Pre-Pregnancy Diabetes and Perinatal Mental Illness: A Population-Based Latent Class Analysis.

We examined the risk of any perinatal mental illness associated with pre-pregnancy diabetes and identified how diabetes duration, complexity, and intensity of care affect this risk. We performed a population-based study of 15 to 49-year-old women with (n=14,186) and without (n=843,818) pre-pregnancy diabetes who had a singleton livebirth (Ontario, Canada, 2005-2015) and no recent mental illness. Modified Poisson regression estimated perinatal mental illness risk between conception and 1 year postpartum in women with vs. without diabetes and in diabetes groups, defined by a latent class analysis of diabetes duration, complexity, and intensity of care variables, vs. women without diabetes. Women with diabetes were more likely than those without to develop perinatal mental illness (18.1% vs. 16.0%; adjusted relative risk: 1.11; 95% confidence interval: 1.07, 1.15). Latent classes of women with diabetes were: uncomplicated and not receiving regular care (59.7%); complicated, with longstanding diabetes, and receiving regular care (16.4%); and recently diagnosed, with comorbidities, and receiving regular care (23.9%). Perinatal mental illness risk was elevated in all classes vs. women without diabetes (adjusted relative risks: 1.09 to 1.12), but class 2 was non-significant after adjustment. Women with diabetes could benefit from preconception and perinatal strategies to reduce their mental illness risk. PMID: 31712817 [PubMed - as supplied by publisher]
Source: Am J Epidemiol - Category: Epidemiology Authors: Tags: Am J Epidemiol Source Type: research

Related Links:

This study aimed to evaluate the association between both LBW and intrauterine growth restriction (IUGR) with IGT in adolescents. METHODS AND STUDY DESIGN: Total of 536 subjects from Tanjungsari Cohort Study were included in this study. Subjects were in their early adolescence age (12-14 years). Anthropometric data were collected and IGT was determined by using 2- hour postprandial plasma glucose level, then it was assessed based on their birth weight and intrauterine nutritional status. RESULTS: Subjects with LBW history were shorter, had lower body weight and body mass index (p
Source: Asia Pacific Journal of Clinical Nutrition - Category: Nutrition Authors: Tags: Asia Pac J Clin Nutr Source Type: research
This article will provide a comprehensive review and update on this important disease state.
Source: Cardiology in Review - Category: Cardiology Tags: Review Articles Source Type: research
In conclusion, metabolic disorder in the pregnancy, dif ficulties in childbirth and specific family phenotype were related to ADHD, specifically with hyperactive–impulsive presentation, but not in subclinical ADHD.
Source: European Child and Adolescent Psychiatry - Category: Psychiatry Source Type: research
ConclusionsThe recurrence rate of GDM was high. Education protected from novel GDM in the second pregnancy, but was not associated with GDM recurrence.
Source: Acta Diabetologica - Category: Endocrinology Source Type: research
Of all of the new terms we’ve had to get accustomed to in the era of COVID-19, few are as powerful—and yet as vague—as “underlying conditions.” If you’re young and you don’t have them, you feel invincible. If you’re old and you do, you feel like a sitting duck for the coronavirus. Death and hospitalization tolls in both Wuhan, China and across Italy had already shown that the most at-risk population is people over 65 with one of a whole range of underlying ills, including cardiovascular disease, chronic lung disease, immunosuppression, diabetes, chronic liver or kidney diseas...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized COVID-19 Source Type: news
The authors regret that the incorrect figure was shown in Fig. 3d. The corrected figure is reproduced here.
Source: Diabetologia - Category: Endocrinology Source Type: research
Abstract Introduction: We estimate the screening and prevalence of gestational diabetes mellitus (GDM) in a primarily first nations obstetrical population in Northwestern Ontario. Methods: The study is an 8-year retrospective analysis of all gestational glucose challenge and tolerance tests performed at the Sioux Lookout Meno Ya Win Health Centre (SLMHC) laboratory from 1 January, 2010 to 31 December, 2017. Test, gestational timing and completion rate of screening were recorded, and GDM prevalence was calculated on the tested population. Screening completion rates were recorded for the subset of women who del...
Source: Canadian Journal of Rural Medicine - Category: Rural Health Authors: Tags: Can J Rural Med Source Type: research
te;zquez CM Abstract Healthy lifestyle habits spanning from preconception to postpartum are considered as a major safeguard for achieving successful pregnancies and for prevention of gestational diseases. Among preconception priorities established by the World Health Organization (WHO) are healthy diet and nutrition, weight management, physical activity, planned pregnancy and physical, mental and psychosocial health. Most studies covering the topic of healthy pregnancies focus on maternal diet because obesity increases the risks for adverse perinatal outcomes, including gestational diabetes mellitus, large for ges...
Source: Current Vascular Pharmacology - Category: Drugs & Pharmacology Authors: Tags: Curr Vasc Pharmacol Source Type: research
Vitamin D is a fat-soluble vitamin with many roles in the body related to bone health, immune support, and inflammation reduction. Some studies show it may have a role in the prevention and treatment of diabetes and with sexual function. Vitamin D is now routinely tested with blood workups, and about 50% of the population has been shown to have vitamin D insufficiency with levels less than 30ng/dl. There are many possible signs and symptoms that can be associated with low vitamin D levels, including getting sick often, feeling tired, having lower back pain or bone pain, having muscle pain, experiencing hair loss, or feelin...
Source: Cord Blood News - Category: Perinatology & Neonatology Authors: Tags: Health Source Type: blogs
AbstractThe aim of this study was to evaluate the impact of pregestational diabetes mellitus (DM) on fetal cardiac function two-dimensional parameters using spectral and tissue Doppler. Pregnant women between 20 and 36  + 6 weeks gestation were divided into three groups: controls, type I DM, and type II DM. The right ventricle (RV) and left ventricle (LV) annular velocity peaks were measured using spectral (E, A) and tissue (E′, A′, S′) Doppler. The myocardial performance index was calculated as (isovolu metric contraction time [ICT] + isovolumetric relaxation time [IRT])/eject...
Source: The International Journal of Cardiovascular Imaging - Category: Radiology Source Type: research
More News: Canada Health | Diabetes | Endocrinology | Epidemiology | Men | Perinatology & Neonatology | Pregnancy | Study | Women