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Special Considerations in the Management of Diabetes in Women.

dc.contributor.author McNeill, Diana
dc.contributor.author Herbst, Rebecca
dc.date.accessioned 2018-08-01T17:58:34Z
dc.date.available 2018-08-01T17:58:34Z
dc.date.issued 2018-05-10
dc.identifier.issn 1540-9996
dc.identifier.issn 1931-843X
dc.identifier.uri https://hdl.handle.net/10161/17304
dc.description.abstract Type 2 diabetes and prediabetes are heterogeneous diseases that directly affect over 115 million Americans. Considerable gender differences exist with regard to diabetes risk factors, hormonal effects on glucose, and cardiovascular outcomes.Historically, diabetes studies have largely focused on men with the assumption that the data can safely be extrapolated to women. However, more recent investigations have illuminated significant differences between genders.Women are at higher risk of death from cardiovascular disease (CVD), are more likely to die following a myocardial infarction, and are treated less aggressively toward glycemic targets. Additionally, pregnancy and menopause have profound effects on the risks for diabetes and therefore warrant more aggressive diagnostic attention and monitoring. It is important for practitioners to understand that women who have gestational diabetes are at an increased risk for CVD even if they do not develop diabetes. Older age brings additional challenges with diabetes, including increased fracture risk even with normal bone mineral density.Recognizing the stages of life that are unique to women is critical as treatment and patient education can significantly impact patient well-being and outcomes. This article describes female-specific characteristics of prediabetes and diabetes during several distinct phases of life, including pregnancy, menopause, and older age. Diagnostic and management strategies for these populations are also discussed.
dc.language eng
dc.publisher MARY ANN LIEBERT, INC
dc.relation.ispartof Journal of women's health (2002)
dc.relation.isversionof 10.1089/jwh.2017.6818
dc.subject diabetes
dc.subject obesity
dc.subject women's health
dc.title Special Considerations in the Management of Diabetes in Women.
dc.type Journal article
dc.date.updated 2018-08-01T17:58:33Z
pubs.organisational-group School of Medicine
pubs.organisational-group Duke
pubs.organisational-group Obstetrics and Gynecology
pubs.organisational-group Clinical Science Departments
pubs.organisational-group Medicine, Endocrinology, Metabolism, and Nutrition
pubs.organisational-group Medicine
pubs.publication-status Published


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