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Current Diabetes Reports
Published in: Current Diabetes Reports 1/2014

01-01-2014 | Diabetes and Pregnancy (CJ Homko, Section Editor)

The Role of Lifestyle Interventions in the Prevention of Gestational Diabetes

Authors: Ilana J. Halperin, Denice S. Feig

Published in: Current Diabetes Reports | Issue 1/2014

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Abstract

Gestational diabetes is associated with adverse pregnancy outcomes, increased costs, and long-term risk of type 2 diabetes mellitus (T2DM) in the mother. Observational data have shown an association between reduced weight gain, healthy eating, and physical activity and reduced rates of gestational diabetes mellitus (GDM). Despite this, most randomized controlled trials of lifestyle interventions to prevent GDM have been negative. Dietary approaches appear to be more successful than exercise or a combination of diet and exercise at decreasing GDM. Reasons for negative studies may include lack of power, lack of intervention uptake, and severity of placenta mediated insulin resistance. Future studies should be powered for a reduction in GDM, monitor lifestyle changes closely, and include a psychological component in the intervention.
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Metadata
Title
The Role of Lifestyle Interventions in the Prevention of Gestational Diabetes
Authors
Ilana J. Halperin
Denice S. Feig
Publication date
01-01-2014
Publisher
Springer US
Published in
Current Diabetes Reports / Issue 1/2014
Print ISSN: 1534-4827
Electronic ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-013-0452-2

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Keynote webinar | Spotlight on medication adherence

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WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

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