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Gestational Diabetes
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Objectives
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Background
Physical activity can prevent or delay type 2 DM in
individuals at risk
Studies show that pre-pregnancy exercise helps to
prevent GDM during pregnancy.
More intensity equals more benefits.
Any activity has more benefit than no physical activity in
prevention of GDM.
Resistance Training
helps in increasing the number of Insulin receptors
Improves sensitivity of insulin receptors in skeletal muscle
maintains muscle while losing fat.
Upper arm resistance training shown to lower blood glucose
Jovanovic-Peterson et al 1989.
4
Benefits of Exercise in GDM
Appropriate exercise
Low-impact aerobics, swimming, yoga, light weights
Need to monitor
Blood glucose before and after exercise for women on
insulin or sulphonylureas
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Education before exercise
Metzger BE, Buchanan TA, Coustan DR, De Leiva A, Hadden DR, Hod M.
Summary and recommendations of the fifth international workshop-conference
on gestational diabetes mellitus, Diabetes Care. 2007; 30(suppl 2):S251-260.
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References Contd....
Brankson gN, Mitchell BF, Ryan EA, Okun NB. Resistance exercise decreases
the need for insujlin in overeight women with gestational diabetes mellitus. Am.
J. Obstet Gynecol 2004; 190:188-93.
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