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Gestational diabetes research paper

Gestational Diabetes News, Research

-institutional consortium for cer in diabetes treatment and preventionthis hmo research network project builds a diabetes research network and a standardized diabetes registry across 12 hmo research network systems and conducts surveillance of diabetes incidence, treatment and outcomes.(your name) has forwarded a page to you from clinical diabetes. analysis of three large interventional trials with gliptins indicates increased incidence of acute pancreatitis in patients with type 2 diabetes.(your name) thought you would like to see this page from the clinical diabetes web site. covariates in the multivariable models included the above variables, age (continuous), parity (nulliparity or 1, 2, 3, or ≥4 previous pregnancies), race/ethnicity (white, african-american, hispanic, asian, other, missing), family history of diabetes (yes, no), history of infertility (yes, no), year of pregnancy, total energy intake (fifths) before pregnancy, and alcohol intake before pregnancy (none, 1-5, 6-15, ≥16 g/day). outcome measure self reported incident gestational diabetes diagnosed by a physician, validated by medical records in a previous study. postpartum complications include obesity and impaired glucose tolerance in the offspring and diabetes and cardiovascular disease in the mothers. a result of the iom recommendations, the administration of president barack obama announced historic new guidelines in august 2011 related to insurance coverage of diabetes screening during pregnancy. control during continuous subcutaneous insulin infusion versus multiple daily insulin injections in type 2 diabetes: individual patient data meta-analysis and meta-regression of randomized controlled trials. ta, xiang ah, peters rk, kjos sl, marroquin a, goico j, ochoa c, tan s, berkowitz k, hodis hn, azen sp: preservation of pancreatic β-cell function and prevention of type 2 diabetes by pharmacological treatment of insulin resistance in high-risk hispanic women.Gestational diabetes research paper

A cohort study of gestational diabetes mellitus and complimentary

compared with women who did not adhere to any low risk lifestyle factors before pregnancy, women who adhered to all four factors had an 83% lower risk of gestational diabetes (relative risk 0. kimdepartments of medicine and obstetrics and gynecology, university of michigan, ann arbor, mi, usaabstract: gestational diabetes mellitus (gdm) is commonly defined as glucose intolerance first recognized during pregnancy. potentially modifiable factors before pregnancy have been related to a lower risk of gestational diabetes.'sullivan jb, charles d, mahan cm, dandrow rv: gestational diabetes and perinatal mortality rate. thus, women should be screened at their initial prenatal visit for known risk factors for diabetes, and those who are at risk should be tested for diabetes using standard diagnostic criteria (table 1). collen, mdleadership teamcareer opportunitiescontact usresearchstudiespublicationspartnershipscollaborate with usfellowship programparticipateirbfederal coi policybiostatistical consultingnew clinical research toolspeopleresearch scientistsscientific sectionsadjunct researchersnewspress releasesin the newsfor journalistsresearch spotlightannual report. mass index (bmi) thresholds for increased risk of gestational diabeteslifestyle interventions in women with gestational diabetes may prevent diabetes by reducing pregnancy weight retention and helping overweight women lose weightpregnancy weight gain, especially in 1st trimester, may increase a woman’s risk of gestational diabetesbreastfeeding a child may protect women from metabolic syndrome, a condition linked to diabetes and heart disease in womengestational diabetes increases 35% in 10 yearselevated liver enzyme linked to higher gestational diabetes risklow pre-pregnancy levels of specific protein linked to higher risk of diabetes during pregnancylifestyle intervention helps women with gestational diabetes achieve appropriate weight loss, exercise levels after birth of babytelephone contact with nurses is associated with improved outcomespre-pregnancy hormone testing may indicate gestational diabetes riskweight gain between first & second pregnancies increases woman’s gestational diabetes riskroutinely assessed measures of blood sugar and body weight may be good indicators of risk for developing diabetes during pregnancy. intervention in patients with gestational diabetes mellitus: a systematic review and meta-analysis of randomized clinical trials on maternal and newborn outcomes. study of pioglitazone and cancer incidence in patients with diabetes mellitusthis study explores the potential association between treatment with pioglitazone and risk of cancer at sites other than bladder using information available from a variety of kaiser permanente northern california electronic data sources. effectiveness of diabetes prevention strategies in women with gdmthe main goal of this cluster randomized trial is to examine the comparative effectiveness of diabetes prevention strategies in women with gestational diabetes on the control of the following conditions: obesity, diabetes, hypertension, dyslipidemia, and depression in a real-world practices setting.

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Diagnosis and Treatment of Gestational Diabetes (Scientific Impact

intervention in patients with gestational diabetes mellitus: a systematic review and meta-analysis of randomized clinical trials on maternal and newborn outcomes. rates for gdm and type 2 diabetes in pregnant women are expected to improve as a result of the new coverage guidelines. women with a history of gdm have a higher risk for subsequent type 2 diabetes. c, newton km, knopp rh: gestational diabetes and the incidence of type 2 diabetes..Esakoff tf, caughey ab, block-kurbisch i, inturrisi m, cheng yw: perinatal outcomes in patients with gestational diabetes mellitus by race/ethnicity. the guidelines stated that beginning 1 august 2012, health insurers are required to cover specific preventive health services for women at no cost, including gdm screening for pregnant women between 24 and 28 weeks of gestation and diabetes screening at the first prenatal visit for pregnant women identified as being at high risk for type 2 diabetes. prevention of gestational diabetes could be an important strategy in curbing the obesity and diabetes epidemic in this and future generations..Recently, the international association of diabetes and pregnancy study groups22 called for a 75-g ogtt in all women without a preceding challenge test, with only one abnormal glucose level required to make the gdm. da, janevic tm, engel sm, kaufman js, herring ah: ethnicity and gestational diabetes in new york city, 1995–2003.. senate have introduced and are championing bipartisan legislation to steer additional federal research dollars to gdm research. Gestational Diabetes Research Papers

Gestational Diabetes in High-Risk Populations

pregnancies after gestational diabetes were not included because women with gestational diabetes in a previous pregnancy were likely to change their diet and lifestyle during the next pregnancy to prevent a recurrence. significance of gdmgdm prevalence in asian, native hawaiian, pacific islander, hispanic, and african-american womenethnic/racial differences in outcomesidentification of women with gdmethnic/racial differences in diagnostic characteristicsexisting gaps in knowledgethe gestational diabetes actfootnotesreferencesfigures & tablesinfo & metrics pdf. Postpartum complications include obesity and impaired glucose tolerance in the offspring and diabetes and cardiovascular disease in the mothers. of pregnancy glycemia and treatment for pregnancy hyperglycemia on childhood overweight and obesitythis large prospective cohort study will utilize electronic medical record data to inform current debate surrounding pregnancy glucose thresholds for diagnosing gestational diabetes and provide additional information on maternal pregnancy hyperglycemia and the risk of childhood obesity. you for your interest in spreading the word about diabetes care. the available data also show that there are racial/ethnic differences in the risks for diabetes, gdm, diabetes-associated outcomes, and pregnancy-associated outcomes that should be taken into account when considering strategies for disease diagnosis, management, and prevention in pregnant women from these racial/ethnic groups.(your name) thought you would like to see this page from the diabetes care web site..Shah a, stotland ne, cheng yw, ramos ga, caughey ab: the association between body mass index and gestational diabetes mellitus varies by race/ethnicity. the gestational diabetes act calls for improved tracking, surveillance, and public health research on gdm to gain a better understanding of which women are at the greatest risk, how we can prevent women from developing gdm, and how we can prevent its reoccurrence in subsequent pregnancies. the 10 years of follow-up, we identified 823 pregnancies affected by incident gestational diabetes among the 20 136 eligible singleton pregnancies in 14 437 women (93% white).Gestational Diabetes News, Research

Gestational Diabetes

each of the other lifestyle factors before pregnancy (total moderate/vigorous physical activity, smoking status, adherence to alternate healthy eating index-2010 diet) was also significantly associated with risk of gestational diabetes. and glucose tolerance after gdm pregnancy - study of women, infant feeding and type 2 diabetes (swift)this study examines whether lactation prevents or delays the development of type 2 diabetes in a large, population-based sample of women who delivered with a recent pregnancy complicated by gdm within the kaiser permanente northern california integrated health care system..Mcneely mj, boyko ej: type 2 diabetes prevalence in asian americans: results of a national health survey. of these racial/ethnic differences may be the result of variations in biological factors such as insulin sensitivity, β-cell function, and body fat that could be clarified by more research. 24 among the confirmed diagnoses of gestational diabetes, physicians were most likely to use the national diabetes data group criteria. gestational diabetes diagnosed by a physician was ascertained by self report on each biennial questionnaire through 2001. of the low risk groupwe considered four low risk lifestyle factors before pregnancy based on the strength of the evidence supporting their role in the development of gestational diabetes: a healthy body weight, adherence to a healthy dietary pattern, regular exercise, and abstinence from cigarette smoking. adherence to a low risk lifestyle before pregnancy is associated with a low risk of gestational diabetes and could be an effective strategy for the prevention of gestational diabetes. the combination of three low risk factors (non-smoker, ≥150 minutes a week of moderate to vigorous physical activity, and healthy eating (top two fifths of alternate healthy eating index-2010 adherence score)) was associated with a 41% lower risk of gestational diabetes compared with all other pregnancies (relative risk 0. our research demonstrates the urgency of early detection and effective treatment, and explores long term consequences.

A cohort study of gestational diabetes mellitus and complimentary

Diagnosis and Treatment of Gestational Diabetes (Scientific Impact

Gestational diabetes: risks, management, and treatment options | IJWH

ah, li bh, black mh, sacks da, buchanan ta, jacobsen sj, lawrence jm: racial and ethnic disparities in diabetes risk after gestational diabetes mellitus. several studies have supported an approach to treating insulin resistance to reduce the risk of type 2 diabetes in women who have had gdm. from a supplemental questionnaire sent to a random sample of parous women who did not report gestational diabetes (n=114), 83% reported undergoing a 50 g glucose screening test during pregnancy and 100% reported frequent prenatal urine glucose screening, suggesting a high level of gestational diabetes surveillance among both cases and non-cases in this cohort. 6 for instance, women with gestational diabetes have an increased risk for gestational hypertension and pre-eclampsia during pregnancy7 and an exceptionally high risk for type 2 diabetes after pregnancy. mes, sridhar s, darbinian j, moore s, ferrara a: racial/ethnic disparities in the prevalence of gestational diabetes mellitus by bmi. to healthy lifestyle and risk of gestational diabetes mellitus: prospective cohort study. Our research demonstrates the urgency of early detection and effective treatment, and explores long term consequences. 2001, most participants had passed the usual reproductive age (all were aged ≥35, 70% were aged ≥40, and 20% aged ≥45) and information on the diagnosis of gestational diabetes was not collected in the questionnaire. the highest imrs are experienced by racial/ethnic groups that have the highest prevalence of type 2 diabetes..govaccepted 18 august 2014abstractobjective to quantify the association between a combination of healthy lifestyle factors before pregnancy (healthy body weight, healthy diet, regular exercise, and not smoking) and the risk of gestational diabetes.

Gestational Diabetes in High-Risk Populations

Gestational Diabetes

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Adherence to healthy lifestyle and risk of gestational diabetes

we used multivariable log binomial models (that is, binomial regression models with a log link function) with generalized estimating equations, specifying an exchangeable correlation structure, to estimate the relative risks and 95% confidence intervals for associations between the four major potentially modifiable factors (smoking status, score on alternate healthy eating index-2010 (fifths), physical activity (fifths), and bmi) and risk of gestational diabetes. relative risk adjusted for age, parity, family history of diabetes, history of infertility, race/ethnicity, questionnaire period, total energy intake, and alcohol consumptiondownload figure. bisphenol a exposure and risk of gestational diabeteswe propose to enroll 3,350 pregnant women during their first trimester, among whom a prospective nested case-control study of 300 gestational diabetes cases and 600 controls will be conducted to examine the association between early pregnancy levels of bisphenol-a (bpa) and the risk of gdm in the second trimester, as well as the association between bpa and high levels of metabolic markers of insulin resistance and liver enzymes, and the risk of having a large for gestational age (lga) infant. each lifestyle factor measured was independently and significantly associated with risk of gestational diabetes. intervention in patients with gestational diabetes mellitus: a systematic review and meta-analysis of randomized clinical trials on maternal and newborn outcomes. the result will be seen in more women with gdm and/or type 2 diabetes receiving the care they need to reduce the risk of costly complications, including preeclampsia, birth injury, and neonatal hypoglycemia in the short term and the long-term risk of diabetes for both mothers and their children.(your name) has forwarded a page to you from diabetes care. 2  low risk lifestyle factors and risk of gestational diabetes in 20 136 pregnancies in nurses’ health study iiview this table:view popupview inlinewhen women were given a point for each low risk lifestyle factor they adhered to, increasing the number of low risk factors was significantly and inversely associated with gestational diabetes risk (figure⇓). c, berger dk, chamany s: recurrence of gestational diabetes mellitus. the legislation is an ada priority, and its passage should be a priority for anyone concerned about diabetes, minority health, and health disparities.

Gestational diabetes: risks, management, and treatment options | IJWH

Dietary Intervention in Patients With Gestational Diabetes Mellitus

sy, abe k, hall lr, kim sy, njoroge t, qin c: gestational diabetes mellitus: all asians are not alike. diabetes prevention in gestational diabetes mellitus (gdm)among 350 women with gestational diabetes, we propose to implement and evaluate an randomized controlled trial of diet and physical activity intervention similar to the dpp, but tailored to be practical in health plan settings and for postpartum mothers, with the primary goals of: a) reaching pre-pregnancy weight if women had normal pre-pregnancy weight; or b) reaching a 5% reduction from pre-pregnancy weight if overweight or obese prior to pregnancy. resistance increases at mid-pregnancy and progresses to levels that are similar to those seen in most patients with type 2 diabetes. le, berger d, ellis ja, bettegowda vr, brown g, matte t, bassett m, frieden tr: trends and racial/ethnic disparities in gestational diabetes among pregnant women in new york city, 1990–2001..Blatt aj, nakamoto jm, kaufman hw: gaps in diabetes screening during pregnancy and postpartum. the former is necessary to diagnose persistent postnatal glucose intolerance, and the latter is supported by several studies showing that treating insulin resistance reduces the risk of type 2 diabetes in women who have had gdm. addition of body mass index (bmi) <25 before pregnancy (giving a combination of four low risk factors) was associated with a 52% lower risk of gestational diabetes compared with all other pregnancies (relative risk 0. we hypothesized that these factors are jointly associated with a substantially lower risk of gestational diabetes independent of other major risk factors such as advanced maternal age, greater parity, and family history of diabetes. investigators ceased the update of occurrence of gestational diabetes in 2001 as most women had passed reproductive age. to healthy lifestyle and risk of gestational diabetes mellitus: prospective cohort study.

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    Essay about Gestational Diabetes Mellitus (GDM) -- Nursing Essays

    an ancillary study to swift, the swift offspring study, enrolled 480 mother-infant pairs and conducted assessments of infant feeding and behaviors, and measured growth at 2 months, 6 months and 12 months among offspring exposed to maternal gestational diabetes in utero. diabetes: risks, management, and treatment options Catherine KimDepartments of Medicine and Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USAAbstract: Gestational diabetes mellitus (GDM) is commonly defined as glucose intolerance first recognized during pregnancy. whether common factors contribute to infant mortality and the development of diabetes should be a topic for further investigation. is associated with insulin resistance and is a well-known risk factor for developing type 2 diabetes and gdm. 1  relative risk of gestational diabetes by individual modifiable risk factors before pregnancy in 20 136 pregnancies in nurses’ health study iiview this table:view popupview inlinewhen we categorized exposures into “low risk” lifestyle factors, normal weight before pregnancy, regular exercise, healthy diet, and not smoking were all significantly and independently associated with a lower risk of gestational diabetes (table 2⇓). compared with pregnancies in women who did not meet any of the low risk lifestyle factors, those meeting all four criteria had an 83% lower risk of gestational diabetes (relative risk 0. ada also recommends that all women diagnosed with gdm be screened for type 2 diabetes 6–12 weeks postpartum. we included in the analysis individual singleton live births up to the end of 2001 if the participant did not report gestational diabetes in a previous pregnancy, a diagnosis of type 2 diabetes or cancer, or a cardiovascular disease event (myocardial infarction, stroke, coronary artery bypass graft procedure, or angina) before an otherwise eligible pregnancy (see appendix 1). c, sinco b, kieffer ea: racial and ethnic variations in access to health care, provision of health care services, and ratings of health among women with histories of gestational diabetes mellitus. it also conducts two comparative effectiveness studies: one of a health it intervention to identify and treat non-adherence to newly prescribed cardiometabolic medications in patients with diabetes; and the second to evaluate system and provider communications with women at risk for developing diabetes because of a history of gestational diabetes.
  • Resume writing dental receptionist – according to mcneely and boyko's analysis of the national health interview survey,27 similar proportions of asian and non-hispanic white americans report having diabetes, but after accounting for the lower bmi of asians, the adjusted prevalence of diabetes was 60% higher in asian americans.) was associated with a significantly increased risk of gestational diabetes. college of obstetricians and gynecologists: screening and diagnosis of gestational diabetes mellitus. you for your interest in spreading the word about clinical diabetes. the 1989 baseline questionnaire collected information on medical, diagnostic, and prescription history, date of birth, occupational status, family history of diabetes, gravidity, height and weight, and a range of other characteristics. to healthy lifestyle and risk of gestational diabetes mellitus: prospective cohort study. the strongest individual risk factor for gestational diabetes was a higher bmi before pregnancy (table 1⇓). the ada testified before the iom about the importance of screening pregnant women for diabetes. moreover, there is evidence to suggest that they are also at higher risk of developing childhood obesity10 and glucose intolerance in early adulthood,11 although findings have been inconsistent, and females are more likely to develop gestational diabetes themselves,12 leading to a trans-generational cycle of diabetes-begets-diabetes..Nguyen bt, cheng yw, snowden jm, esakoff tf, frias ae, caughey ab: the effect of race/ethnicity on adverse perinatal outcomes among patients with gestational diabetes mellitus.
  • Senior php programmer resume – available data indicate that asians/pacific islanders, hispanics, and african americans are at an increased risk to develop diabetes before and during pregnancy. to their higher rates of type 2 diabetes, the risk of developing gdm has been generally reported to be higher among asian, native hawaiian, other pacific islander, and hispanic women than in non-hispanic white women. we evaluated effect modification by established risk factors for gestational diabetes including age (<35 v ≥35), bmi before pregnancy (<25 v ≥25), family history of diabetes (yes, no), and race (white v non-white) by conducting stratified analyses.,34 because approaches to diagnosing and managing diabetes and gdm in white pregnant women may not be applicable to pregnant women from other racial/ethnic groups, consideration should be given to obtaining more information about gdm etiopathogenesis, diagnosis, management, and prevention in these racial/ethnic populations..Silva jk, kaholokula jk, ratner r, mau m: ethnic differences in perinatal outcome of gestational diabetes mellitus. to protect today's mothers and the next generation, policymakers must recognize the seriousness of diabetes. it represents a growing health concern; multiple population based studies have shown increases in the occurrence of gestational diabetes in the past decade.. current american diabetes association (ada) recommendations for gdm screening are based on this and summarized in table 4. k, jenum ak, sletner l, vardal mh, waage cw, nakstad b, vangen s, birkeland ki: failure to increase insulin secretory capacity during pregnancy-induced insulin resistance is associated with ethnicity and gestational diabetes. because of the growing prevalence of type 2 diabetes, it is important to distinguish women who have prepregnancy diabetes from those with gdm.
  • Sloan mit business plan – zhang, investigator1, deirdre k tobias, research fellow2, jorge e chavarro, assistant professor23, wei bao, postdoctoral fellow1, dong wang, research fellow2, sylvia h ley, research fellow2, frank b hu, professor231division of intramural population health research, eunice kennedy shriver national institute of child health and human development, national institutes of health, bethesda, md 20852, usa2departments of nutrition and epidemiology, harvard school of public health, boston, ma 02115, usa3channing division of network medicine, department of medicine, brigham and women’s hospital and harvard medical school, boston, ma 02115, usacorrespondence to: c zhang zhangcu{at}mail. weight gain and risk of gestational diabetes in preterm deliverythis is a cohort study among the estimated 11,000 multi-ethnic kpnc health plan members who completed a detailed survey as part of the research program in genes, environment and health in 2007 and had a subsequent live birth delivered up to 2011. further adjustment for prepregnancy bmi reduced diabetes risk associated with gdm for each group but did not explain the risk differences across groups. women who are diagnosed with diabetes at this visit should receive a diagnosis of diabetes and not a diagnosis of gdm because the diabetes predates the pregnancy. gdm also identifies women with a high risk for future gdm and type 2 diabetes. the cost barrier to preventive services such as gdm screening during pregnancy will help more women receive this important service, both because of affordability and because the message it sends to practitioners about the importance of testing pregnant women for gdm and type 2 diabetes. ah, peters rk, kjos sl, marroquin a, goico j, ochoa c, kawakubo m, buchanan ta: effect of pioglitazone on pancreatic beta cell function and diabetes risk in hispanic women with prior gestational diabetes. fujimoto, md, is a member of the ada asian pacific american diabetes action council (apadac) and a professor emeritus of medicine at the university of washington in seattle..International association of diabetes and pregnancy study groups consensus panel: international association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy. we conducted sensitivity analyses with all pregnancies regardless of previous gestational diabetes status.
  • Standard font size for thesis – re: prevention of type 2 diabetes in women with previous gestational diabetes mellitus. activity and glycemic control in women with gestational diabetesthis large prospective cohort study utilizes survey and electronic medical record data to estimate the association of physical activity in mid-pregnancy with subsequent glycemic control in women diagnosed with gestational diabetes. of this article also read:Causative factors for formation of toxic islet amyloid polypeptide oligomer in type 2 diabetes mellitus. temperament and early infant growth and child overweight in gdm offspringthe nih-funded study of women, infant feeding and type 2 diabetes (swift) is a prospective cohort study of 1,035 postpartum women with a recent pregnancy complicated by gestational diabetes who were recruited from 2008 to 2011, and attended three in-person visits in two years that included annual screening for type 2 diabetes. and glucagon-like peptide 1 receptor agonist combination therapy in type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials. children born after a pregnancy affected by gestational diabetes are more likely to be born macrosomic and to have birth defects. calculated the population attributable risk percentages and 95% confidence intervals to estimate the proportion of gestational diabetes in this cohort that hypothetically would not have occurred if all pregnancies were in the low risk group28 by comparing pregnancies in the low risk category (for each factor individually or in combination) with all the others. intervention in patients with gestational diabetes mellitus: a systematic review and meta-analysis of randomized clinical trials on maternal and newborn outcomes. the diabetes prevention program1 showed that women who had a history of gdm had a 74% increased age-adjusted risk for diabetes compared to women who had no history of gdm. diabetes mellitus (gdm) is defined as glucose intolerance first recognized during pregnancy.
  • Technology controls our lives essay – hence, both gdm screening during pregnancy and postpartum diabetes screening were low. between number of low risk lifestyle factors and risk of gestational diabetes. and infant growth among gdm offspring – swift offspring studythis clinical research award prospectively examines the relation of infant feeding method (breastfeeding intensity and duration) to growth and adiposity during the first year of life among the offspring of women with gdm, and changes in postpartum adiposity in their mothers in kaiser permanente northern california. although african americans are known to have higher rates of type 2 diabetes, the data regarding gdm do not always show higher risk in african-american women. tj, garber s, lipkind h, chiasson ma: maternal obesity and diabetes as risk factors for adverse pregnancy outcomes: differences among 4 racial/ethnic groups..Kim sy, england l, sappenfield w, wilson hg, bish cl, salihu hm, sharma aj: racial/ethnic differences in the percentage of gestational diabetes mellitus cases attributable to overweight and obesity, florida, 2004–2007. 15 16 we examined the joint effect of lifestyle characteristics on risk of gestational diabetes. in a validation study among a subgroup of the nurses’ health study ii cohort, 94% of self reported gestational diabetes events were confirmed by medical records..Hunsberger m, rosenberg kd, donatelle rj: racial/ethnic disparities in gestational diabetes mellitus: findings from a population-based survey. the associations remained significant after adjustment for other risk factors of gestational diabetes such as maternal age, parity, and family history of diabetes.

Adherence to healthy lifestyle and risk of gestational diabetes


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