I think the answer to this is complex and I don't know the extent to which genetics and BMI play a part. There may have been people in your family who would have had high normal or pre-D or D levels of HbA1c if they were tested, but they never were, and they never showed frank signs of T2.I have read somewhere on the diabetes website that having a baby over 9lbs may be a risk factor of being or becoming prediabetic later.
I had two healthy babies (8lbs 10oz and 9lbs 1oz) in the 90's when I was 30 and 32. They were not particularly big but I was 7lbs 2 when born in the 60's.
I wasn't overweight when I was younger but the weight has come round my middle in my 40's. That was when I also started on borderline BP and Cholesterol meds. I probably became more sedentary with working from home and snacking more.
Are we genetically predisposed to Diabetes? No clinical diagnoses in my family but as the generations get bigger and we are eating more refined sugar and carbs, is our BMI leading us down that path?
Hmmm, not sure how true that is. I had 4 kids, 2 were average weight. Both are very tall. 2 were over 9lbs, one of them (the heaviest) is shorter that her siblings but is very fit and skinny, the other is 5ft.9. My sister in law had very large babies - 5 of them the last being almost 15lbs. Ouch, but they are all very tall too. Horses for courses eh.
Ah ok, well we did have our last babies over 25 years ago, think its different these days.Indeed - some babies are naturally larger and the cut off of 9lbs is arbitrary. Having a 'large' baby doesn't automatically mean any women will get diabetes. But gestational diabetes is one possible cause of large babies, as I said above.
Policies vary from country to country, but often if a woman has given birth to a 'larger than average' baby and is pregnant again, she's tested to rule out gestational diabetes.
I believe that in NZ all pregnant women are checked for GD. I think this is a good practice.
I saw an article once linking lack of Vit D in the mother, while pregnant, to the incidence of autoimmune diseases in the child, throughout their lives - including diabetes.
It was a while back, so I have no details of the study criteria, but considering the links between Vit D and the wide effect it has, i would be interested to learn more. Of course, any evidence on this would be hard to come by.
Overall a complicated set of questions. Increased carbs isn't helping in conjunction with lifestyle, but by no means the only problem. The more I've looked into nutrition the more horrified I am at the amount of chemicals that we happily consume in the so called unprocessed food that we eat. BMI I think it's fair to say isn't fit for purpose. Even medics, who have to use it as some indication of weight, are saying that.. . . . . . is our BMI leading us down that path?
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