5 ways to deal with diabetes in women
University of Sydney researchers offer their expert advice on managing and preventing diabetes, leading up to World Diabetes Day 2017.
鈥榃omen and diabetes 鈥� our right to a healthy future鈥� is the theme of this year鈥檚 on Tuesday 14 November.
With one in 10 women now living with diabetes and one in seven births affected by gestational diabetes, the campaign seeks to protect the health of mothers and children by improving access to screening, care and education.
We asked five of our women researchers working in the field to offer their view on how to manage and even prevent the condition.聽
1. Limit adult weight gain to prevent or delay type 2 diabetes
A professor of human nutrition at the and , Jennie Brand-Miller is also director of the and the Glycemic Index Foundation.
The Principal Investigator of the Australian arm of the , the world's largest lifestyle intervention to prevent diabetes in individuals at high risk, Professor Brand-Miller says limiting adult weight gain is key.
鈥湼咔甯＠� after study is showing that you can prevent or delay a diagnosis of type 2 diabetes. The single most effective decision is to make sure we don鈥檛 gain too much weight as adults (10 percent at the most). This means eating a high-quality diet with smart food choices and saving party foods for the party.鈥�
2.聽Plan pregnancies from a diabetes perspective
鈥淲hile many women with type 1 diabetes are now planning their pregnancies from a diabetes perspective, women with type 2 diabetes tend to fly under the radar,鈥� says Adjunct Associate Professor Glynis Ross from the .
鈥淚n addition, one in 7 pregnancies are now complicated by gestational diabetes that first develops during pregnancy but signals risk for later type 2 diabetes in the mothers,鈥� she says.
鈥淎ll pregnancies complicated by diabetes need to be managed well to avoid problems late in pregnancy and at delivery, as well as to reduce the children鈥檚 risk of future health problems including diabetes and obesity.
鈥淗ealth providers need to be proactive about raising these matters with their patients.鈥�
3. Invest in precision medicine
Precision medicine holds great promise for the future treatment and prevention of type 2 diabetes, according to from the at the .
鈥淐urrent treatment algorithms for diabetes utilise a 鈥榦ne size fits most鈥� approach and as a result, the treatment plan selected may not be the best management strategy for each individual,鈥� she says.
鈥淎n alternative strategy is precision medicine, in which information about a person鈥檚 genes, environment and other characteristics are used to develop an individualised treatment plan to obtain the best outcome.
Ultimately, we hope to prevent metabolic diseases such as diabetes, by understanding the best lifestyle choices for an individual to maintain optimal health across the lifespan.
4. Better understand the causes to develop more effective treatments
from the and is researching the role of particular cells in the pancreas in the development of type 2 diabetes.
鈥淚nterestingly, despite the strong association between obesity and type 2 diabetes, the majority of individuals who are obese and have pre-diabetes do not develop diabetes,鈥� she says.
鈥淚n fact, approximately 80 percent of people who are obese do not develop type 2 diabetes because cells in their pancreas are able to compensate for the insulin resistance.
鈥淢ore research is needed to better understand how these cells behave under normal conditions and the reason they fail in people with type 2 diabetes, in order to develop more effective and targeted treatments for patients.鈥�
5. Work together for better outcomes
Endocrinologist from believes a collaborative approach is required to effectively combat diabetes.
鈥淢ichelle Obama said 鈥楥ommunities and countries and ultimately the world are only as strong as the health of their women,鈥� she says.
鈥淭his is so true for diabetes: half of all the people with diabetes are women, they are the mothers, grandmothers, wives, sisters, aunts, cousins, friends and neighbours of people with diabetes, they are the clinicians caring for women, men and children with diabetes, they are the researchers searching for better treatments and cures for diabetes, they are the advocates for better and equitable diabetes care.
鈥淟et women and men work together towards the common goal of better outcomes for all people with or at risk of diabetes.鈥�