“Addressing structural inequality and poverty at a policy level may contribute the most to reducing rates of diabetes in [First Nations] people,” they suggest.
In addition, for all pregnant mothers the “American Diabetes Association guidelines recommend preconception counseling, early screening, and aggressive glycemic management to mitigate risks to the mother and newborn.”
“Our findings also inform practitioners of the need for routine early screening and diagnosis of type 2 diabetes in mothers and their offspring,” the researchers conclude.
The study was funded by the Children’s Hospital Research Institute of Manitoba. The authors have reported no relevant financial disclosures.
JAMA Pediatrics. Published online June 11, 2018. Full Text