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Healthcare 2014, 2(4), 468-491; doi:10.3390/healthcare2040468

Prevention of Diabetes after Gestational Diabetes: Better Translation of Nutrition and Lifestyle Messages Needed

Centre for Physical Activity and Nutrition Research, Deakin University, 221 Burwood Highway, Burwood, Victoria 3125, Australia
Received: 28 July 2014 / Revised: 14 October 2014 / Accepted: 10 November 2014 / Published: 21 November 2014
(This article belongs to the Special Issue The Close Relationship: Health and Nutrition)
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Abstract

Type 2 Diabetes Mellitus (T2DM) and Gestational Diabetes (GDM) are important and escalating problems worldwide. GDM increases the risk of complications in pregnancy and birth, as well as a 1 in 2 chance of developing T2DM later in life. The burden of GDM extends to offspring, who have an increased risk of obesity and diabetes—further perpetuating the cycle of diabetes within families. Clinical trial evidence demonstrates T2DM incidence reduced by up to 50% for women with GDM with nutrition and physical activity changes and the economic modeling suggests cost effectiveness. The key diet-related changes to reduce T2DM risk are reviewed, in addition to breastfeeding. The difficulties associated with the delivery of dietary and lifestyle behaviour change to women after GDM are discussed and focus on: complex healthcare system interactions needed for care delivery; women finding postpartum self-care challenging; and low levels of awareness being present across the board. In addition, studies currently underway to improve care provision in this important area will be examined. View Full-Text
Keywords: gestational diabetes mellitus; lactation; postpartum; lifestyle modification; type 2 diabetes mellitus; diabetes prevention gestational diabetes mellitus; lactation; postpartum; lifestyle modification; type 2 diabetes mellitus; diabetes prevention
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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O'Reilly, S.L. Prevention of Diabetes after Gestational Diabetes: Better Translation of Nutrition and Lifestyle Messages Needed. Healthcare 2014, 2, 468-491.

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