Women with a history of gestational diabetes should be screened during and after the postpartum period because of a high risk for developing type 2 diabetes mellitus.Although differences exist between guidelines practiced throughout various parts of the world,all recommend the use of cutoffs for fasting and/or postload plasma glucose to diagnose diabetes or prediabetes.The use of these glycemic parameters could be optimized when a trend is observed,rather than considering them as isolated values at various time points.As the presence of insulin resistance and betacell dysfunction start before glycemic changes areevident,the estimation of insulin sensitivity and beta-cell function by Homeostatic Model Assessment is suggested for women who have additional risk factors for diabetes,such as obesity.Disease-modifying lifestyle intervention should be the first-line strategy to prevent or delay the onset of diabetes in women with a history of gestational diabetes mellitus.Intensive lifestyle interventions are designed to decrease caloric intake and increase physical activity in order to reduce body weight and fat,which will in turn reduce insulin resistance.This article also reviews unique problems of postpartum women,which should be considered when designing and implementing an intervention.Innovative "out of the box" thinking is appreciated,as continued adherence to a program is a challenge to both the women and the health care personnel who deal with them.
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机译:Appropriate choice of stress modality in patients undergoing myocardial perfusion scintigraphy with a cardiac camera equipped with solid-state detectors: the role of diabetes mellitus
机译:Go4it; study design of a randomised controlled trial and economic evaluation of a multidisciplinary group intervention for obese adolescents for prevention of diabetes mellitus type 2
机译:II Covegno。 prevenire le Complicanze del Diabete:Dalla Ricerca di Base all'assistenza。 Istituto superorie di santia Roma,18-19-19 Febbraio 2008(II Congress。预防糖尿病并发症从基础研究到患者护理。罗马,Fegruary 18-19,2008摘要书)
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