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Showing posts from December, 2019

Screening and Diagnosis of Gestational Diabetes Mellitus: from Controversy to Consensus

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CURRENT RESEARCH IN DIABETES & OBESITY JOURNAL JUNIPER PUBLISHERS Authored by Pikee Saxena Abstract Hyperglycemia in pregnancy is associated with adverse fetal and maternal outcomes. Even lower values of glucose intolerance have been shown to be detrimental and adverse effects are proportionate to the plasma glucose levels. However, defining glucose intolerance in pregnancy has been an issue of considerable debate, and has led to different recommendations by various authorities worldwide over the last three decades. Multitude of procedures have been described and glucose cut offs proposed for the diagnosis of glucose intolerance in pregnancy have led to considerable confusion. There are a number of controversies regarding significance of screening for gestational diabetes mellitus (GDM), universal/selective screening, when to screen and how to screen-using single or double step, how much should be the glucose load, how many samples to be taken, fastin

Is Exercise a Solution for Every Individual Living with Chronic Conditions

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CURRENT RESEARCH IN DIABETES & OBESITY JOURNAL JUNIPER PUBLISHERS Authored by Martin Sénéchal Opinion The simple answer is probably 'it depends'! The outcomes experienced as a result of exercise varies depending on the expected outcome, the chronic condition, and how exercise is defined. In past decades,the public health messages have shouted from every rooftop that exercise is a corner stone to manage chronic conditions. We would argue that while this argument is correct from a general health perspective, however for some individuals their odds of achieving their health goals through engagement in exercise may not be as glorious as expected. In other words, a patient might experience some of the reported benefits of engagement in exercise, such as a reduction in blood pressure and improvement in glycemic control, but experience a lack of improvement in other areas, such as not returning to their desired weight. Most agencies that