NDEP History of Gestational

Diabetes Presentation Slides

May 2013

 US Department of Health and Human Services program jointly

National Diabetes Education Program
sponsored by:
National Institutes of Health
Centers for Disease Control and Prevention
With over 200 public and private partners
Seeks to reduce the burden of diabetes in the US by facilitating
adoption of proven approaches to prevent or delay the onset
and progression of diabetes and its complications.

Gestational Diabetes Mellitus (GDM)

Diagnosed during pregnancy
Affects at least 7% and possibly as many as 18% of U.S.
pregnancies
Occurs frequently with other risk factors for diabetes

Why is Gestational Diabetes a Concern

AFTER Pregnancy?
Immediately after pregnancy, 5% to 10% of women with
GDM have diabetes, usually type 2.
35% to 60% chance of developing diabetes in the 10 to
20 years after delivery.
Risk for cardiovascular disease may be increased.
Children of GDM pregnancies may be at greater risk for
future obesity and type 2 diabetes.
Buchanan TA, et al.Diabetes Care 2007; 30 Suppl 2: S105-11.
Kitzmiller JL, et al. Diabetes Care 2007; 30 Suppl 2: S225-35.

Good News!
Small steps can lower type 2 diabetes risk.
Lifestyle changes include dietary changes and physical
activity to lead to modest weight reduction and
maintenance.
Early detection of prediabetes may provide an
opportunity to prevent or delay the onset of type 2
diabetes.

Awareness of post GDM issues

Awareness is low about health risks for women who
have a history of GDM.
Many women do not receive and/or are not aware of the
need for follow-up testing.
NDEP is raising awareness among providers about the
importance of continuing to track and monitor GDM
moms long after the pregnancy has ended.

Its Never Too Early . . .

to Prevent Type 2 Diabetes
Outreach Goals:
number of women with history of GDM who develop
diabetes
awareness of health risks for children of that
pregnancy
awareness of timely testing
provider counseling about future health risks/steps to
prevent type 2 diabetes
adoption and maintenance of healthy behaviors

What You Can Do to Help

Encourage women with a history of GDM to:
Continue positive lifestyle habits after delivery.
Get screened 6 to 12 weeks post partum if test is
normal, get tested at least every 3 years.
If prediabetes is diagnosed, get tested annually.
Breastfeed to help mom lose weight and improve the
childs health.
Aim for pre-pregnancy weight within 6 to 12 months. If still
overweight, work to lose 5%-7% body weight over time.
Make healthy food choices/eat smaller portions.
Be active 30 minutes 5 days a week.

Resources Available from NDEP

www.YourDiabetesInfo.org/GDM

Use/adapt/share materials from

NDEP:
Ready-to-use articles
Toolkits
Tip Sheets/Fact Sheets
Web banners
Print and Broadcast PSAs
Information available in
English and Spanish

Connect with NDEP

Online and social media outreach:

Like NDEP on Facebook (facebook.com/ndepgov)

Follow NDEP on Twitter (@NDEP)
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Behavior Change Resources

NDEPs Diabetes HealthSense Online Library:
www.YourDiabetesInfo.org/HealthSense

Eat Smart. Play Hard.

Behaviors
Healthy eating
Physical activity
Audiences
Parents
Caregivers of children
Source: USDA Food and Nutrition Service
www.fns.usda.gov/eatsmartplayhardhealthylifestyle

Fit for Two

Behaviors
Physical activity
Healthy eating
Audiences
Adults
Source: Weight-control Information Network
www.win.niddk.nih.gov

Aim for a Healthy Weight

Behaviors
Weight management
Healthy eating and physical activity
Audiences
Adults
Source: National Heart Lung and Blood Institute
www.nhlbi.nih.gov

NDEP Behavior Change Video Series

Available on Diabetes HealthSense at
www.YourDiabetesInfo.org/HealthSense
Series of short videos focused on helping people make
lifestyle changes and cope with the demands of diabetes.