From nearly 35,000 cases
during 2008 - 2011, the researchers selected two groups of 9,233 patients with multi-vessel
disease that were closely matched in age and other
relevant measures.
Notifies pharmacist of
relevant clinical information gathered
during calls to provider or patient that may affect a patient's
disease state, medication regimen, or method of funding.
Regarding the child, the importance of the intrauterine and early postnatal environments for metabolic programming and modifications of the epigenome is increasingly recognised, 12 — 14 particularly for metabolic
diseases such as obesity and diabetes.15 Thus, GDM is related to macrosomia at birth (> 4 kg), to excess body fat and (central) obesity and to insulin secretion in infants and children, the obesity being in part mediated by maternal body mass index (BMI) or birth weight.16 — 23 Intrauterine exposure to GDM also doubles the risk for subsequent type 2 diabetes in offspring compared with offspring of mothers with a high genetic predisposition for type 2 diabetes, but with normal glucose tolerance
during the index pregnancy.24 Maternal prepregnancy overweight and excessive gestational weight gain also predict high birth weight and adiposity
during infancy.12 25 This is highly
relevant, as up to 60 % — 70 % of women with GDM are overweight or obese before pregnancy.26 Finally, maternal lifestyle behaviour such as a high fat diet or lack of physical activity
during pregnancy can influence offspring adiposity independent of maternal obesity.12 27