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Gestational diabetes favors later illness of type 2 diabetes
Women who develop transient gestational diabetes during pregnancy have a significantly increased risk of developing type 2 diabetes permanently within eight years after childbirth - this is the result of a long-term study in South Korea, which is currently published in the "Journal of Clinical Endocrinology & Metabolism ”has been published.
More than a tenth increased blood sugar levels after just two months. The long-term study, for which a total of 843 women after gestational diabetes had been regularly examined, showed that “105 (12.5%) test subjects had increased blood sugar levels as early as two months after Converter ") and of the 370 other women who had been examined for more than 1 year, 88 test subjects (23.8%) again suffered from type 2 diabetes (" late converter ")", according to the South Korean researchers in her professional article in the "Journal of Clinical Endocrinology & Metabolism".
The frequency of certain gene variants was decisive The scientists would have shown that the so-called “early converters” more often had a specific gene variant (HHEX) that increased their susceptibility to type 2 diabetes, whereas women who had type 2-Diabetes later developed ("Late Converter"), another gene variant (CDKAL1) was relatively common - which, according to Professor Dr. med.Andreas Fritsche, press spokesman for the German Diabetes Association (DDG) from Tübingen, confirms studies, " that indicate an inherited predisposition to type 2 diabetes, "according to a current press release from the DDG.
Long-term study examines pregnant women in Tübingen, Munich and Düsseldorf The German Center for Diabetes Research (DZD) in Tübingen, Munich and Düsseldorf is also currently dealing with the topic of “gestational diabetes” - the aim of the “German Gestational Diabetes Study” (PREG) Pregnant women with and without gestational diabetes are examined for a total of ten years and early stages of diabetes are identified and preventive measures may be offered, according to the information on the DZD website.
Four percent of all pregnant women develop gestational diabetes. The background: According to the German Diabetes Society, four percent of all pregnant women develop gestational diabetes, with every second affected person developing type 2 diabetes within ten years after the delivery - despite one after the normalized blood sugar level at birth. Accordingly, the current gestational diabetes study could provide important new insights: "We hope that this study will enable us to better assess the risk of illness in the future and offer individualized preventive measures," said Professor Dr. Andreas Fritsche.
Type 2 diabetes after gestational diabetes "not an inevitable fate" But despite the increased risk of type 2 diabetes after gestational diabetes, a disease according to the German Diabetes Society is "not an inevitable fate" - because women with gestational diabetes who do breastfeeding, "have a 40 percent lower risk of developing type 2 diabetes in the long run," and US studies have shown that "dietary changes and weight loss can halve the risk of type 2 diabetes," continued the announcement of the DDG.
Breastfeeding for at least three months But breastfeeding is primarily about duration - scientists at the Institute for Diabetes Research had already discovered in 2012 that “only those who breastfeed for more than three months are at 15-year risk of type 2 diabetes from 42 percent ”. The test subjects were able to reduce their risk of disease even more if they only fed their baby breast milk during this period (15-year risk of 34.8 percent) ”, according to the DZD.
Important: Check the glucose metabolism regularly after childbirth As a precautionary measure, the DDG also recommends that in addition to breastfeeding and a healthy diet or weight loss, the glucose metabolism be checked regularly after childbirth - even if the values have initially returned to normal: "We recommend a first blood glucose measurement six to twelve weeks after birth, "says DDG President Erhard Siegel - if there are no abnormalities, the check should be repeated every two to three years on the recommendation of Siegels. (nr)
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