History of Gestational Diabetes Presentation

May 2015

National Diabetes Education Program• US Department of Health and Human Services program jointly

sponsored by:

– National Institutes of Health

– Centers for Disease Control and Prevention

– With over 200 public and private partners

• Seeks to reduce the burden of diabetes in the US by facilitating adoption of proven approaches to prevent or delay the onset and progression of diabetes and its complications.

Gestational Diabetes Mellitus (GDM)

• Diagnosed during pregnancy.

• Affects at least 7% and possibly as many as 18% of U.S. pregnancies.

• Occurs frequently with other risk factors for diabetes.

Why is Gestational Diabetes a Concern AFTER Pregnancy?

• Immediately after pregnancy, 5% to 10% of women with GDM have diabetes, usually type 2.

• 35% to 60% chance of developing diabetes in the 10 to 20 years after delivery.

• Risk for cardiovascular disease may be increased.• Children of GDM pregnancies may be at greater risk for

future obesity and type 2 diabetes.

Buchanan TA, et al.Diabetes Care 2007; 30 Suppl 2: S105-11.

Kitzmiller JL, et al. Diabetes Care 2007; 30 Suppl 2: S225-35.

Good News!

• Small steps can lower type 2 diabetes risk.

• Lifestyle changes include dietary changes and physical activity to lead to modest weight reduction and maintenance.

• Early detection of prediabetes may provide an opportunity to prevent or delay the onset of type 2 diabetes.

Awareness of post GDM issues

• Awareness is low about health risks for women who have a history of GDM.

• Many women do not receive and/or are not aware of the need for follow-up testing.

• NDEP is raising awareness among providers about the importance of continuing to track and monitor GDM moms long after the pregnancy has ended.

It’s Never Too Early . . . to Prevent Type 2 Diabetes

Outreach Goals:• ↓number of women with history of GDM who develop

diabetes• ↑awareness of health risks for children of that

pregnancy• ↑ awareness of timely testing• ↑ provider counseling about future health risks/steps to

prevent type 2 diabetes• ↑ adoption and maintenance of healthy behaviors

What You Can Do to Help

Encourage women with a history of GDM to:• Continue positive lifestyle habits after delivery.• Get screened 6 to 12 weeks post partum – if test is normal,

get tested at least every 3 years.• If prediabetes is diagnosed, get tested annually for diabetes.• Breastfeed to help mom lose weight and improve the child’s

health.• Aim for pre-pregnancy weight within 6 to 12 months. If still

overweight, work to lose 5%-7% body weight over time.• Make healthy food choices/eat smaller portions.• Be active 30 minutes 5 days a week.

Resources Available from NDEPwww.YourDiabetesInfo.org/GDM

• Use/adapt/share materials from NDEP:

– Ready-to-use articles

– Toolkits

– Tip Sheets/Fact Sheets

– Web banners

– Print and Broadcast PSAs

– Information available in English and Spanish

Connect with NDEP • Online and social media outreach:

− “Like” NDEP on Facebook (facebook.com/ndepgov)

− Follow NDEP on Twitter (@NDEP)

− Subscribe to NDEP’s monthly e-newsletter, News & Notes

− Subscribe to NDEP’s RSS Feed

Behavior Change Resources

NDEP’s Diabetes HealthSense Online Library: www.YourDiabetesInfo.org/HealthSense

Fit for Two

• Behaviors‐ Physical activity ‐ Healthy eating

• Audiences‐ Adults

• Source: Weight-control Information Network www.win.niddk.nih.gov

Food for Thought: Eating Well On a Budget

• Behaviors‐ Healthy Eating

• Audiences‐ Families

• Source: PBS

http://www.sesamestreet.org/parents/topicsandactivities/toolkits/food

NDEP Behavior Change Video Series

• Available on Diabetes HealthSense at www.YourDiabetesInfo.org/HealthSense

• Series of short videos focused on helping people make lifestyle changes and cope with the demands of diabetes.