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    EP. 145: Metabolic Health During Pregnancy & It’s Long Term Effects on Our Children | Lily Nichols

    enApril 24, 2024

    Podcast Summary

    • Maintaining Optimal Health: Combating Aging and Enhancing Physical PrimeRegistered dietitian Lily Nichols discussed concerning cardiometabolic health statistics, Doctor Tina Moore introduced Synolytics for healthy aging, and Sundays for Dogs was introduced as a convenient, nutritious dog food option.

      The state of metabolic health for many adults, particularly in the US, is concerning and could negatively impact future generations. Registered dietitian and certified diabetes educator, Lily Nichols, shared alarming statistics about the high percentage of US adults with compromised cardiometabolic health. To help combat aging and maintain energy and productivity, Doctor Tina Moore introduced Synolytics, a class of ingredients discovered less than a decade ago that promote healthy aging and enhance physical prime. Synolytics, such as Qualia Synolytic, remove senescent cells from the body, allowing healthier cells to thrive. Another topic discussed was the challenge of finding nutritious food options for picky dogs, which led to the introduction of Sundays for Dogs. This fresh dog food, made from human-grade ingredients and requiring no refrigeration or preparation, was praised by Doctor Tina for its convenience and quality. Overall, the conversation highlighted the importance of maintaining optimal health for both individuals and future generations.

    • Maternal health during pregnancy impacts child's future health risksChildren born to mothers with poor metabolic health during pregnancy face up to 19x increased risks for diabetes and health complications later in life. Addressing this issue through diet and lifestyle changes during pregnancy can benefit both mother and child.

      Children born to mothers with poor metabolic health during pregnancy, including obesity and poor blood sugar control, face significantly increased risks for developing diabetes and other health complications later in life. This is a critical area of focus as new data suggests that the risk can be up to 19 times higher compared to a child born to a mother with normal blood sugar levels. Pregnancy presents a unique opportunity to make positive changes in a mother's diet and lifestyle, which can benefit both the mother and the child's long-term health. The expert in prenatal nutrition emphasizes the importance of addressing this issue from a grassroots level, getting accurate information to the general public and clinicians to drive change in guidelines and improve pregnancy outcomes.

    • High maternal blood sugar during pregnancy impacts fetus developmentUnmanaged maternal blood sugar can cause birth defects, increase pregnancy loss risk, and lead to insulin resistance and hypoglycemia in the baby, impacting their long-term health.

      High maternal blood sugar levels during pregnancy can have significant negative effects on the developing fetus. Maternal insulin does not cross the placenta, so high blood sugar directly impacts the baby. Early exposure to high blood sugar can cause birth defects and increase the risk of pregnancy loss. As the fetus develops, it begins to produce insulin, leading to excessive insulin production and insulin resistance. These babies are born insulin resistant and with high insulin levels, making them prone to hypoglycemia after birth, a metabolic emergency. These issues can have long-term consequences for the child's health. It's crucial for pregnant women to manage their blood sugar levels to ensure the best possible outcome for their baby.

    • Maternal metabolism during pregnancy impacts baby's healthMaintaining healthy maternal blood sugar levels during pregnancy can reduce risks of type 2 diabetes, obesity, and metabolic diseases for the baby.

      The way a mother's metabolism functions during pregnancy can significantly impact the health of her baby, particularly in relation to insulin resistance and blood sugar management. Babies born to mothers with high insulin levels due to gestational diabetes may face increased risks of type 2 diabetes, obesity, and metabolic diseases throughout their lives. However, by maintaining healthy maternal blood sugar levels, the cycle of excessive insulin production and fetal programming can be interrupted, leading to better outcomes for both mother and baby. Unfortunately, current nutrition guidelines for treating gestational diabetes often perpetuate the metabolic dysfunction with high carbohydrate intake. It's important for women diagnosed with gestational diabetes to be educated on optimal pregnancy nutrition to manage the condition effectively and reduce the risks for their babies. While some may still view gestational diabetes as an unavoidable condition, recent research and advancements offer new opportunities for prevention and intervention.

    • Misdiagnosis of Gestational Diabetes due to Insulin ResistanceMany diagnosed gestational diabetes cases during first trimester screening are actually prediabetes or type 2 diabetes, due to insulin resistance. The US screening process uses a less accurate method and is less stringent, potentially missing mild cases.

      The majority of cases of gestational diabetes diagnosed through first trimester screening are actually cases of undiagnosed prediabetes or type 2 diabetes. This is because women with insulin resistance, which is common in those with prediabetes or type 2 diabetes, are more likely to have difficulty maintaining healthy blood sugar levels during pregnancy. The screening process in the US typically involves a two-step method with a less accurate glucose tolerance test, while most of the world uses a single, more accurate test performed fasting. The US guidelines are less stringent to avoid labeling more women as gestational diabetic, but this means mild cases may go undetected. Ideally, testing for both glucose and insulin levels during pregnancy would provide more comprehensive information.

    • During pregnancy, the body prioritizes nutrients for the growing baby, leading to insulin resistance.Pregnancy causes natural insulin resistance to ensure baby's growth and reduce pregnancy loss risk.

      During pregnancy, insulin resistance is a natural progression as the body prioritizes nutrients for the growing baby. Early in pregnancy, the body is more insulin sensitive, but as the baby grows, the body shifts to prioritize fat metabolism and sends more nutrients to the baby, leading to insulin resistance. This is a survival mechanism that helps ensure the baby's growth and reduces the risk of pregnancy loss. Blood sugar levels in pregnancy are typically lower than outside of pregnancy, and healthy pregnant women can maintain healthy blood sugar levels with their body producing a little more insulin than usual. CGM use in pregnancy can provide valuable insights into blood sugar trends during each trimester.

    • Aging, pregnancy, and maintaining optimal healthSupplements like Momentous protein powder, creatine, and Massyme, along with managing metabolic health, support muscle and joint health, cognitive function, and digestion during aging and pregnancy.

      As we age and go through various life stages like pregnancy and menopause, maintaining optimal health becomes even more important. Protein intake and cognitive function are key areas of focus. Momentous protein powder and creatine are two supplements that can support these goals, as they aid in muscle and joint health, cognitive function, and protein absorption. Additionally, as we age, our bodies produce fewer enzymes, making it harder to digest food and potentially leading to malnutrition. Digestive enzymes like Massyme can help with this issue. During pregnancy, a mother's metabolic health can impact the fetus, leading to potential issues like high birth weight, lung development problems, and impaired brain development. It's crucial to manage blood sugar levels and overall metabolic health before and during pregnancy to set the child up for the best possible health outcomes.

    • Mother's health during pregnancy impacts child's metabolic healthA mother's health choices during pregnancy can influence her child's metabolic health, with the oldest child potentially facing blood sugar instability and weight gain. Mitochondrial health is also essential, and both partners should optimize their health before conceiving.

      A mother's health and lifestyle choices during pregnancy can significantly impact her child's metabolic health. The oldest child in a family may face metabolic struggles, such as blood sugar instability and weight gain, while siblings may not experience the same issues. This pattern can persist into adulthood. Mitochondrial health is another crucial factor, as fatigue during pregnancy can lead to various complications. Ideally, both partners should prepare for pregnancy by optimizing their health, depending on their individual health histories. For some women, such as those with PCOS, a longer prep period may be necessary to address insulin resistance and cycle disruptions. It's essential to remember that both parents' health plays a role in the health of their future children. The food supply and environmental factors also contribute to metabolic issues, but focusing on individual health before and during pregnancy is a critical step towards better outcomes.

    • Rebooting ovarian function for pregnancy after birth controlAllow time for body to restore nutrients, balance exercise, and address placentation issues for a healthy pregnancy and hormonal balance during menopause.

      Preparing for pregnancy after long-term use of birth control pills involves allowing the body to reboot its ovarian function, which may take anywhere from a few months to a couple of years, depending on individual health. This process includes restoring nutrient stores, particularly amino acids, and balancing exercise to support female fertility. The placenta, formed from both embryonic tissue and maternal and paternal DNA, plays a crucial role in pregnancy, and issues with placentation can stem from both parents' health. Ultimately, maintaining good metabolic health, including cardiometabolic health, is essential for a healthy pregnancy and hormonal balance during menopause. With the increasing prevalence of poor metabolic health in the US population, addressing this aspect is crucial for overall health and wellbeing.

    • Optimizing health before pregnancyImproving metabolic health and weight management before pregnancy can lead to better outcomes for both mother and baby, including reduced risk of diabetes and obesity for the offspring

      Optimizing one's health before trying to conceive can have significant positive impacts on both the mother and the baby. The discussion highlighted the importance of metabolic health and weight management, as poor health can act as a form of birth control and make it harder to conceive. Even small weight losses during pregnancy can lead to better outcomes for the offspring, such as reduced risk of diabetes and obesity later in life. It's crucial for individuals to put in the time and effort to make necessary lifestyle changes to improve their health before and during pregnancy. The good news is that these modifications can make a difference in real time and lead to better outcomes for both the mother and the child.

    • Improving diet quality for weight loss during pregnancyFocus on protein and whole foods, limit ultra-processed items and refined carbs for weight management and improved health during pregnancy. Promote balanced and sustainable diet to avoid orthorexia.

      Improving the quality of a pregnant woman's diet can lead to weight loss without intentionally starving her or putting her in a caloric deficit. This is due to the increased metabolic demands of pregnancy and the beneficial effects of a nutrient-dense diet on metabolic health. The focus is on prioritizing protein and whole foods while limiting ultra-processed items and refined carbs. This approach can lead to significant improvements in weight management and overall health for both pregnant and non-pregnant individuals. It's essential to avoid inducing orthorexia, a harmful obsession with healthy eating, and instead promote a balanced and sustainable diet. Additionally, the quality of a mother's diet during pregnancy can significantly impact the nutritional content of her breast milk.

    • Excessive consumption of ultra-processed foods leads to health issues for parents and their offspringFocus on whole foods, nutrient-dense diets, and eating more protein to interrupt the cycle of overeating and maintain healthy mitochondria for future generations.

      The excessive consumption of ultra-processed foods, which make up nearly 60% of the average American's caloric intake, is leading to health issues for both parents and their offspring. A study mentioned in the discussion found that children of obese mothers with unhealthy fatty acid profiles were more prone to neurological issues and long-term health problems. The situation is dire as the food industry specifically designs these foods to spike blood sugar, leading to insulin spikes and subsequent cravings for more. This cycle of overeating contributes to glucose intolerance, affecting fertility and the health of both parents and their children. To interrupt this cycle, it's crucial to focus on whole foods, nutrient-dense diets, and eating more protein. Exercise is also essential in managing blood sugar levels and reducing the risk of gestational diabetes. Overall, the shift towards whole foods and regular exercise is vital for maintaining healthy mitochondria and ensuring the best possible start for future generations.

    • Exercise Recommendations for Women During PregnancyWomen should aim for 150 minutes of moderate-intensity or 75 minutes of vigorous-intensity aerobic activity weekly during pregnancy, along with strength training for improved glycemic control, metabolic efficiency, and postpartum recovery. Prioritize muscle building before and during pregnancy for carrying weight and quicker recovery.

      Regular exercise is generally safe for most women during pregnancy, and it's recommended by the American College of Obstetricians and Gynecologists (ACOG) to aim for at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity aerobic activity per week, or a combination of both. This not only helps with short-term glycemic control but also long-term metabolic efficiency. Additionally, incorporating strength or resistance training is beneficial. Starting pregnancy in good physical condition, including being strong and fit, can make a significant difference in the pregnancy experience and postpartum recovery. Lynn Nickels, RDN, encourages women to prioritize muscle building before and during pregnancy, as it can help with carrying the weight of babies, car seats, and other items, as well as recovering more quickly postpartum. For those who have contraindications or cannot engage in traditional exercise, alternatives like swimming or walking are still beneficial. To learn more, check out Lynn's website, lilynickelsrdn.com, for free articles and resources, including her book "Real Food for Pregnancy" and information about her services, including webinars and mentorship programs.

    • Focus on improving health for better fertilityImproving diet, lifestyle, and nutrient levels can enhance fertility. Prioritize health over relying on assisted reproductive technology.

      Human fertility is declining at an alarming rate, and it's crucial that we focus on improving our health to increase our chances of conceiving. The decline in sperm and female fertility is a global issue, and simple interventions such as improving diet, lifestyle, and nutrient levels can make a significant difference. While assisted reproductive technology can be a backup solution, it should be considered as a last resort. Starting with a good baseline of metabolic health and getting nutrient levels in check can improve the chances of these interventions working. Overall, prioritizing health is essential, and it's never a regret. The speaker, Bill, emphasizes that we need to address this issue and spread awareness to prevent further decline. For more information, listeners can find Bill through the links provided in the episode, and visit his website. Remember, this podcast is for informational purposes only and does not constitute medical advice.

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    The Dr. Tyna Show
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    EP. 149: You Need To Take The Stairs | Quick + Dirty

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    The Dr. Tyna Show
    enMay 10, 2024

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