How the development of type 2 diabetes can be prevented post gestational diabetes.
In the United States the incidence of gestational diabetes increased 122% between 90s and 2004. All of these women that develop gestational diabetes are of increased risk of developing type 2 diabetes, one of the largest worldwide diseases. It is estimated that in 2030 that 366 million people will have developed type 2 diabetes. However the development of type 2 diabetes post gestational diabetes can be prevented.
Gestational diabetes is a carbohydrate intolerance that is developed during pregnancy and that disappears after birth. The chances of a woman developing type 2 diabetes after gestational diabetes, is a risk factor of 4.69 during the first 5 years after pregnancy. This risk increases two fold after the first 5 years.
According to a review completed in 2012, there are four pillars which need to be implemented to help the prevention of the development of type 2 diabetes after gestational diabetes:
Improved Screening: Although screening is recommended by the American Diabetes Association, it is solely recommended 6-12 weeks post-partum. Women who have suffered from gestational diabetes during pregnancy carry the risk of type 2 diabetes development for several years after their pregnancy. Therefore regular screening is recommended to detect the incidence of type 2 diabetes in these women.
Education: Women need to be educated that they are of increased risk of the development of type 2 diabetes. Although presently many women are aware of their increased risk, few make the lifestyle changes that are necessary. An increase in education of the importance of exercise and diet in relation to type 2 diabetes needs to take place, as it has been reported that women due to the pressures of motherhood, often put their needs for exercise and diet second.
Prevention: Changes in lifestyle such as weight loose and increased exercise are central to the prevention of the development of type 2 diabetes. The American Diabetic Association cites lifestyle changes as the most effective intervention for the prevention of type 2 diabetes. Also, research has proven that mothers who can breastfeed also decrease their risk. Breast feeding is associated with improved insulin sensitivity, increased weight loss and increased energy expenditure. Every year that a woman breast feeds post pregnancy her risk of developing type 2 diabetes decreases by 15%.
Pharmacology: Intervention with medications is a 2nd line choice after the other preventive measures have failed. Drugs such as metformin are effective in preventing type 2 diabetes. Other medication intervention such as postmenopausal hormone replacement therapy has also proven to be effective.
Reducing the incidence of type 2 diabetes post gestational diabetes needs to be fought with early intervention. Following these four steps could prove effective in fighting the battle against the epidemic that is diabetes.
The scientists have reported a detailed understanding of how insulin works with cell receptors. Pharmaceutical companies now need to take this research and use it toward insulin drug development.
Tips For Foot Care Diabetic : Using Podiatry EMR to Monitor Numbness and Infection
Podiatrists performing diabetic foot exam Patients having diabetes should pay quite attention to parts of the body that their illness can affect – this includes the cardiovascular system, the kidneys, eyes and feet. Though it might be difficult to self-monitor the kidneys and heart, patients can do their part to ensure the health of their feet. This includes examining them daily for cuts and infections and visiting a podiatrist at least once a year for a routine check-up. Doctors using podiatry EMR software can educate patients on proper foot care and gives prevention scroll for those with a higher risk of developing ulcers and infections.
Why do diabetics need to be mindful of their feet?
Diabetes can damage nerve endings and blood vessels in the foot, which causes numbness and makes it more difficult to notice when the foot is injured. It can also affect the body’s ability to fight infection, leading to drastic outcomes such as the loss of a limb or even death. With proper foot care, however, many of these problems can be prevented.
What can a diabetic do to keep their feet healthy?
Taking good care of the feet is easy and should be part of every diabetic’s daily routine. Here are some steps patients can take to prevent injury and maintain healthy feet:
Dry feet carefully after washing, especially between the toes.
Examine feet before putting shoes on in the morning and after taking them off at night.
Avoid going barefoot, even at home.
Wear properly fitted shoes and check them for loose objects that could harm the foot.
Do not remove calluses or cutting corns. Have a podiatrist do this instead.
How can a podiatrist help?
Most insurance plans will cover a yearly comprehensive diabetic foot examination. However, patients with numb feet or foot ulcers should see a doctor or podiatrist more often. This will help avoid infection and other complications that could result in a possible amputation.
Doctors will often use their podiatry EMR or other electronic medical record software to assess patients’ foot temperature and pulse, in order to identify circulatory problems. Physicians may also choose to take a blood pressure reading of the ankle, in addition to the arm, to check blood flow. They can then compare these results to past entries in the patient’s EMR chart and share pertinent health data with other members of the patient’s health care team.