To misliš u IVF postupku? Hmm da čula sam za to debljanje ali više o tome ne znam nažalost.

Evo što kaže Aviva Romm o prehrani:

In the past ten years obesity rates in the general and pregnant populations have skyrocketed. So have insulin resistance, pre-diabetes, and diabetes, all of which can also occur in women who are not overweight, and who eat what they consider to be healthy diets. As a midwife and medical doctor working with pregnant women for 30 years, I’ve analyzed the food journals of thousands of pregnant women. In fact, many of the food journals I’ve reviewed from “healthy eaters” were loaded with excess carbohydrates and sugar, for example, oatmeal with raisins and honey for breakfast, a natural energy bar for a snack, a fruit and yogurt for lunch – all high in sugar.
There is a growing body of scientific literature demonstrating the serious short- and long-term health risks to the developing baby as a result of chronic exposure to excessively elevated maternal blood sugar.
So I am not sure that in this new milieu of rampant “diabesity,” a term my friend Dr. Mark Hyman often uses, that there isn’t some possible benefit to women receiving glucose screening in pregnancy – but only if it serves as a catalyst for improved prenatal nutrition.
However, I do not believe that all pregnant women must receive universal screening for GDM. We know that at least 30% of all GDM could be prevented if adults maintained healthy weight, and that as many as 93% of pregnant women will test negative. Most just don’t have GDM.
Therefore it is quite reasonable for testing to be done based on an individual woman’s well-educated preferences, risk factors, and ability to shift her diet and lifestyle to mitigate risks. I think we need to take the risks of high blood sugar in pregnancy seriously, and educate all women that a lower glycemic, Mediterranean-style diet is actually an optimal diet for all pregnant women.
Testing is also not a substitute for the lack of prenatal nutrition education, which should be provided to all pregnant women.
So Why Not Just Test Everyone?

According to a recent report by the Cochrane Collaboration, the value of GDM testing at all is questionable. While treatment for GDM improves health outcomes, testing, according to the Cochrane review, doesn’t change outcomes. A smart doctor should tell you that if a test isn’t going to change the outcome, then it shouldn’t be done. To me, this suggests that a strategy of optimal nutrition for all pregnant women is what should be routine, with testing done for those at higher risk.