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Healthcare specialists at Stellenbosch University (SU) have launched a WhatsApp-based chatbot to help patients with diabetes effectively navigate risks associated with diabetes and Covid-19 from the comfort and safety of their homes. Obstetricians train their patients to shoot for much lower blood sugars than do PCPs and most endocrinologists. Data supporting screening, diagnosis, and treatment of OSA in patients with prediabetes or type 2 diabetes are outlined. The mechanism of this enduring effect of DCCT treatment during EDIC follow-up is unknown. Some people posting online interpreted the transient early side effects of metformin as signs they were developing lactic acidosis and stopped taking it, though subsequent studies have shown this side effect to be extremely rare and to occur at the same incidence in people taking Metformin as it does in those who do not take it. Unfortunately, family doctors have not gotten the message that diabetic complications can be prevented by maintaining normal blood sugars no matter what the diagnosis, so they are much less aggressive in helping people get their blood sugar back to the normal range.

Tell your doctor if anyone in your family has diabetes. MODY is much rarer than LADA, so if you have had GD when you were thin especially if it came on early in the pregnancy, and if you also have a family history of other autoimmune diseases, that would be the first diagnoses to have checked out. These conditions occur in in young, thin people who doctors don’t think of as being at risk for diabetes, so doctors often don’t notice these forms of diabetes until they have had years to ravage your body and finally cause serious symptoms. Though most doctors aren’t giving people much better dietary advice than they were getting a decade ago, they are diagnosing people earlier and they are taking pre-diabetes much more seriously. Yet getting the perfect amount of insulin pump for type 1 from a bottle into the body is neither comfortable nor risk-free. If you see a result over 200 mg/dl (11.1 mmol/L) after a meal two or three times make sure you have washed your hands before testing so you aren’t getting sugar from your fingers on the test strip. Many doctors treat GD if it were nothing more than a complication of pregnancy which goes away when the pregnancy is over.

Two forms of non-Type 2 diabetes which can cause Gestational Diabetes that arises early in the pregnancy are LADA, which is a slow-onset form of autoimmune diabetes which seems to becoming much more common over the past decade, and MODY, which is the term used to refer to a group of unrelated genetic forms of diabetes which have in common only that they are passed in dominant genes and that they limit the body’s ability to control blood sugar. There should be no break for more than two days in walking exercises. There was no understanding within the medical community a decade ago that blood sugar spikes were to blame for the damage caused by diabetes. Only this year the media have started to describe Type 2 as being genetic in origin rather than, as was the case in the past, describing it as being caused by an indulgent lifestyle. Weight loss in those taking Wegovy puts it close to the 20% to 25% losses seen with bariatric surgery, said Stanford at Mass General, and well above the 3% to 4% seen with diet and other lifestyle changes alone. With type 2 diabetes, the more common type, your body does not make or use insulin well.

The doctor will tell you if you need to adjust insulin doses based on blood sugar (glucose) levels and the amount of food eaten. In any case, the important thing is not what caused your gestational diabetes, so much as making sure that after you have your baby and your blood sugar seems to improve you do what it takes to keep it under control. All of the complications of diabetes are caused by high blood sugars. But those of us with blood sugar meters who have tested our blood sugar after testing substances that have done such wonders for mice continue to remain uncured. Your blood sugars may be going into the diabetic range after meals but if your fasting blood sugar is only in the “impaired” range, your A1c may be somewhere between 5.9% and 6.3%. That is a value too many PCPs consider to be normal, though, in fact, it is linked by a lot of research with a much higher risk of heart disease.

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