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    <title>All about Diabetes</title>
    <link>http://www.allfordiabetes.com/</link>
    <description></description>
    <dc:date>2006-11-29T21:18:01-08:00</dc:date>    

    <item>
      <title>What is gestational diabetes mellitus?</title>
      <link>http://www.allfordiabetes.com/weblog/more/what_is_gestational_diabetes_mellitus/</link>
      <description>Gestational diabetes mellitus or gestational diabetes is a type of diabetes that only pregnant women get.&amp;nbsp; If a woman gets diabetes when she is pregnant, but never had it before, then she has gestational diabetes.


Normally, your stomach and intestines digest the carbohydrate in your food into a sugar called glucose. Glucose is your body’s main source of energy. After digestion, the glucose moves into your blood to give your body energy.&amp;nbsp;</description>
      <dc:subject>Gestational diabetes</dc:subject>
      <content:encoded><![CDATA[<p>Gestational diabetes mellitus or gestational diabetes is a type of diabetes that only pregnant women get.&nbsp; If a woman gets diabetes when she is pregnant, but never had it before, then she has gestational diabetes.
</p>
<p>
Normally, your stomach and intestines digest the carbohydrate in your food into a sugar called glucose. Glucose is your body’s main source of energy. After digestion, the glucose moves into your blood to give your body energy.&nbsp;
</p>]]></content:encoded>
      <dc:date>2006-11-29T21:15:00-08:00</dc:date>
      <pubDate>2006-11-29T21:15:00-08:00</pubDate>
    </item>


    <item>
      <title>Diabetes Mellitus in Pregnancy</title>
      <link>http://www.allfordiabetes.com/weblog/more/diabetes_mellitus_in_pregnancy/</link>
      <description>Carbohydrate metabolism in normal pregnancy as measured by glucose changes very little. Pregnant women have a slightly lower blood glucose level then when they are not pregnant but you certainly don’t get a deterioration of glucose tolerance in normal women when they go through pregnancy. The insulin levels are way elevated in pregnancy compared to non&#45;pregnancy and as you go from trimester to trimester they become higher and higher. Indeed when you move into that third trimester, the levels of insulin are three times higher than they were when she wasn’t pregnant, yet we just saw that her glucose doesn’t change very much at all. What this says to us is that in pregnancy there is a development of insulin resistance, and her pancreas has to put out three times as much insulin to get the same job done. It does that, and if she is normal she maintains normal blood glucose because she produces tremendous amounts of insulin in order to accomplish this with the insulin resistance of pregnancy. Insulin resistance in pregnancy. The placenta produces growth hormones that are identical in structure and sequence to the pituitary growth hormone. The difference is we don’t know of any regulators for the placental growth hormone. We know that glucose and free fatty acids regulate the pituitary growth hormone, but the placental growth hormone just keeps coming out. We don’t know of any feedback mechanisms that allow more or less coming out. The pregnant woman is producing tremendous amounts of growth hormone from her placenta and that growth hormone then is creating insulin resistance and for her to remain normal, she has to have a pancreas that puts out two to three times as much insulin.</description>
      <dc:subject>Gestational diabetes</dc:subject>
      <content:encoded><![CDATA[<p> Carbohydrate metabolism in normal pregnancy as measured by glucose changes very little. Pregnant women have a slightly lower blood glucose level then when they are not pregnant but you certainly don’t get a deterioration of glucose tolerance in normal women when they go through pregnancy. The insulin levels are way elevated in pregnancy compared to non-pregnancy and as you go from trimester to trimester they become higher and higher. Indeed when you move into that third trimester, the levels of insulin are three times higher than they were when she wasn’t pregnant, yet we just saw that her glucose doesn’t change very much at all. What this says to us is that in pregnancy there is a development of insulin resistance, and her pancreas has to put out three times as much insulin to get the same job done. It does that, and if she is normal she maintains normal blood glucose because she produces tremendous amounts of insulin in order to accomplish this with the insulin resistance of pregnancy. Insulin resistance in pregnancy. The placenta produces growth hormones that are identical in structure and sequence to the pituitary growth hormone. The difference is we don’t know of any regulators for the placental growth hormone. We know that glucose and free fatty acids regulate the pituitary growth hormone, but the placental growth hormone just keeps coming out. We don’t know of any feedback mechanisms that allow more or less coming out. The pregnant woman is producing tremendous amounts of growth hormone from her placenta and that growth hormone then is creating insulin resistance and for her to remain normal, she has to have a pancreas that puts out two to three times as much insulin.
<br />

</p>]]></content:encoded>
      <dc:date>2005-09-04T23:20:42-08:00</dc:date>
      <pubDate>2005-09-04T23:20:42-08:00</pubDate>
    </item>


    <item>
      <title>Gestational Diabetes Diagnosis</title>
      <link>http://www.allfordiabetes.com/weblog/more/gestational_diabetes_diagnosis/</link>
      <description>Women who are considered at risk for gestational diabetes are given a screening test called a 50 gram glucose challenge between the 24th and 28th weeks of pregnancy (those with two or more risk factors may be tested earlier). The glucose challenge is performed by giving 50 grams of a glucose drink and then drawing a blood sample one hour later and measuring the level of blood glucose present. A blood sugar level of less than 140 mg/dl at one hour is considered normal. Women with a blood sugar level greater than 140 mg/dl may have gestational diabetes, and require a follow up test called a 3&#45;houroral glucose tolerance test (OGTT).</description>
      <dc:subject>Gestational diabetes</dc:subject>
      <content:encoded><![CDATA[<p>Women who are considered at risk for gestational diabetes are given a screening test called a 50 gram glucose challenge between the 24th and 28th weeks of pregnancy (those with two or more risk factors may be tested earlier). The glucose challenge is performed by giving 50 grams of a glucose drink and then drawing a blood sample one hour later and measuring the level of blood glucose present. A blood sugar level of less than 140 mg/dl at one hour is considered normal. Women with a blood sugar level greater than 140 mg/dl may have gestational diabetes, and require a follow up test called a 3-houroral glucose tolerance test (OGTT).
</p>]]></content:encoded>
      <dc:date>2006-11-29T21:18:01-08:00</dc:date>
      <pubDate>2006-11-29T21:18:01-08:00</pubDate>
    </item>


    <item>
      <title>Gestational Diabetes Treatment</title>
      <link>http://www.allfordiabetes.com/weblog/more/gestational_diabetes_treatment/</link>
      <description>Women with gestational diabetes must make dietary adjustments to control their blood glucose levels; in some cases insulin injections may be required to keep blood sugars in a safe range. Treatment for gestational diabetes may include:</description>
      <dc:subject>Gestational diabetes</dc:subject>
      <content:encoded><![CDATA[<p>Women with gestational diabetes must make dietary adjustments to control their blood glucose levels; in some cases insulin injections may be required to keep blood sugars in a safe range. Treatment for gestational diabetes may include:
</p>]]></content:encoded>
      <dc:date>2006-11-29T21:02:00-08:00</dc:date>
      <pubDate>2006-11-29T21:02:00-08:00</pubDate>
    </item>


    <item>
      <title>Gestational Diabetes Complications</title>
      <link>http://www.allfordiabetes.com/weblog/more/gestational_diabetes_complications/</link>
      <description>Complications

Women who are able to effectively manage their gestational diabetes and keep blood glucose levels in a safe range dramatically reduce the risk of complications for both themselves and their baby.


The potential complications of uncontrolled gestational diabetes include:</description>
      <dc:subject>Gestational diabetes</dc:subject>
      <content:encoded><![CDATA[<h2>Complications</h2>
<p>
Women who are able to effectively manage their gestational diabetes and keep blood glucose levels in a safe range dramatically reduce the risk of complications for both themselves and their baby.
</p>
<p>
The potential complications of uncontrolled gestational diabetes include:
</p>]]></content:encoded>
      <dc:date>2006-11-29T21:02:00-08:00</dc:date>
      <pubDate>2006-11-29T21:02:00-08:00</pubDate>
    </item>


    <item>
      <title>Gestational Diabetes</title>
      <link>http://www.allfordiabetes.com/weblog/more/gestational_diabetes/</link>
      <description>Gestational diabetes, or diabetes that occurs in pregnancy and resolves at birth, occurs in approximately three to eight pregnancies of every 100 in America. Risk factors for developing gestational diabetes include:

# A family history of diabetes

# Being overweight

# Having prediabetes

# Having given birth previously to a child weighing 9 pounds or more</description>
      <dc:subject>Gestational diabetes</dc:subject>
      <content:encoded><![CDATA[<p>Gestational diabetes, or diabetes that occurs in pregnancy and resolves at birth, occurs in approximately three to eight pregnancies of every 100 in America. Risk factors for developing gestational diabetes include:
<br />
# A family history of diabetes
<br />
# Being overweight
<br />
# Having prediabetes
<br />
# Having given birth previously to a child weighing 9 pounds or more
</p>]]></content:encoded>
      <dc:date>2006-11-29T21:01:00-08:00</dc:date>
      <pubDate>2006-11-29T21:01:00-08:00</pubDate>
    </item>


    <item>
      <title>Gestational Diabetes: Causes And Risk Factors</title>
      <link>http://www.allfordiabetes.com/weblog/more/gestational_diabetes_causes_and_risk_factors/</link>
      <description>The hormones produced by the placenta in pregnancy—including estrogen, cortisol, and human placental lactogen (HPL)—are what trigger the insulin resistance in women predisposed to the condition. As pregnancy progresses and the placenta grows larger, hormone production also increases and so does the level of insulin resistance. This process usually starts between 20 and 24 weeks of pregnancy. At birth, when the placenta is delivered, the hormone production stops and so does the GDM.</description>
      <dc:subject>Gestational diabetes</dc:subject>
      <content:encoded><![CDATA[<p>The hormones produced by the placenta in pregnancy—including estrogen, cortisol, and human placental lactogen (HPL)—are what trigger the insulin resistance in women predisposed to the condition. As pregnancy progresses and the placenta grows larger, hormone production also increases and so does the level of insulin resistance. This process usually starts between 20 and 24 weeks of pregnancy. At birth, when the placenta is delivered, the hormone production stops and so does the GDM.
</p>]]></content:encoded>
      <dc:date>2006-11-29T21:01:00-08:00</dc:date>
      <pubDate>2006-11-29T21:01:00-08:00</pubDate>
    </item>


    <item>
      <title>Gestational Diabetes Mellitus &#45; DEFINITION, DETECTION, AND DIAGNOSIS</title>
      <link>http://www.allfordiabetes.com/weblog/more/gestational_diabetes_mellitus_diagnosis/</link>
      <description>Definition

Gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance with onset or first recognition during pregnancy. The definition applies whether insulin or only diet modification is used for treatment and whether or not the condition persists after pregnancy. It does not exclude the possibility that unrecognized glucose intolerance may have antedated or begun concomitantly with the pregnancy.


Approximately 7% of all pregnancies are complicated by GDM, resulting in more than 200,000 cases annually. The prevalence may range from 1 to 14% of all pregnancies, depending on the population studied and the diagnostic tests employed.</description>
      <dc:subject>Gestational diabetes</dc:subject>
      <content:encoded><![CDATA[<p><b>Definition</b>
<br />
Gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance with onset or first recognition during pregnancy. The definition applies whether insulin or only diet modification is used for treatment and whether or not the condition persists after pregnancy. It does not exclude the possibility that unrecognized glucose intolerance may have antedated or begun concomitantly with the pregnancy.
</p>
<p>
Approximately 7% of all pregnancies are complicated by GDM, resulting in more than 200,000 cases annually. The prevalence may range from 1 to 14% of all pregnancies, depending on the population studied and the diagnostic tests employed.
</p>]]></content:encoded>
      <dc:date>2006-11-29T20:53:00-08:00</dc:date>
      <pubDate>2006-11-29T20:53:00-08:00</pubDate>
    </item>


    <item>
      <title>Gestational Diabetes Obstetric and Perinatal considerations</title>
      <link>http://www.allfordiabetes.com/weblog/more/gestational_diabetes_obstetric_considerations/</link>
      <description>The presence of fasting hyperglycemia (&gt;105 mg/dl or &gt;5.8 mmol/l) may be associated with an increase in the risk of intrauterine fetal death during the last 4–8 weeks of gestation. Although uncomplicated GDM with less severe fasting hyperglycemia has not been associated with increased perinatal mortality, GDM of any severity increases the risk of fetal macrosomia. Neonatal hypoglycemia, jaundice, polycythemia, and hypocalcemia may complicate GDM as well. GDM is associated with an increased frequency of maternal hypertensive disorders and the need for cesarean delivery. The latter complication may result from fetal growth disorders and/or alterations in obstetric management due to the knowledge that the mother has GDM.</description>
      <dc:subject>Gestational diabetes</dc:subject>
      <content:encoded><![CDATA[<p>The presence of fasting hyperglycemia (>105 mg/dl or >5.8 mmol/l) may be associated with an increase in the risk of intrauterine fetal death during the last 4–8 weeks of gestation. Although uncomplicated GDM with less severe fasting hyperglycemia has not been associated with increased perinatal mortality, GDM of any severity increases the risk of fetal macrosomia. Neonatal hypoglycemia, jaundice, polycythemia, and hypocalcemia may complicate GDM as well. GDM is associated with an increased frequency of maternal hypertensive disorders and the need for cesarean delivery. The latter complication may result from fetal growth disorders and/or alterations in obstetric management due to the knowledge that the mother has GDM.
</p>]]></content:encoded>
      <dc:date>2006-11-29T20:53:00-08:00</dc:date>
      <pubDate>2006-11-29T20:53:00-08:00</pubDate>
    </item>


    <item>
      <title>Gestational Diabetes Long&#45;term therapeutic considerations</title>
      <link>http://www.allfordiabetes.com/weblog/more/gestational_diabetes_therapeutic_considerations/</link>
      <description>Reclassification of maternal glycemic status should be performed at least 6 weeks after delivery and according to the guidelines of the &#8220;Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus&#8221;.&amp;nbsp;</description>
      <dc:subject>Gestational diabetes</dc:subject>
      <content:encoded><![CDATA[<p>Reclassification of maternal glycemic status should be performed at least 6 weeks after delivery and according to the guidelines of the &#8220;Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus&#8221;.&nbsp;
</p>]]></content:encoded>
      <dc:date>2006-11-29T20:53:00-08:00</dc:date>
      <pubDate>2006-11-29T20:53:00-08:00</pubDate>
    </item>


    <item>
      <title>Obese hypertensives lose renal reserve earlier in renal dysfunction evolution</title>
      <link>http://www.allfordiabetes.com/weblog/more/obese_hypertensives_lose/</link>
      <description>Obese hypertensives lose renal reserve earlier in the evolution to renal dysfunction.


   According to recent research from Brazil, &#8220;The capacity to increase glomerular filtration rate in response to an acute oral protein load is known as the renal functional reserve; the loss of such capacity is used as a marker of hyperfiltration. This physiological response in obese hypertensives is not yet fully understood.&#8221;</description>
      <dc:subject>Diabetes News</dc:subject>
      <content:encoded><![CDATA[<p>Obese hypertensives lose renal reserve earlier in the evolution to renal dysfunction.
</p>
<p>
   According to recent research from Brazil, &#8220;The capacity to increase glomerular filtration rate in response to an acute oral protein load is known as the renal functional reserve; the loss of such capacity is used as a marker of hyperfiltration. This physiological response in obese hypertensives is not yet fully understood.&#8221;
</p>]]></content:encoded>
      <dc:date>2006-11-10T02:25:00-08:00</dc:date>
      <pubDate>2006-11-10T02:25:00-08:00</pubDate>
    </item>


    <item>
      <title>Caloric restriction impacts insulin resistance after gastric banding and gastric bypass</title>
      <link>http://www.allfordiabetes.com/weblog/more/caloric_restriction_impacts/</link>
      <description>Caloric restriction plays a significant role in improving insulin resistance after both laparoscopic adjustable gastric banding and laparoscopic Roux&#45;en&#45;Y gastric bypass.


   According to a study from the United States, &#8220;Laparoscopic adjustable gastric banding (LAGB) and laparoscopic Roux&#45;en&#45;Y gastric bypass (LRYGBP) both effectively treat the insulin resistance associated with type 2 diabetes mellitus (T2DM). Restriction of caloric consumption, alterations in the entero&#45;insular axis or weight loss may contribute to lowering insulin resistance after these procedures.&#8221;</description>
      <dc:subject>Diabetes News</dc:subject>
      <content:encoded><![CDATA[<p>Caloric restriction plays a significant role in improving insulin resistance after both laparoscopic adjustable gastric banding and laparoscopic Roux-en-Y gastric bypass.
</p>
<p>
   According to a study from the United States, &#8220;Laparoscopic adjustable gastric banding (LAGB) and laparoscopic Roux-en-Y gastric bypass (LRYGBP) both effectively treat the insulin resistance associated with type 2 diabetes mellitus (T2DM). Restriction of caloric consumption, alterations in the entero-insular axis or weight loss may contribute to lowering insulin resistance after these procedures.&#8221;
</p>]]></content:encoded>
      <dc:date>2006-11-10T02:25:00-08:00</dc:date>
      <pubDate>2006-11-10T02:25:00-08:00</pubDate>
    </item>


    <item>
      <title>Visceral and subcutaneous fat changes in diabetes correlated negatively with physical activity</title>
      <link>http://www.allfordiabetes.com/weblog/more/subcutaneous_fat_changes_in_diabetes/</link>
      <description>The visceral and subcutaneous fat changes in type 1 diabetes were negatively correlated with physical activity.


   In a recently published article, scientists in the United States conducted a study &#8220;to evaluate the effects of improved glycaemic control on the abdominal visceral and subcutaneous fat in type 1 diabetes. Sixteen subjects were enrolled for this 6&#45;month study. The goal was to achieve normal haemoglobin A1c (HbA1c</description>
      <dc:subject>Diabetes News</dc:subject>
      <content:encoded><![CDATA[<p>The visceral and subcutaneous fat changes in type 1 diabetes were negatively correlated with physical activity.
</p>
<p>
   In a recently published article, scientists in the United States conducted a study &#8220;to evaluate the effects of improved glycaemic control on the abdominal visceral and subcutaneous fat in type 1 diabetes. Sixteen subjects were enrolled for this 6-month study. The goal was to achieve normal haemoglobin A1c (HbA1c <5.6% in our laboratory).&#8221;
</p>
<p>
   A.N. Jacob and colleagues at the University of Texas described, &#8220;T1-weighted magnetic resonance imaging was used to measure the abdominal subcutaneous and visceral fat areas at the L2-L3 disk level. Activity and energy intake were assessed using a weekly recall and food diary respectively. Plasma leptin, ghrelin and adiponectin levels were measured at baseline and at 6 months.&#8221;
</p>]]></content:encoded>
      <dc:date>2006-10-18T20:34:00-08:00</dc:date>
      <pubDate>2006-10-18T20:34:00-08:00</pubDate>
    </item>


    <item>
      <title>Women with type 2 diabetes may have increased risk of breast cancer</title>
      <link>http://www.allfordiabetes.com/weblog/more/women_with_type_2_diabetes/</link>
      <description>Women with type 2 diabetes may have an increased risk of breast cancer.


   &#8220;Evidence suggests that women with type 2 diabetes may be at increased risk of breast cancer, possibly due to chronic exposure to insulin resistance and/or hyperinsulinemia. The purpose of this study was to compare the incidence of breast cancer in postmenopausal women with and without diabetes,&#8221; researchers in Canada report.


   L.L. Lipscombe and colleagues of the Institute for Clinical Evaluative Sciences explained, &#8220;Using population&#45;based validated health databases from Ontario, Canada, this retrospective cohort study compared breast cancer incidence between women, aged 55&#45;79 years, with newly diagnosed diabetes (n=73,796) to women without diabetes (n=391,714). Women with diabetes were slightly older, were more likely to reside in a lower income neighborhood, had greater comorbidity, and had more annual physician visits than women without diabetes.&#8221;</description>
      <dc:subject>Diabetes News</dc:subject>
      <content:encoded><![CDATA[<p>Women with type 2 diabetes may have an increased risk of breast cancer.
</p>
<p>
   &#8220;Evidence suggests that women with type 2 diabetes may be at increased risk of breast cancer, possibly due to chronic exposure to insulin resistance and/or hyperinsulinemia. The purpose of this study was to compare the incidence of breast cancer in postmenopausal women with and without diabetes,&#8221; researchers in Canada report.
</p>
<p>
   L.L. Lipscombe and colleagues of the Institute for Clinical Evaluative Sciences explained, &#8220;Using population-based validated health databases from Ontario, Canada, this retrospective cohort study compared breast cancer incidence between women, aged 55-79 years, with newly diagnosed diabetes (n=73,796) to women without diabetes (n=391,714). Women with diabetes were slightly older, were more likely to reside in a lower income neighborhood, had greater comorbidity, and had more annual physician visits than women without diabetes.&#8221;
</p>]]></content:encoded>
      <dc:date>2006-10-13T23:30:00-08:00</dc:date>
      <pubDate>2006-10-13T23:30:00-08:00</pubDate>
    </item>


    <item>
      <title>Obesity is a determinant of C&#45;reactive protein levels and metabolic syndrome link in diabetes</title>
      <link>http://www.allfordiabetes.com/weblog/more/levels_and_metabolic_syndrom/</link>
      <description>Obesity is a major determinant of the association of C&#45;reactive protein levels and the metabolic syndrome in type 2 diabetes.


   According to research from the United States, &#8220;The inflammatory factor C&#45;reactive protein (CRP) and the fibrinolytic variables fibrinogen and plasminogen activator&#45;1 (PAI&#45;1) are associated with long&#45;term cardiovascular morbidity. To determine the contribution of body adiposity (BMI), insulin sensitivity (homeostasis model assessment of insulin resistance [HOMA&#45;IR], and glycemia (HbA1c [A1C]) to the levels of these inflammatory and fibrinolytic variables in recently diagnosed ({{</description>
      <dc:subject>Diabetes News</dc:subject>
      <content:encoded><![CDATA[<p>Obesity is a major determinant of the association of C-reactive protein levels and the metabolic syndrome in type 2 diabetes.
</p>
<p>
   According to research from the United States, &#8220;The inflammatory factor C-reactive protein (CRP) and the fibrinolytic variables fibrinogen and plasminogen activator-1 (PAI-1) are associated with long-term cardiovascular morbidity. To determine the contribution of body adiposity (BMI), insulin sensitivity (homeostasis model assessment of insulin resistance [HOMA-IR], and glycemia (HbA1c [A1C]) to the levels of these inflammatory and fibrinolytic variables in recently diagnosed ({{<=}}3 years), drug-naive, type 2 diabetic subjects (fasting plasma glucose {{<=}}10 mmol/L), we examined a representative subgroup (n=921) of the U.S. cohort in ADOPT (A Diabetes Outcome Progression Trial).&#8221;
</p>]]></content:encoded>
      <dc:date>2006-10-13T23:30:00-08:00</dc:date>
      <pubDate>2006-10-13T23:30:00-08:00</pubDate>
    </item>


    
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