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Long-Term Cardiovascular Health May Be Compromised For Mothers With Gestational Diabetes Mellitus, Researchers Say.

January 18, 2018

Long-Term Cardiovascular Health May Be Compromised For Mothers With Gestational Diabetes Mellitus, Researchers Say.

Dr. Fox comments on the following article:
Twenty-two times more likely to get Type II Diabetes and three times more likely to have a heart attack later.   Gestational diabetes is caused by the acute worsening of insulin resistance based on the pregnancy hormones.  The associated problems including Hypertension in pregnancy, excessive weight gain in pregnancy and excessive nausea are all insulin resistance problems.  The diagnoses listed in this study are counted only if diagnosed in the patient so that they can be reported in this epidemiologic (Patient survey) study.  Many people are walking around who have hypertension, diabetes and prior heart attacks that have never been diagnosed.  If 3 hour testing was utilized to screen patients, many more would have been diagnosed with type II DM.
I am forever hopeful that medicine can consolidate the numerous studies that relate the insulin resistance cause of all these diseases.  We continue with the mantra that each disease (weight gain, Type II diabetes, high cholesterol, high blood pressure, heart attacks, strokes etc….) is stand alone and has an individual cause and therefore treatment.  We have developed drugs and treatments for each disease that fail to address the underlying mechanism of the disease.  High insulin and the associated metabolic changes causes all of these diseases, yet medicine as a whole still has not embraced this concept.  Drug companies are steadily bringing medicines to the market to replace earlier generation drugs, but very few of these drugs target the true cause of disease and as such serve as band aids for the problem.  In the case of type II DM, the progession of drugs to insulin creates a situation where the drug treatment accelerates the complications of the disease.  It’s no wonder that once on insulin so many patients are experiencing the multiple complications listed above and others such as renal failure, retinal blindness and infections.  Many patients even on insulin can completely reverse their disease through dietary change.   A strong focus on Insulin Resistance dramatically improves or cures all of these problems through the simple intervention of dietary change.  It’s a tough sell to all our patients especially in the fertility arena, where dietary changes result in dramatic improvements in pregnancy rates but we continue to fight hard for health every day in our office.
Michael D. Fox, MD
Jacksonville Center
Reproductive Medicine 

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