gestationaldiabetes

In today’s episode we are talking about real food for both prenatal and gestational diabetes.

Our guest today is Lily Nichols, a Registered Dietitian/Nutritionist, Certified Diabetes Educator, researcher, and author with a passion for evidence-based prenatal nutrition.

Her work is known for being research-focused, thorough, and critical of outdated dietary guidelines.

Lily is co-founder of the Women's Health Nutrition Academy and the author of two books, Real Food for Pregnancy and Real Food for Gestational Diabetes. Her bestselling books have helped tens of thousands of mamas (and babies!), are used in university-level maternal nutrition and midwifery courses, and have even influenced prenatal nutrition policy internationally.

Gestational diabetes or diabetes in pregnancy diabetes during pregnancy. This podcast will focus primarily on the type of diabetes that develops during pregnancy.   Thoses with pregestational diabetes or diabetes that comes before the pregnacy begins result in diffrent management strageties and carry different risks. 

Our practice website can be found at:

Maternal Resources: https://www.maternalresources.org/

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David Haas, MD, returns to the Healthcare Triage podcast to share his research about expecting moms and their babies, including a new study about how pesticides and herbicides can impact their health called, “The Heartland Study.” He also talks about how the ongoing COVID-19 pandemic has affected his research, and how his team has adapted to be more flexible because of it.

This episode of the Healthcare Triage podcast is sponsored by Indiana University School of Medicine whose mission is to advance health in the state of Indiana and beyond by promoting innovation and excellence in education, research and patient care.

• What is Gestational Diabetes?
• Why we are more disposed to insulin resistance during pregnancy?
• Why a gestational diabetes diagnosis is problematic for mums and babies
• Testing for gestational diabetes and limitations during pregnancy
• Managing gestational diabetes with diet and lifestyle
• The safety of eating liver during pregnancy

• Sweet Success Guidelines for Diagnosis of Hyperglycemia in Pregnancy
• I Failed the Glucola (Blog)
• 9 Gestational Diabetes Myths (Blog)
• CGM Experiment: What I learned as a non-diabetic from wearing a continuous glucose monitor (Blog)

In the United States, high-risk pregnancies and conditions that occur during pregnancy, such as gestational diabetes, are on the rise. Gestational diabetes occurs in pregnancy and it is a form of high blood sugar caused by hormones released from the placenta that inhibit insulin production, which can negatively affect both the mother and the child.

In this episode of San Diego Health, host Susan Taylor and Dr. Roman Starikov discuss the signs of gestational diabetes, risk factors and treatment options. Learn more: http://www.scripps.org/7327p

Blood sugar issues may play a role in fertility challenges. 

Our guest today is Dr. Jaime Seeman, a board certified  Obstetrician and Gynecologist practicing in Omaha, Nebraska.

Dr. Seeman is currently in private practice at Mid City OBGYN offering a full range of services in obstetrics, gynecology, robotic surgery and primary care.

She is a fellow in Integrative Medicine at The University of Arizona School of Medicine, and she is a board certified ketogenic nutrition specialist through The American Nutrition Association.

Mentioned in this episode:

https://diabetesbattlebuddy.com/

https://www.facebook.com/DiabetesBattleBuddy

Free Facebook Group https://www.facebook.com/groups/339536070520845

https://www.linkedin.com/company/diabetes-battle-buddy/

www.LinkedIn.com/in/alliedbutler  

https://www.instagram.com/diabetesbattlebuddy/

https://diabetes-battle-buddy.teachable.com/p/gestational-diabetes/  

Dr. Allie Butler is a US Air Force Veteran, pharmacist, and entrepreneur.  The name of her company is Diabetes Battle Buddy.  After her service in the Air Force, she became a pharmacist.  For several years, she worked as a community pharmacist and focused on diabetes care. 

Allie is passionate about diabetes management, supporting Veterans, and leadership development in healthcare professionals. In her free time, she enjoys cycling, cooking, gardening, and spending time with her husband and 3 children. 

Highlights from the interview

Allie was a meteorologist for the US Air Force before becoming a pharmacist.  When she left the Air Force, she wanted a job where she served others.  Because her husband was also in the military at the time, she needed something flexible that could accommodate a military lifestyle.  She chose pharmacy.  

Supporting someone on their journey to wellness after a diagnosis of diabetes is important.  Allie created Diabetes Battle Buddy to fill gaps in support and care that patients with diabetes face.

Diabetes Battle Buddy offers the following services:

✅One-on-one coaching:  nutrition, fitness, lifestyle, and medication counseling

✅Self-paced online coursework (Gestational diabetes course NOW available.  Type 2 Diabetes course coming soon!)

✅Free Facebook Group

✅Wellness presentations (Ex:  to employees of a business)

Allie knew diabetes was her passion because she enjoyed the topic in pharmacy school.  Her understanding of diabetes and interest in the disease grew when she had gestational diabetes.  Having first-hand experience with the approach healthcare professionals take to support patients after a diagnosis was eye-opening to Allie.  Patients need extensive diabetes education and support at the time of diagnosis.  

Allie explained how she came up with the name of her company:  Diabetes Battle Buddy.  In the military, a battle buddy is someone you’re in the trenches with.  Your battle buddy has your back, and they won’t leave you behind.  Dr. Allie Butler is a battle buddy to her patients with diabetes.  She wants to help them manage their diabetes and be well.  She also wants to connect her patients to supportive peers through a free Facebook group.  

The logo for Diabetes Battle Buddy is a visual representation of what a battle buddy does.  A battle buddy reaches back to help the person behind them. 

Allie is a Board Certified Medication Therapy Management Specialist (BCMTMS).  The additional training from her Board Certification helps Allie assess and support patients with their medications, including the ones used to control diabetes.

Allie’s patients find her on social media, the web, and word of mouth through friends, other patients, and family.  Some patients want a one-time visit.  Others need ongoing support.  

If you know someone who needs a Diabetes Battle Buddy, please share Dr. Allie Butler’s website with them. https://diabetesbattlebuddy.com/

Get ready to laugh until you cry in this second part of Rachel’s birth story. She shares her funny take on labor, being sent away by the hospital when she came for her induction, how she managed when her epidural didn’t work and how to put a medical student to good use. She gives moms who are scared of labor encouragement and strength. The most important lesson she teaches us though is how hard yet empowering it was to say no when things didn’t feel right. 

Rachel Safer is the writer and creator behind @modestisthenewblack and rachelsarasafer.com. She is also podcast host to “A Safer Space” which can be found on Patreon. Rachel is an ASL student with hopes to become an ASL interpreter while she juggles all the dreams with the responsibilities of being a full time mom to her little guy AY.

To continue the conversation, and learn more about similar topics, check out the Yoledet Academy Instagram community.

Find products mentioned in this episode and other episodes on the Yoledet Picks Amazon Storefront.

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Mary Sheila Gonnella is a Board Certified Holistic Nutrition Consultant and Ayurvedic Practitioner.  In this episode, Mary Sheila explains how blood sugar works in the body and the simple lifestyle hacks that can change our lives and our health.  Enjoy!

Mary Sheila Gonnella is a Board Certified Holistic Nutrition Consultant and Ayurvedic Practitioner.  In this episode, Mary Sheila explains how blood sugar works in the body and the simple lifestyle hacks that can change our lives and our health.  Enjoy!

Gestational Diabetes is defined as Diabetes occurring during pregnancy, that was not present prior to becoming pregnant. In our most recent podcast, we discuss gestational diabetes tips and gestational diabetes diet.  We also review what are the risk factors for gestational diabetes and how your baby can be affected by gestational diabetes.  

If you want to create a birth plan get our free download here! 

The doctor's exam room can be an intimidating place when you're sitting there in your hospital gown, all drafty in the back and all. Sometimes just getting the feel for the sound of all those lab tests and what they might mean, may make the experience less overwhelming.
Today I go over several different groups, or panels, which screen your blood for signs of any problems.

Here are the cliff notes, if you want to see the numbers in writing:
fasting blood sugar (FBS): 65 – 100 is normal. You may also see 110 as an upper limit of normal.
Random blood sugar (RBS): 100 – 140. You may also see 160 as an upper limit of normal. If you have diabetes, 180 might be considered normal for you.
Hemoglobin A1C (also called glycosylated hemoglobin): 4.3 – 6.1 is normal. If you are diabetic, up to 7.0 might be considered normal for you.
All pregnant women should undergo a glucose tolerance test at around 24 weeks gestation. Abnormally high glucose levels should be treated aggressively.

Symptoms of low blood sugar include clamminess, shakiness, rapid heartbeat, anxiety, and eventually (if on insulin) even coma.

Symptoms of high blood sugar include increased thirst, frequent urination, extreme fatigue, weight loss, blurred vision, trouble concentrating, and severe headaches.

Urinalysis: sugar should be negative (if positive, your doctor will definitely check for diabetes and probably a UTI).

Protein should be negative. Positive protein could imply a problem with your kidneys.

Ketones should be negative. The urine should be clear. Cloudy urine could mean infection and amber color urine could mean severe dehydration.
A Chem 20 or metabolic panel includes:
potassium: 3.6 – 5.1.
Sodium: 136 – 145
chloride: 98 – 107
if threes 3 are high, you could simply be dehydrated. If they are extremely high, that could signal a possible kidney problem.

Carbon dioxide: less than 32. This measures how well your lungs are expelling air.
Blood urea nitrogen (BUN): less than 20
Creatinine: less than 1.1. This could go as high as 6.0, which might signal acute kidney disease.
Albumin: 3.5 – 5.2. Low indicates a sign of malnutrition. High values may mean kidney dysfunction, so your Dr. will look at other labs for more information.
Calcium: 8.9 – 10.3
Alkaline phosphatase (ALT): 10 – 35. This is a liver function test.

A CBC panel tests for infection. The most common value is:   White blood cell count (WBC): 4 – 11.  A sign of infection if high.   A high MCV may mean you have large but too few of those Iron-containing cells. Your doctor will look into a deficiency of active vitamin B12. this is called pernicious anemia. A low MCV may be a sign of iron deficiency anemia.

lipid panel:
total cholesterol: less than 200 (closer to 150 is ideal)
HDL: 40 – 60
LDL: less than 90
LDL/HDL ratio: less than 5.1                                          Triglycerides: 150 or less (this will be high with diabetes)

As always, if you have any specific questions about any nutrition-related lab tests, feel free to contact me on my contact page, on my Healing outside the box.com website.