Diabetes and Nutrition: A Focus on Omega-3 and Omega-6 Fatty Acids

Опубликована: Янв. 1, 2025

Язык: Английский

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Personalized prediction of glycemic responses to food in women with diet-treated gestational diabetes: the role of the gut microbiota

npj Biofilms and Microbiomes, Год журнала: 2025, Номер 11(1)

Опубликована: Фев. 7, 2025

We developed a prediction model for postprandial glycemic response (PPGR) in pregnant women, including those with diet-treated gestational diabetes mellitus (GDM) and healthy explored the role of gut microbiota improving accuracy. The study involved 105 women (77 GDM, 28 healthy), who underwent continuous glucose monitoring (CGM) 7 days, provided food diaries, gave stool samples microbiome analysis. Machine learning models were created using CGM data, meal content, lifestyle factors, biochemical parameters, data (16S rRNA gene sequence analysis). Adding increased explained variance peak levels (GLUmax) from 34 to 42% incremental area under curve (iAUC120) 50 52%. final showed better correlation measured PPGRs than one based only on carbohydrate count (r = 0.72 vs. r 0.51 iAUC120). Although features important, their contribution performance was modest.

Язык: Английский

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The long-term general practice healthcare of women with a history of gestational diabetes: A Scoping Review Protocol

HRB Open Research, Год журнала: 2025, Номер 8, С. 31 - 31

Опубликована: Фев. 11, 2025

Introduction Gestational Diabetes Mellitus (GDM) is a hyperglycaemic condition diagnosed during pregnancy. GDM strongly associated with future development of type 2 diabetes and cardiovascular disease. Lifestyle pharmacological interventions can reduce the risk developing diabetes. General practice recommended setting for long-term follow-up women history GDM. However, rates are suboptimal. The evidence around general healthcare has not previously been reviewed. Aims aim this scoping review to explore current base care in practice. Study Design study described by protocol review. design was informed Joanna Briggs Institute methodology. Methods Empirical qualitative quantitative research studies published since 2014 will be identified from search following databases: MEDLINE (Ovid), EMBASE (Elsevier), CINAHL, PsycINFO, Academic Search Complete SocIndex. identify key characteristics literature. Framework analysis used map findings against Chronic Care Model, primary care-based framework that sets out core components optimal healthcare. Results A numerical descriptive summary (using frequencies) describe overall extent literature, range distribution its component parts, including geographical economic settings, methods, interventions, outcomes findings. descriptions chronic model. Research gaps reported, needs priorities suggested. Conclusion have potential inform efforts area. Registration This registered Open Science (https://osf.io/bz2vh).

Язык: Английский

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“Feeding the baby breast milk shouldn’t be a problem” breastfeeding confidence and intention in pregnant persons with type 2 diabetes mellitus from Thailand

PLOS Global Public Health, Год журнала: 2025, Номер 5(2), С. e0004205 - e0004205

Опубликована: Фев. 14, 2025

Breastfeeding initiation has been found to be lower in pregnant persons with type 2 diabetes mellitus (T2DM). However, no studies have explored the potential impact of T2DM during pregnancy on breastfeeding plans among Thai persons. This study aimed describe confidence and intention T2DM. qualitative analysis utilized data from a parent convergent parallel mixed-methods design. was guided by National Institute Minority Health Disparities (NIMHD) Framework. Eligible participants were diagnosed T2DM, aged 20–44 years, proficient speaking Thai. The participated semi-structured interviews completed three questionnaires: demographic, infant feeding intentions, self-efficacy. Data involved descriptive statistics for quantitative directed content data. Twelve revealed four main themes: intentions pregnancy, throughout barriers (such as previous challenging experiences physical distance between mother baby), facilitators (including benefits cost-effectiveness, consumption foods herbs, availability breast milk shipping services). offers insights into regarding their baby after childbirth. To improve outcomes, period could serve an opportunity assess confidence, barriers, that influence diabetes.

Язык: Английский

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Management of Diabetes in Pregnancy: A Review of Clinical Guidelines and Practices

Cureus, Год журнала: 2025, Номер unknown

Опубликована: Фев. 19, 2025

This literature review assesses clinical guidelines for pre-existing diabetes and gestational mellitus (GDM) in the areas of diagnosis, management, maternal-fetal outcomes. A structured search was conducted across PubMed Google Scholar, supplemented by targeted screening guideline repositories from American Diabetes Association (ADA), National Institute Health Care Excellence (NICE), World Organization (WHO). Included studies were selected based on relevance to therapeutic strategies, or maternal-neonatal outcomes, with exclusion criteria applied non-English publications non-clinical recommendations. comparative analysis ADA, NICE, WHO performed evaluate prevalence, approaches, postpartum management. Early stringent blood glucose control, multidisciplinary care aim avoid macrosomia, congenital abnormalities, neonatal hypoglycemia guide management guidelines. Glycated hemoglobin (HbA1c) (<6.5%) optimization supplementation folic acid are critically required prior conception all women previously diagnosed diabetes. Continuous monitoring (CGM) insulin pump therapy valued but burdened availability access constraints. visit 75 g oral tolerance test (OGTT) at 4-12 weeks is essential detection persistent Variation diagnostic among reflects requirement standardization. Expansion coverage insurance CGM preconception important providing equal access. The cost-effectiveness new technologies health disparities low-resource settings must be addressed future research.

Язык: Английский

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