Diabetes and Nutrition across the Lifespan Flashcards

1
Q

What proportion of pregnancies are affected by diabetes in pregnancy?

A

1 in 20

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2
Q

What is gestational diabetes?

A

Natural increase in hyperglycaemic hormones

Actions not adequately compensated

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3
Q

What happens to gestational diabetes after the baby is born?

A

Usually goes away

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4
Q

What is the risk of developing type 2 diabetes for the mother and infant if the mother has had any sort of diabetes during pregnancy?

A

High risk

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5
Q

What are the health risks associated with gestational diabetes in the mother?

A

High BP
Pre-eclampsia
Obesity
Long-term: T2D

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6
Q

What are the health risks associated with gestational diabetes in the infant?

A
Underweight/overweight
Preterm birth
Respiratory distress syndrome
Hypoglycaemia
Long-term
- Obesity
- T2D
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7
Q

What are the risk factors for gestational diabetes?

A
Previous gestational diabetes
Prediabetes
Ethnicity
Older maternal age (40+)
Family history of diabetes
Obesity
PCOS
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8
Q

How does maternal obesity and excessive weight gain during pregnancy affect obesity in childhood?

A

2-3x increased risk

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9
Q

What is the risk of Indigenous women having diabetes in pregnancy compared to non-Indigenous women?

A

More likely

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10
Q

What are the health risks associated with a low birth weight (

A
More likely to experience rapid weight gain after birth
Rapid weight gain in first 4 months associated with obesity in school aged children
Associated with
- Central adiposity
- Metabolic syndrome
- Hypertension
- CVD
- T2D in adulthood
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11
Q

What are the health risks associated with a high birth weight (>4.5 kg)?

A

Increased risk of adolescent obesity

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12
Q

How are gestational diabetes babies more likely to be delivered?

A

Caesarean

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13
Q

What is the relationship between breastfeeding and diabetes in pregnancy?

A

Breastfeeding infants born to mothers with diabetes in pregnancy have reduced risk of obesity and T2D

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14
Q

How long is exclusive breastfeeding recommended for?

A

6 months

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15
Q

How does the composition of breast milk change throughout a feed?

A

Water > protein > fat

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16
Q

When should solid foods be introduced to the baby?

A

From around 6 months

Iron-rich foods

17
Q

What are the risk factors for type 2 diabetes in children and adolescents?

A

Overweight/obese and any 2 of following

  • Blood relative with T2D
  • Certain ethnic groups
  • Signs of insulin resistance