Treatment of fatty liver disease, obesity and Type 2 diabetes
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The epidemic of obesity, and Type 2 diabetes have contributed to the increase in fatty liver disease in the United States. James Hanje, MD, Director of Hepatology and Program Director of Transplant Hepatology at Ohio State, discusses the important lifestyle changes needed to treat these conditions, including healthy diet, aerobic exercise, review of food labeling, and less salt. To learn more or to schedule an appointment, visit https://internalmedicine.osu.edu/digestivediseases/ or call (614) 293-6255.
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The first step in the treatment of gestational diabetes is to modify your diet and lifestyle changes. When I say diet changes, it means reduce your carbohydrate intake because gestational diabetes is a condition where the blood sugar levels are high. We would like to keep it in the normal range where it is below 140 mg/dl even after two hours of diet. So by way of diet change, you have to minimize your intake of carbohydrates and at the same time, maintain a balanced nutrition for the growing fetus. So instead of cutting down on carbohydrates totally, I would advice you to take small, frequent meals or you can distribute the meal intake. In between three meals, you can take some fruits and still maintain the blood sugar in the same level.. nnBest advice will be to take more of proteins and vegetables and fruits. To minimize sugars, sweets, candies and pastries. Do not skip meals and go on diet during pregnancy.. nnA little bit of exercise and an active life is mandatory. If there is a contraindication to exercise, maybe you should go for some medication from your doctor. Exercise will be moderate walking for at least half an hour everyday in the morning or evening. Not too brisk walking or not stressful working at office.. nnYou may require frequent visits to the hospital as the doctor would like to monitor your blood sugar. Ideal would be to monitor your blood sugar at home. If you ever feel its more than 140 or 160, then visit the hospital. Maybe ultrasonography every month specially in the second trimester to make sure the baby is doing well. Other tests like NSTs, blood sugar and blood and urine tests will also be checked during your visit.
If there are still complications, the doctor would like to put you on medication. With good diet and exercise, oral medication is sufficient. Insulin shots will be given otherwise. If things are not settling down, hospitalization is advised. Pre term delivery might happen if there are more complications..
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