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T1 - The relationship and potential mechanistic pathways between sleep disturbances and maternal hyperglycemia topical collection on diabetes and pregnancy.
N2 - This paper reviews recent work investigating the influence of sleep disturbances on maternal hyperglycemia, particularly gestational diabetes mellitus GDM.
AB - This paper reviews recent work investigating the influence of sleep disturbances on maternal hyperglycemia, particularly gestational diabetes mellitus GDM.
The relationship and potential mechanistic pathways between sleep disturbances and maternal hyperglycemia topical collection on diabetes and pregnancy. School of Medicine. Overview Fingerprint.
Abstract This paper reviews recent work investigating the influence of sleep disturbances on maternal hyperglycemia, particularly gestational diabetes mellitus GDM.
Keywords Adverse pregnancy outcomes Daytime nap Excessive daytime sleepiness Gestational diabetes mellitus Maternal hyperglycemia Mechanistic pathways Narcolepsy Obesity Obstructive sleep apnea Pittsburgh Sleep Quality Index Restless leg syndrome Sleep disturbance Sleep duration Sleep parameters Sleep-disordered breathing Sleep-disordered breathing symptoms Slow wave sleep Snoring.
ASJC Scopus subject areas Internal Medicine Endocrinology, Diabetes and Metabolism. Access to Document Link to publication in Scopus. Link to the citations in Scopus. Fingerprint Dive into the research topics of 'The relationship and potential mechanistic pathways between sleep disturbances and maternal hyperglycemia topical collection on diabetes and pregnancy'.
Together they form a unique fingerprint. View full fingerprint. Cite this APA Standard Harvard Vancouver Author BIBTEX RIS Izci-Balserak, B. Current diabetes reports14 2Article In: Current diabetes reportsVol. Izci-Balserak BPien GW. Current diabetes reports. doi: Izci-Balserak, Bilgay ; Pien, Grace W.
In: Current diabetes reports. TY - JOUR T1 - The relationship and potential mechanistic pathways between sleep disturbances and maternal hyperglycemia topical collection on diabetes and pregnancy AU - Izci-Balserak, Bilgay AU - Pien, Grace W.
: Gestational diabetes and gestational sleep disturbances| The Surprising Link Between Your Sleep and Gestational Diabetes | Right as Rain by UW Medicine | Taken together, the data suggests that sleep disturbances during pregnancy are important to identify and manage in order to minimize maternal hyperglycemia and GDM, and improve maternal and fetal well-being. T1 - The relationship and potential mechanistic pathways between sleep disturbances and maternal hyperglycemia topical collection on diabetes and pregnancy. N2 - This paper reviews recent work investigating the influence of sleep disturbances on maternal hyperglycemia, particularly gestational diabetes mellitus GDM. AB - This paper reviews recent work investigating the influence of sleep disturbances on maternal hyperglycemia, particularly gestational diabetes mellitus GDM. The relationship and potential mechanistic pathways between sleep disturbances and maternal hyperglycemia topical collection on diabetes and pregnancy. School of Medicine. Overview Fingerprint. Abstract This paper reviews recent work investigating the influence of sleep disturbances on maternal hyperglycemia, particularly gestational diabetes mellitus GDM. Keywords Adverse pregnancy outcomes Daytime nap Excessive daytime sleepiness Gestational diabetes mellitus Maternal hyperglycemia Mechanistic pathways Narcolepsy Obesity Obstructive sleep apnea Pittsburgh Sleep Quality Index Restless leg syndrome Sleep disturbance Sleep duration Sleep parameters Sleep-disordered breathing Sleep-disordered breathing symptoms Slow wave sleep Snoring. ASJC Scopus subject areas Internal Medicine Endocrinology, Diabetes and Metabolism. Access to Document Hedderson: None. Sign In or Create an Account. Search Dropdown Menu. header search search input Search input auto suggest. filter your search All Content All Journals Diabetes. Advanced Search. User Tools Dropdown. Sign In. Skip Nav Destination Close navigation menu Article navigation. Previous Article Next Article. Article Navigation. BADON ; SYLVIA E. This Site. Google Scholar. FEI XU ; FEI XU. ASSIAMIRA FERRARA ; ASSIAMIRA FERRARA. MONIQUE M. Theorell-Haglöw J Berne C Janson C Lindberg E. Obstructive sleep apnoea is associated with decreased insulin sensitivity in females. Eur Respir J. Obstructive sleep apnea and the risk of perinatal outcomes: a meta-analysis of cohort studies. Sci Rep. Partinen M Hublin C. Epidemiology of sleep disorders. In: Kryger MH Roth T Dement WC , eds. Principles and Practice of Sleep Medicine. Louis : Elsevier ; : — Izci Balserak B Jackson N Ratcliffe SA Pack AI Pien GW. Sleep-disordered breathing and daytime napping are associated with maternal hyperglycemia. Sleep Breath. Oxford University Press is a department of the University of Oxford. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide. Sign In or Create an Account. Navbar Search Filter SLEEP This issue SRS Journals Clinical Neuroscience Neuroscience Sleep Medicine Books Journals Oxford Academic Mobile Enter search term Search. SRS Journals. Issues More Content Advance Articles Supplements Editor's Choice Virtual Issues Virtual Roundtables Abstract Supplements Subject All Subject Expand Expand. Basic Science. Circadian Disorders. Cognitive, Affective and Behavioral Neuroscience of Sleep. Neurological Disorders. Sleep Across the Lifespan. Sleep and Metabolism. Sleep Disordered Breathing. Sleep Health and Safety. Browse all content Browse content in. Close Navbar Search Filter SLEEP This issue SRS Journals Clinical Neuroscience Neuroscience Sleep Medicine Books Journals Oxford Academic Enter search term Search. Advanced Search. Search Menu. Article Navigation. Close mobile search navigation Article Navigation. Volume Article Contents Abstract. Journal Article. Sleep Quality and Nocturnal Sleep Duration in Pregnancy and Risk of Gestational Diabetes Mellitus. Shirong Cai, PhD , Shirong Cai, PhD. Oxford Academic. Sara Tan, MD. Peter D. Gluckman, FRS. Keith M. Godfrey, PhD. Seang-Mei Saw, PhD. Oon Hoe Teoh, MBBS. Yap-Seng Chong, MD. Michael J. Meaney, PhD. Michael S. Kramer, MD. Joshua J. Gooley, PhD. on behalf of the GUSTO study group on behalf of the GUSTO study group. PDF Split View Views. Cite Cite Shirong Cai, Sara Tan, Peter D. Select Format Select format. ris Mendeley, Papers, Zotero. enw EndNote. bibtex BibTex. txt Medlars, RefWorks Download citation. Permissions Icon Permissions. Abstract Study Objectives:. sleep duration , sleep quality , gestational diabetes mellitus , Asian women. Statement of Significance. Table 1 Characteristics of Women With Normal Glucose Levels NGL and Gestational Diabetes Mellitus GDM. p -value. Open in new tab. Figure 1. Open in new tab Download slide. Table 2 Associations Between Poor Sleep Quality and Short Sleep Duration With Risk of Gestational Diabetes Mellitus. Google Scholar Crossref. Search ADS. Google Scholar PubMed. OpenURL Placeholder Text. Google Scholar Google Preview OpenURL Placeholder Text. Google Scholar OpenURL Placeholder Text. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail journals. permissions oup. Issue Section:. Download all slides. Supplementary data. SP Supplmental - docx file. Comments 0. Add comment Close comment form modal. I agree to the terms and conditions. You must accept the terms and conditions. Add comment Cancel. Submit a comment. Comment title. You have entered an invalid code. Submit Cancel. Thank you for submitting a comment on this article. Your comment will be reviewed and published at the journal's discretion. Please check for further notifications by email. Views 7, More metrics information. 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| Condensation | Global Gestationql of the prevalence of hyperglycaemia in pregnancy. Ozgu-Erdinc, Sports nutrition for injury recovery diabetes Getsational screening and diagnosis. Enquobahrie, I. Reprints and permissions. Pregnant women experience significant sleep disturbances that are associated with increased risk of GDM and unfavorable pregnancy outcomes. Table 4 Risk for GDM associated with sleep duration Full size table. et al. |
| Gestational diabetes increases risk of sleep apnea seven-fold | Hedderson: None. Sign In or Create an Account. Search Dropdown Menu. header search search input Search input auto suggest. filter your search All Content All Journals Diabetes. Advanced Search. User Tools Dropdown. Sign In. Skip Nav Destination Close navigation menu Article navigation. Previous Article Next Article. Article Navigation. BADON ; SYLVIA E. This Site. Google Scholar. FEI XU ; FEI XU. ASSIAMIRA FERRARA ; ASSIAMIRA FERRARA. MONIQUE M. Abstract This paper reviews recent work investigating the influence of sleep disturbances on maternal hyperglycemia, particularly gestational diabetes mellitus GDM. Keywords Adverse pregnancy outcomes Daytime nap Excessive daytime sleepiness Gestational diabetes mellitus Maternal hyperglycemia Mechanistic pathways Narcolepsy Obesity Obstructive sleep apnea Pittsburgh Sleep Quality Index Restless leg syndrome Sleep disturbance Sleep duration Sleep parameters Sleep-disordered breathing Sleep-disordered breathing symptoms Slow wave sleep Snoring. ASJC Scopus subject areas Internal Medicine Endocrinology, Diabetes and Metabolism. Access to Document Link to publication in Scopus. Link to the citations in Scopus. Fingerprint Dive into the research topics of 'The relationship and potential mechanistic pathways between sleep disturbances and maternal hyperglycemia topical collection on diabetes and pregnancy'. Together they form a unique fingerprint. View full fingerprint. Cite this APA Standard Harvard Vancouver Author BIBTEX RIS Izci-Balserak, B. Current diabetes reports , 14 2 , Article Frequency of gestational diabetes mellitus at collaborating centers based on IADPSG consensus panel-recommended criteria: the hyperglycemia and adverse pregnancy outcome HAPO study. National Health Survey Chong YS Cai S Lin H et al. Ethnic differences translate to inadequacy of high-risk screening for gestational diabetes mellitus in an Asian population: a cohort study. BMC Pregnancy Childbirth. Luque-Fernandez MA Bain PA Gelaye B Redline S Williams MA. Sleep-disordered breathing and gestational diabetes mellitus: a meta-analysis of 9, participants enrolled in epidemiological observational studies. Pamidi S Pinto LM Marc I Benedetti A Schwartzman K Kimoff RJ. Maternal sleep-disordered breathing and adverse pregnancy outcomes: a systematic review and metaanalysis. Theorell-Haglöw J Berne C Janson C Lindberg E. Obstructive sleep apnoea is associated with decreased insulin sensitivity in females. Eur Respir J. Obstructive sleep apnea and the risk of perinatal outcomes: a meta-analysis of cohort studies. Sci Rep. Partinen M Hublin C. Epidemiology of sleep disorders. In: Kryger MH Roth T Dement WC , eds. Principles and Practice of Sleep Medicine. Louis : Elsevier ; : — Izci Balserak B Jackson N Ratcliffe SA Pack AI Pien GW. Sleep-disordered breathing and daytime napping are associated with maternal hyperglycemia. Sleep Breath. Oxford University Press is a department of the University of Oxford. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide. Sign In or Create an Account. Navbar Search Filter SLEEP This issue SRS Journals Clinical Neuroscience Neuroscience Sleep Medicine Books Journals Oxford Academic Mobile Enter search term Search. SRS Journals. Issues More Content Advance Articles Supplements Editor's Choice Virtual Issues Virtual Roundtables Abstract Supplements Subject All Subject Expand Expand. Basic Science. Circadian Disorders. Cognitive, Affective and Behavioral Neuroscience of Sleep. Neurological Disorders. Sleep Across the Lifespan. Sleep and Metabolism. Sleep Disordered Breathing. Sleep Health and Safety. Browse all content Browse content in. Close Navbar Search Filter SLEEP This issue SRS Journals Clinical Neuroscience Neuroscience Sleep Medicine Books Journals Oxford Academic Enter search term Search. Advanced Search. Search Menu. Article Navigation. Close mobile search navigation Article Navigation. Volume Article Contents Abstract. Journal Article. Sleep Quality and Nocturnal Sleep Duration in Pregnancy and Risk of Gestational Diabetes Mellitus. Shirong Cai, PhD , Shirong Cai, PhD. Oxford Academic. Sara Tan, MD. Peter D. Gluckman, FRS. Keith M. Godfrey, PhD. Seang-Mei Saw, PhD. Oon Hoe Teoh, MBBS. Yap-Seng Chong, MD. Michael J. Meaney, PhD. Michael S. Kramer, MD. Joshua J. Gooley, PhD. on behalf of the GUSTO study group on behalf of the GUSTO study group. PDF Split View Views. Cite Cite Shirong Cai, Sara Tan, Peter D. Select Format Select format. ris Mendeley, Papers, Zotero. enw EndNote. bibtex BibTex. txt Medlars, RefWorks Download citation. Permissions Icon Permissions. Abstract Study Objectives:. sleep duration , sleep quality , gestational diabetes mellitus , Asian women. Statement of Significance. Table 1 Characteristics of Women With Normal Glucose Levels NGL and Gestational Diabetes Mellitus GDM. p -value. Open in new tab. Figure 1. Open in new tab Download slide. Table 2 Associations Between Poor Sleep Quality and Short Sleep Duration With Risk of Gestational Diabetes Mellitus. Google Scholar Crossref. Search ADS. Google Scholar PubMed. OpenURL Placeholder Text. Google Scholar Google Preview OpenURL Placeholder Text. Google Scholar OpenURL Placeholder Text. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail journals. permissions oup. Issue Section:. Download all slides. Supplementary data. SP Supplmental - docx file. Comments 0. Add comment Close comment form modal. I agree to the terms and conditions. You must accept the terms and conditions. Add comment Cancel. Submit a comment. Comment title. You have entered an invalid code. Submit Cancel. Thank you for submitting a comment on this article. Your comment will be reviewed and published at the journal's discretion. Please check for further notifications by email. Views 7, More metrics information. Total Views 7, Email alerts Article activity alert. Advance article alerts. New issue alert. Subject alert. Receive exclusive offers and updates from Oxford Academic. Citing articles via Web of Science Latest Most Read Most Cited Objective sleep disturbance in nightmares: Is prolonged sleep onset latency a proxy for fear-of-sleep-related arousal? Tracked and self-reported nighttime smartphone use, general health, and healthcare utilization: results from the SmartSleep Study. Wake Intrusions in the EEG: A Novel Application of the Odds Ratio Product in Identifying Subthreshold Arousals. Medication-Induced Central Sleep Apnea: A Unifying Concept. More from Oxford Academic. Clinical Medicine. Clinical Neuroscience. Medicine and Health. Science and Mathematics. Sleep Medicine. Looking for your next opportunity? Director, Ruth L. and David S. Gottesman Institute for Stem Cell Research and Regenerative Medicine. Assistant Professor. |
| View Large. Overview Disturbancds. The treatment of choice is non-pharmaceutical, including exercise, Gestational diabetes and gestational sleep disturbances, anx the dissturbances of pressure devices. Sign In. All authors received support to carry out this study from the JECS program, which was funded by the Japanese Ministry of the Environment. Facebook Twitter LinkedIn Email. Published : 09 December | |
| Sleep disorders during pregnancy: an underestimated risk factor for gestational diabetes mellitus | Qnd Cancel. Future studies should Athlete-friendly grocery shopping lists Gestational diabetes and gestational sleep disturbances pathways disturgances which sleep Gestatiobal in pregnancy contribute to hyperglycemia and other adverse Sports nutrition for injury recovery health outcomes. Paediatr Perinat Epidemiol. Department of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, Iseigaoka, Yahatanishi-ku, Kitakyushu-city, Fukuoka,Japan. Contact us Submission enquiries: bmcpregnancyandchildbirth biomedcentral. Sorry, a shareable link is not currently available for this article. |
Gestational diabetes and gestational sleep disturbances -
Case-wise exclusion was used to handle missing data in the adjusted models. All analyses were carried out using SPSS software, version Of the women who attended the clinic visit at 26—28 weeks of gestation, women completed the PSQI and underwent the OGTT. Of the pregnant women included in our analysis, All of these women met the diagnostic criterion for GDM based on their 2-h OGTT result i.
Ethnic distribution differed for groups with normal glucose levels versus GDM Table 1 , with a higher percentage of GDM cases observed in Indian and Chinese participants Women with GDM were older In univariable analyses, women with GDM tended to have poorer sleep quality than participants without GDM PSQI score, 5.
Based on PSQI component scores, women with GDM rated their sleep quality as significantly worse than women without GDM 1. women with normal glucose levels Table 1. Characteristics of Women With Normal Glucose Levels NGL and Gestational Diabetes Mellitus GDM.
EPDS, Edinburgh Postnatal Depression Scale; PSQI, Pittsburgh Sleep Quality Index; SGD, Singapore Dollars; STAI, State-Trait Anxiety Inventory. Data are presented as mean ± SD unless otherwise stated. In the multivariable linear regression model, pregnant women with poorer sleep quality i. Relationships between blood glucose and sleep duration in pregnant women.
Participants completed a g oral glucose tolerance test OGTT and reported their nocturnal sleep duration by questionnaire. A The frequency of gestational diabetes mellitus GDM , B fasting glucose levels, and C 2-h OGTT glucose levels are shown across different sleep duration categories.
The number of subjects in each sleep duration bin is indicated in parentheses in panel B. Next, we used multivariable logistic regression analysis to model the association between poor sleep quality and GDM risk and the association between short nocturnal sleep duration and GDM risk Table 2.
In our sample, women There were 77 women Associations Between Poor Sleep Quality and Short Sleep Duration With Risk of Gestational Diabetes Mellitus.
OR, odds ratio; CI, confidence interval; PSQI, Pittsburgh Sleep Quality Index. Poor sleep quality and short nocturnal sleep duration during pregnancy were independently associated with increased risk of GDM.
Our results are consistent with previous studies that used the PSQI to assess sleep quality in non-pregnant populations with type 2 diabetes. For example, poorer sleep quality in diabetic patients has been associated with higher levels of hemoglobin A1c, 54 , 55 a marker reflecting increased blood glucose levels, after adjusting for age, sex, and BMI.
PSQI-defined poor sleep quality has also been associated with increased homeostatic model assessment-insulin resistance in Chinese patients with type 2 diabetes.
Similar to previous studies that included predominantly Caucasian and African American populations, 15—17 we found short sleep duration to be associated with increased risk of GDM in Asian women. The small sample sizes and moderate participant diversity in prior studies limited the generalizability of the results, and estimates of relative risk were imprecise with large CIs.
Hence, important strengths of our study were inclusion of women from 3 major Asian ethnic groups not studied previously, and a larger number of GDM cases that allowed for a more precise estimate of risk.
Prior studies in non-pregnant populations have demonstrated a U-shape relationship between sleep duration and relative risk for type 2 diabetes, 7 in which either short sleep duration or long sleep duration was associated with greater risk.
Consequently, if we had used the IADPSG diagnostic criteria in our study, more women would have met the diagnostic threshold for fasting glucose 33 women, 4.
Because our OGTT did not include a 1-h blood sample, we could not retroactively apply the IADPSG criteria to diagnose women with GDM. These findings suggest that our results based on the WHO diagnostic criteria are likely to apply to other screening guidelines, including the IADPSG criteria, for diagnosing GDM.
The high frequency of GDM in our study is consistent with prior findings in the HAPO study, in which the prevalence of GDM in Singapore was Additional studies are needed to assess the relative contribution of these lifestyle factors to GDM risk and to determine why risk of GDM varies across ethnic groups.
Interestingly, diagnosis of GDM in our sample was established almost exclusively by 2-h OGTT glucose levels, rather than fasting glucose levels. The reason for this finding is unclear but has also been noted in our prior work examining the frequency of GDM in participants of the GUSTO study.
The effect size of PSQI scores on fasting glucose was very small, however, and the negative association between sleep duration and fasting glucose was not significant after adjusting for covariates in the multivariable regression model. The sleep variables we examined did not associate linearly with 2-h OGTT glucose levels, but a higher proportion of women with poor sleep quality and short sleep duration met the 2-h diagnostic criterion for GDM.
Taken together, our results suggest that exposure to poor sleep quality and short sleep duration can affect fasting glucose levels and glucose tolerance in pregnant women. However, additional studies are needed to establish whether fasting and 2-h glucose levels are differentially affected by individual differences in sleep quality or duration.
In this study, sleep quality in the previous month was assessed by questionnaire near the end of the second trimester, coincident with the OGTT. However, because we did not evaluate sleep behavior earlier in pregnancy or prior to conception, we do not know if poor sleep quality was preexisting or a consequence of pregnancy.
Additionally, we did not collect information on the frequency or duration of daytime naps, which could potentially ameliorate effects of nocturnal sleep disturbances on glucose metabolism. It is possible that the association between PSQI-assessed sleep quality and risk of GDM can be explained by the occurrence of sleep disorders during pregnancy.
Some but not all studies have found that symptoms of sleep-disordered breathing, including self-reported habitual snoring, high risk of obstructive sleep apnea OSA using the Berlin Questionnaire, or polysomnographically assessed OSA, are associated with an increased risk of GDM.
those without OSA. Another limitation of our study is that sleep quality and sleep duration were assessed by self-report, rather than using objective measures of sleep behavior. In future studies, objective measures of sleep behavior should be collected at multiple time points across pregnancy in larger samples to assess whether pregnancy-induced changes in sleep quality and sleep duration alter glucose regulation and risk of GDM.
Future studies should examine the pathways by which sleep disturbances in pregnancy contribute to hyperglycemia and other adverse maternal health outcomes.
Early screening and interventions for sleep problems in pregnancy could potentially reduce the risk of developing maternal hyperglycemia and GDM. The importance of healthy sleep habits and obtaining sufficient sleep should also be emphasized by prenatal care providers, with the aim of improving pregnancy outcomes.
PDG, KMG, and YSC have received lecture fees from companies that sell nutritional products. They are part of an academic consortium that has received research funding from Abbott Nutrition, Nestec, and Danone. The other authors have nothing to disclose. We thank participants and staff of the GUSTO study.
The GUSTO study group includes Pratibha Agarwal, Arijit Biswas, Choon Looi Bong, Birit F. Broekman, Jerry Kok Yen Chan, Yiong Huak Chan, Cornelia Yin Ing Chee, Helen Chen, Yin Bun Cheung, Amutha Chinnadurai, Chai Kiat Chng, Mary Foong-Fong Chong, Shang Chee Chong, Mei Chien Chua, Doris Fok, Marielle V.
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Behav Sleep Med 7 2 — Download references. Department of Epidemiology and Health Statistics, School of Public Health, Southeast University, Nanjing, China.
Maternal and Child Health Center of Gulou District, Nanjing, China. Department of Obstetrics and Gynecology, Medical School, Southeast University, Nanjing, China. Department of Obstetrics and Gynecology, Zhong Da Hospital, Southeast University, Nanjing, China. National Research Institute for Family Planning, Beijing, China.
National Human Genetic Resources Center, Beijing, China. You can also search for this author in PubMed Google Scholar.
All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Xu Zhou, Xiang Hong, and Kaiping Huang.
The first draft of the manuscript was written by Xu Zhou and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript. Correspondence to Bei Wang.
This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of Zhongda Hospital affiliated to Southeast University No.
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Antispasmodic Options for Sports Injuries hours Gestational diabetes and gestational sleep disturbances long, geatational may have heartburn and disturbandes and be sick to Gestagional stomach. Your body is flooded with hormones. Disturbannces, the results Sports nutrition for injury recovery a gestatjonal Optimal post-game nutrition suggest that Pre-exercise meal options women who sleep less diabbetes 6 hours and 15 minutes a night are almost three times more likely to have gestational diabetes as those who sleep more. Like diabetes itself, gestational diabetes is elevated levels of blood sugar, specifically during pregnancy, says Vishesh Kapur, M. Progesterone, a hormone produced by your placenta, helps make sure that baby gets all the nutrients needed to grow, says Katherine McLean, M. But it also raises the possibility of elevated blood sugars in mom. SYLVIA E. SlrepFEI XU Natural energy supplement, ASSIAMIRA Gestational diabetes and gestational sleep disturbancesMONIQUE M. HEDDERSON; P: Associations of Gsstational Disturbances Seep and During Early Gestational diabetes and gestational sleep disturbances disturbznces Increased Risk of Gestational Diabetes. Women with sleep disturbances before or during pregnancy may be at high risk for gestational diabetes GDM due to poor sleep-related increases in insulin resistance. In early pregnancy weeks gestation participants self-reported snoring frequency in the 12 months before becoming pregnant and since becoming pregnant.
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