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NZ Riding 'Tsunami of Diabetes'

NZ Riding

Thursday, December 2nd 2004

Clinic sees double the number of pregnant women with the disease

The "tsunami" of diabetes is being reinforced by a sharp rise in the number of women who have the disease when pregnant, increasing their babies' risk of developing it.

At National Women's Hospital in Auckland, the number in the diabetes-in-pregnancy clinic more than doubled, to 460, in three years when the total number of birth remained static.

Waikato Clinical School specialist Professor David Simmons presented the figures to the Medical Sciences Congress in Queenstown yesterday. He said they illustrated the "tsunami of diabetes in this country".

"This epidemic is moving extremely fast. What's scary now is what's happening to those babies."

It is estimated that 120,000 people have been diagnosed with type 2 diabetes, and as many again are undiagnosed. The number diagnosed is expected to exceed 165,000 by 2021.

A survey in the 1990s found that 3.1 per cent of Pakeha and 8.3 per cent of Maori had been diagnosed with the disease.

Treating diabetes and its complications cost $340 million annually estimated to rise to $1 billion in 2021.

The increase in diabetes in pregnancy is linked to the rise in the wider population, leading to more women of child-bearing age developing the disease. It is also linked to delayed child-bearing, because the diabetes rate rises with age.

Babies born to mothers with diabetes are at risk of a range of health problems, from stillbirth or getting stuck during birth because they are too big, to cognitive impairment, kidney damage, obesity and diabetes.

In one overseas study, children of mothers who had diabetes in pregnancy had about a three times higher risk of developing the disease that older siblings born before their mothers developed the disease.

This shows diabetes in pregnancy is a stronger force in passing on a predisposition to the disease than simply inheriting genes for it from either parent. Dr Janet Rowan, a diabetes specialist at National Women's calls this the "inter-generational amplification of diabetes".

The number of women at the diabetes-in-pregnancy clinic with type 1, an autoimmune disease that usually starts in childhood or adolescence, is stable at 25 to 30 a year.

The number with diagnosed type 2 diabetes, which is associated with obesity, diet and lack of exercise, has risen to about 60, from 30 a year.

The rest have gestational diabetes - a high level of glucose in the blood first noticed during pregnancy. It occurs because the body cannot produce enough insulin in response to changes that occur in all women while pregnant.

Of the 70 per cent of the clinic's gestational diabetes patients who return for blood-glucose tests six weeks after birth, 10 per cent have type 2, 15-20 per cent have impaired glucose tolerance (a pre-diabetic condition) and in the rest, glucose levels returned to normal.

Diabetes in pregnancy is treated with insulin injections, but traditionally not with the oral diabetes medicine metformin because, unlike insulin, it crosses the placenta.

But Dr Rowan said National Women's was involved in a trail of giving pregnant women metformin because its use overseas indicated it was safe.

Source New Zealand Herald 2 December 2004

Footnote from Ideal Health:

The following products are all useful for Diabetes and Blood Sugar Regulation:

Blood Sugar
Chromium Sugar Balance
Chromium Picolinate 200mcg
IsoWhey Weight Management - Madagascan Vanilla®
GTF Chromium
Gymnema Sylvestra
Perfect Sweet
Prevent, Treat & Reverse Diabetes Book
Stevia Liquid
Stevia Tablets

Related health information can be found here:

Diabetes and insulin resistance
Eye Health
Levels of protein, carbohydrates and fat in food
Protein - a macronutrient so often overlooked
Stevia - natural sweetener and sugar alternative

Related articles can be found here:

Bilberry - a major antioxidant for the brain and eyes
Chromium Essential for sugar metabolism
Gymnema Sylvestre - traditional herb to help control blood sugar
Reduce abdominal fat with CLA

If you need help or advice, you are welcome to email our naturopathic team with your health question.

Disclaimer: The health information presented here has been written for the New Zealand health consumer. It is of a general nature and is only intended to provide a summary of the subjects covered. The information is not intended to be comprehensive or to provide medical advice to you. While all care has been taken to ensure the accuracy of the information, no responsibility or liability is accepted, and no person should act in reliance on any statement contained in the information provided. All health ailments should be treated by a qualified health professional.



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