnancy test carried out by oral glucose tolerance with a size of 50 g.

Positive women with diabetes after more tests proved for three hours with glocusa OGTT with a size of 50 g, were diagnosed with diabetes during pregnancy, according to the criteria of the National Diabetes Data Group and Carpente and Coustan. 

Criteria Group National Diabetes Data must meet the following glucose levels at least two of the four measures based on test oral glucose tolerance:

• Fast: at least 5.8 mmol/L
• One hour: at least 10.5 mmol/L
• Two hours : at least 9.2 mmol/L
• Three hours : at least 8.0 mmol/L

Carpenter and Croustan criteria using a smaller reduction diagnosed:

•  Fast: at least 5.3 mmol/L
• One hour: at least 10 mmol/L
• Two hours: at least 8.6 mmol/L
• Three hours: at least 7.8 mmol/L

"According to this analysis, during 1995-2000, Kaiser Permanente NDDG criteria used to diagnose and treat diabetes mellitus during pregnancy, allowing us to measure the differences in treatment outcomes," the researchers wrote. "So how NDDG meets the criteria that treatment with diet or diet / insulin, but satisfy the criteria of Carpenter and Coustan just were not likely to be treated."

They used a measure of weight in children five to seven years to count certain genre according to weight as a percentage of the age, the use of terms (1963-1994 standard), and breaks provocation test positive maternal glucose (a value of 7.8 hours mmol/L or higher) and OGTT results ( one or two or more than four times the normal value).

They find that there is a positive trend towards an increase in childhood obesity at the age of five to seven years the increase in parallel with the increase in the range of glucose values ​​in women who are pregnant, and the percentage of glucose in women who are pregnant 85a and 95a significantly in comparison with the minimum percentage .

Moreover, when adjusted to the possibilities are factors including weight gain in women who are pregnant , age , parity , ethnicity and birth weight form , found that the normal risks associated with hyperglycemia persists .

"Most importantly , the increased risk of obesity in childhood diabetus mellitus who suffer when the mother was pregnant NDDG criteria ( which do care ) is not too noticeable after using various adjustments , because the risk of all levels of hyperglycemia based on the value of abnormal oral glucose test tolerenace remains high , "the researchers wrote.

The treatment of diabetes during pregnancy reduces the risk of obesity in children up one level compared with children whose mothers have narmoglycemian during pregnancy , according to the conclusions of the authors.

They suggested that one or more future occurrence of hyperglycemia in pregnant women may result in "metabolic imprinting " on the child in the womb, and glucose deviation in pregnant women during pregnancy, especially fast hyperglycemia growth, can be used as the initial signal risk of obesity in children children in the future . Later , they also conducted research to determine if diabetes during pregnancy and its treatment can cause varying risk factors for obesity in children.

The authors note that their study was limited to children who are still in the HMO to measure weight in children five to seven years, despite the possibility of a change in the composition of chance. They also said they had no data on maternal weight before pregnancy, and identity of women who suffer from diabetes mellitus is based once screening for diabetes during pregnancy in a given time.

This article is taken from http://naturindonesia.com and translated by permission.