Dr. Einhorn explains why women of a reproductive age should have concerns about diabetes.
Well, one very important thing for women of reproductive age is to recognize that we are seeing type 2 diabetes now at younger and younger ages, and there are no symptoms. So if you come from a family that has type 2 diabetes, if you’re overweight especially around the abdomen, if you’ve been told you have high blood pressure or high triglycerides or ever had a high blood sugar, remember that the most important time when you’re pregnant is the first few hours and then days and weeks of your pregnancy, when you may not know you’re pregnant.
So if you’re of reproductive age or planning to have children, you need to be sure that you don’t have diabetes before you become pregnant. Women with diabetes can have extremely successful pregnancies. They do great, but only if they know about it and only if they’re taken care of.
So birth defects, the biggest problems that we see with women, children, and diabetes is not knowing that you have diabetes or not knowing that you’re in good enough control when you become pregnant because once a month or so has gone by, it’s a little late to catch up.
There are some questions that women with diabetes, like men with diabetes, have sexual issues earlier than their peers at the same age. There may be issues with lubrication or sensation, just as men have much more problems with erectile dysfunction. So those issues are also specific women’s issues.
About Dr. Einhorn, M.D., F.A.C.P., F.A.C.E.:
Dr. Daniel Einhorn received his undergraduate degree from Yale University, his medical degree from Tufts University School of Medicine, and his internship, residency and fellowship at Harvard Medical School. He served on the Harvard faculty until coming to San Diego in 1984, and has since been a clinical endocrinologist with Diabetes and Endocrine Associates, Associate Clinical Professor of Medicine (Voluntary) at University of California, San Diego, and, until 2000, the Medical Director of the Diabetes Treatment and Research Center at Sharp Healthcare. He is the Medical Director of the Scripps Whittier Institute Diabetes Program. Dr. Einhorn has held many leadership positions with the Board of the American Association of Clinical Endocrinologists, the American Medical Association's Diabetes Advisory Council and The Endocrine Society. He Chaired the American College of Endocrinology Task Force on the Insulin Resistance Syndrome and the Conference on the Insulin Resistance Syndrome. He has served on the American Diabetes Association (ADA) Managed Care Initiative and on the regional ADA and Juvenile Diabetes Foundation, and as Chair of the Diabetes and Pregnancy Program of San Diego and Imperial Counties. He is a fellow of the American College of Physicians and the American College of Endocrinology. His research and publications cover diabetes prevention and reversal, recognition and treatment of diabetic complications, new technologies, new pharmaceuticals, combination therapies, and clinical decision-making.
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