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Call to action for ...
Call to action for a life course approach
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- Simmons, David (författare)
- School of Medicine, Western Sydney University, Sydney, NSW, Australia
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- Gupta, Yashdeep (författare)
- Department of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, India
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- Hernandez, Teri L. (författare)
- College of Nursing, University of Colorado, Aurora, CO, USA; Department of Medicine, Division of Endocrinology, Metabolism, and Diabetes, University of Colorado School of Medicine, Aurora, CO, USA; Children's Hospital Colorado, Anschutz Medical Campus, Aurora, CO, USA
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- Levitt, Naomi (författare)
- Chronic Disease Initiative for Africa, Department of Medicine, University of Cape Town, Cape Town, South Africa
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- van Poppel, Mireille (författare)
- Department of Human Movement Science, Sport and Health, University of Graz, Graz, Austria
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- Yang, Xilin (författare)
- Department of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin, China
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- Zarowsky, Christina (författare)
- Department of Social and Preventive Medicine, University of Montréal, Montréal, QC, Canada; CReSP Public Health Research Centre, Montréal, QC, Canada
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- Backman, Helena, 1965- (författare)
- Örebro universitet,Institutionen för hälsovetenskaper,Department of Obstetrics and Gynecology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
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- Feghali, Maisa (författare)
- Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh, PA, USA
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- Nielsen, Karoline Kragelund (författare)
- Department of Prevention, Health Promotion and Community Care, Steno Diabetes Center Copenhagen, Herlev, Denmark
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(creator_code:org_t)
- Elsevier, 2024
- 2024
- Engelska.
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Ingår i: The Lancet. - : Elsevier. - 0140-6736 .- 1474-547X. ; 404:10448, s. 193-214
- Relaterad länk:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- Gestational diabetes remains the most common medical disorder in pregnancy, with short-term and long-term consequences for mothers and offspring. New insights into pathophysiology and management suggest that the current gestational diabetes treatment approach should expand from a focus on late gestational diabetes to a personalised, integrated life course approach from preconception to postpartum and beyond. Early pregnancy lifestyle intervention could prevent late gestational diabetes. Early gestational diabetes diagnosis and treatment has been shown to be beneficial, especially when identified before 14 weeks of gestation. Early gestational diabetes screening now requires strategies for integration into routine antenatal care, alongside efforts to reduce variation in gestational diabetes care, across settings that differ between, and within, countries. Following gestational diabetes, an oral glucose tolerance test should be performed 6-12 weeks postpartum to assess the glycaemic state. Subsequent regular screening for both dysglycaemia and cardiometabolic disease is recommended, which can be incorporated alongside other family health activities. Diabetes prevention programmes for women with previous gestational diabetes might be enhanced using shared decision making and precision medicine. At all stages in this life course approach, across both high-resource and low-resource settings, a more systematic process for identifying and overcoming barriers to preventative care and treatment is needed to reduce the current global burden of gestational diabetes.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)
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Simmons, David
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Gupta, Yashdeep
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Hernandez, Teri ...
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Levitt, Naomi
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van Poppel, Mire ...
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Yang, Xilin
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Zarowsky, Christ ...
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Backman, Helena, ...
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Feghali, Maisa
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Nielsen, Karolin ...
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- MEDICIN OCH HÄLSOVETENSKAP
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The Lancet
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Örebro universitet