Medical Nutrition Therapy

Public Health and Wellness

FNCE 2018

212. Rising Tide of Women with Diabetes Before Pregnancy

Sunday, October 21
1:30 PM - 3:00 PM
CE: 1.5

Session Level 3 - Advanced

Diabetes mellitus is one of the most common complications associated in pregnancy. The majority of women who experience hyperglycemia during pregnancy are classified as having gestational diabetes. However, there is a rising tide of women with diabetes who are becoming pregnant. As diabetes management in the non-pregnant population varies depending on the type, the same is true for pregnant women with type 1 and type 2 diabetes: one size does not fit all. This presentation will discuss the medical and nutritional management of women with preexisting diabetes from pregnancy through postpartum. Topics will include special dietary and insulin requirements, fetal growth implications, specific trimester concerns, physical activity, breastfeeding, and methods to set up a diabetes-in-pregnancy program for women with pre-existing diabetes.

Planned with the Diabetes Care and Education DPG

Learning Objectives:

Learning Need Codes:

  • 5310 - Pregnancy complication (disease/disorder)
  • 5190 - Diabetes mellitus (disease/disorder)
  • 4020 - Community program development

Alyce Thomas

Alyce Thomas is a Nutrition Consultant at St. Joseph’s University Medical Center in Paterson, NJ. She is the current Chair of the Diabetes Care and Education (DCE) Dietetic Practice Group (DPG) and a member of the Coucnil on Research Evidence Based Criteria Development Task Force of the Academy of Nutrition and Dietetics. Her former positions with the Academy included: Honors Committee, Chair of the Evidence-Based Practice Committee, Professional Issues Delegate, Chair of the Women’s Health DPG, and Professional Development Chair and Editor of DCE. She is the first RD appointed to the National Institutes of Health Child Health and Human Development and the New Jersey Governor’s Council on the Prevention of Developmental Disabilities Advisory Councils and the National Institutes of Health – Consensus Development Panel on Diagnosing Gestational Diabetes. Alyce has presented at numerous conferences including FNCE and has several publications on maternal nutrition.

Presentation(s):

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Alyce Thomas

Alyce Thomas is a Nutrition Consultant at St. Joseph’s University Medical Center in Paterson, NJ. She is the current Chair of the Diabetes Care and Education (DCE) Dietetic Practice Group (DPG) and a member of the Coucnil on Research Evidence Based Criteria Development Task Force of the Academy of Nutrition and Dietetics. Her former positions with the Academy included: Honors Committee, Chair of the Evidence-Based Practice Committee, Professional Issues Delegate, Chair of the Women’s Health DPG, and Professional Development Chair and Editor of DCE. She is the first RD appointed to the National Institutes of Health Child Health and Human Development and the New Jersey Governor’s Council on the Prevention of Developmental Disabilities Advisory Councils and the National Institutes of Health – Consensus Development Panel on Diagnosing Gestational Diabetes. Alyce has presented at numerous conferences including FNCE and has several publications on maternal nutrition.

Presentation(s):

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Celeste Durnwald, MD

Dr. Durnwald is an assistant professor of Obstetrics and Gynecology at the University of Pennsylvania. She is a board certified Maternal Fetal Medicine specialist with clinical expertise in diabetes in pregnancy. She is the medical director of the High Risk Obstetrical Clinic at the Helen O. Dickens Center at Penn. She also serves as the director of the Penn Perinatal Diabetes Program that provides preconception counseling, consultative and prenatal care to women with diabetes. Dr. Durnwald is an active researcher in clinical trials. She recently completed a lifestyle intervention trial for women with GDM designed to improve glucose tolerance testing in the postpartum period and the site primary investigator for the MOMPOD trial, a NICHD funded trial evaluating the effectiveness and safety of metformin use in pregnancy for women with type 2 diabetes. She has also authored many manuscripts and textbook chapters on diabetes in pregnancy and serves as a reviewer for obstetrical journals.

Presentation(s):

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Breanna Oberlin, MS, RD, CDE

Breanna has a passion for nutrition education, chronic condition management, and community wellness. She specializes in pregnancy, providing support to women with special nutritional considerations such as carrying multiples, under-nutrition, obesity, gestational diabetes and managing pre-existing medical conditions from diabetes to gastrointestinal disease. Breanna completed her Master of Science degree in Clinical Nutrition from Rush University Medical Center in Chicago and earned her RDN in 2010. She has worked as a Child Nutrition Manager and as a Research Dietitian and Study Coordinator for National Institutes of Health studies at the Veterans Affairs Puget Sound Health Care System before coming to Swedish Medical Center in Seattle, Washington in 2014. While at Swedish, Breanna has provided medical nutrition therapy one-on-one and in groups at the Swedish Maternal Fetal Specialty Center, Swedish Bariatric, Metabolic and Endocrinology Center, and Swedish Gastroenterology.

Presentation(s):

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