Maternal diabetes, if not treated adequately, may increase the risk of several serious health complications in children. Epidemiologic data suggest that maternal pre-existing type 1, type 2, or gestational diabetes can influence the risk for autism spectrum disorders (ASDs) in offspring. Hyperglycemia in utero increases uterine inflammation, oxidative stress, and hypoxia, potentially altering gene expression and disrupting fetal brain development, which increases the risk for neural behavior disorders. According to current estimates, 1 in 59 children is affected by autism and the prevalence of the disorder continues to rise steadily. Read more
Despite a wide variety of dietary options available, a prolonged controversy still exists about optimal nutritional plans for cardiometabolic patients, which contributes to the challenges faced by clinicians while caring for these patients. A poor diet is a major contributor in exacerbating the impacts of the cardiometabolic disease; as well as a leading contributor to morbidity and mortality worldwide.1,2 Thus, proper nutrition for cardiometabolic health is paramount, a view emphasized in several clinical practice guidelines.3-5 However, defining proper nutrition for cardiometabolic disease is challenging and can be very controversial. Clinicians may not be aware of appropriate healthy eating patterns or the evidence for different dietary approaches on cardiometabolic health outcomes; this is more apparent by the fact that many clinicians do not receive adequate training on nutrition and are less likely to address nutrition as a topic during a clinical visit. To gain more insight in this area, we had an opportunity to talk with Stephen Devries, MD, FACC, a preventive cardiologist, and Executive Director of the Gaples Institute for Integrative Cardiology, a nonprofit dedicated to advancing the role of nutrition and lifestyle in medicine.