Most Read Articles
Stephen Padilla, 28 Nov 2018
A low-carbohydrate diet increases energy expenditure during weight loss maintenance, consistent with the carbohydrate-insulin model, a study has shown. This metabolic effect may contribute to the success of obesity treatment, particularly among those with high insulin secretion.
Natalia Reoutova, 3 days ago

A hospital-based observational cohort study finds an association between higher fasting blood glucose (FBG) levels and unfavourable outcomes, including death, among Chinese patients with diabetes mellitus (DM) following acute ischaemic stroke (AIS).

Postnatal intervention cuts weight in overweight women with previous GDM

24 Jul 2018

A postnatal lifestyle intervention programme (PAIGE) for overweight women with previous gestational diabetes mellitus (GDM) leads to significantly greater weight loss compared with usual care at 6 months, a recent study has shown.

“Such weight loss could prove beneficial in terms of better long-term health and subsequent prevention of type 2 diabetes (T2D) in overweight women with previous GDM,” the authors said.

A total of 60 women were randomly assigned (29 intervention; 31 control) in two centres based on their week of attendance. Participants in the intervention group had significant weight loss at 6 months after randomization compared with those in the control group (mean, 3.9 vs 0.7 kg; p=0.02).

There was no significant difference in blood glucose levels. Furthermore, as regards measures of well-being, the intervention group showed significantly reduced bodily pain (p=0.007).

“Future interventions must consider recruitment strategies, timing of the intervention, and inclusion of partners and/or other family members,” the authors said.

In this study, postnatal overweight women with previous GDM were included in a multicentre randomized controlled trial between June 2013 and December 2014. The intervention consisted of a 1-hour educational programme, a free 3-month referral to a commercial weight management organization (Slimming World), a pedometer, and structured telephone and text support, in addition to usual care. The control group received usual care only. Weight loss at 6 months was the main outcome.

“GDM is associated with a sevenfold increased lifetime risk of T2D. Excessive gestational weight gain and postpartum weight retention are established predictors of long-term obesity,” the authors noted.

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Most Read Articles
Stephen Padilla, 28 Nov 2018
A low-carbohydrate diet increases energy expenditure during weight loss maintenance, consistent with the carbohydrate-insulin model, a study has shown. This metabolic effect may contribute to the success of obesity treatment, particularly among those with high insulin secretion.
Natalia Reoutova, 3 days ago

A hospital-based observational cohort study finds an association between higher fasting blood glucose (FBG) levels and unfavourable outcomes, including death, among Chinese patients with diabetes mellitus (DM) following acute ischaemic stroke (AIS).