{"id":13039,"date":"2020-11-10T09:08:52","date_gmt":"2020-11-10T07:08:52","guid":{"rendered":"https:\/\/latam.patiadiabetes.com\/la-diabetes-gestacional-no-acaba-con-el-parto\/"},"modified":"2020-12-17T16:01:15","modified_gmt":"2020-12-17T14:01:15","slug":"the-diabetes-gestational-doesnt-finish-with-birth","status":"publish","type":"post","link":"https:\/\/latam.patiadiabetes.com\/en\/the-diabetes-gestational-doesnt-finish-with-birth\/","title":{"rendered":"From gestational diabetes to type 2"},"content":{"rendered":"

Gestational diabetes does not end at childbirth<\/h1>\n

\"\"A few days ago, Bel\u00e9n, a 45-year-old woman, came to the office. Immersed in the care of her two daughters of 7 and 5 years, she told me: “I am very tired. Maybe it’s because of the life I lead, with so much stress and little rest”.<\/em><\/p>\n

After a thorough physical examination and a detailed anamnesis, we proposed to perform a blood test, since more than five years had passed since the last one.<\/p>\n

We both remembered that she had had diabetes in her second pregnancy, although “that was cured”.<\/p>\n<\/div>

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\"gestational<\/span>
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We met to review the results of the analysis and to see how she was doing. The blood test was conclusive: a glucose of 139 mg\/dl and a glycosylated hemoglobin (HbA1c) of 6.8%. (Diabetes Journals. ADA)<\/a>. There was no doubt, Bel\u00e9n had type 2 diabetes and telling her was going to be difficult. She looked at me with a face of disbelief: “Nothing hurts me, Igotz. It can’t be. <\/strong><\/p>\n

And indeed, this is usually the case. Type 2 diabetes mellitus usually arrives without warning, and it does not hurt. It is a silent disease, and when it arrives it does so to stay. It is a chronic disease and unfortunately, the cause of multiple complications.<\/p>\n<\/div>

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If I don’t have a family history of diabetes, where does this come from? How come I have type 2 diabetes?<\/strong><\/em><\/h2>\n<\/blockquote>\n

Gestational diabetes<\/a> is diagnosed during pregnancy. Since it is a fairly common health problem, with an estimated prevalence of about 10% at this stage of a woman’s life, and can cause complications for both mother and baby. In women it can cause preeclampsia with high risk in these cases of needing an emergency C-section due to vital risk for both. Many babies of mothers with gestational diabetes are born with high birth weight (macrosomia).<\/p>\n

For the mother, the data is revealing: 50% of women who have suffered from gestational diabetes develop type 2 diabetes mellitus in a short period of time. According to this publication: 1 in 2 women develop type 2 diabetes mellitus within 5 years after delivery.<\/p>\n

In the case of the baby<\/a>, it is prevalent the presence of obesity and development of diabetes type 2 in early ages, as well as arterial hypertension and metabolic syndrome.<\/p>\n<\/div>

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The Type 2 Diabetes Pandemic<\/h2>\n

Type 2 diabetes mellitus is an epidemic of our century and our society. It is much more than “a little bit of sugar in the blood. It is a disease that spreads throughout the body, generating retinopathy, nephropathy, heart disease, neuropathy, etc.\u00a0 It devastates. Type 2 diabetes:<\/p>\n