Unborn and Insulin-Toxic, Obese and Pre-Diabetic After Birth
Majid Ali, M.D.
Is my patient’s unborn baby insulin-toxic? How can I find out? If so, what can I do about it? I have never heard any maternity doctor or midwife or nurse ask these questions. This is so because you have heard these questions raised by anyone. If asked, maternity doctor, midwives, and nurses are likely to get puzzled, even offended ,by such questions. We have never been taught to do so, they are likely to reply if pressed. Another response might be: Why would I even think of insulin toxicity of the unborn when I have never thought of it expecting mothers? How would I find it out anyway? Might be yet another response.
The answer to the last question is simple: Find out if the expecting mother is insulin-toxic. If so, please know that so is her baby. Finding the insulin status of the expecting mother is easy to find out. It requires a simple blood insulin test.
The question of an unborn baby being insulin-toxic must be asked because it concerns the growth and future health of the baby, first within the mother’s womb and then in later years. Unborn insulin-toxic babies are prediabetic, albeit reversibly. Insulin excess is fattening and fermenting. So unborn insulin-toxic babies are very vulnerable to excess weight, obeisty, and diabetes.
A Most Unfortunate Practice
At least in industrialized world, pregnant women are given a three-hour glucose test to rule out the presence of gestational diabetes. Insulin tests can be done on the same blood samples. There is no need to make separate appointments for doctors or labs, nor for referral to endocrinologists. Blood glucose (sugar) tests do not reveal meaningful information about the insulin status.
After diagn gestational diabetes osis of gestational diabetes, expecting parents are told that the problem is likely to clear up after the baby is born. This is most unfortunate. Every time I see a young mother with diabetes I ask pointed questions about the results of glucose testing to diagnose gestational diabetes during any of her pregnancy. Nearly in all cases this turns out to be the case but the problem was never followed-up. Gestational diabetes, of course, is insulin toxicity. I point out the fact that gestational diabetes did not develop during subsequent pregnancy does not alter the fact that underlying insulin toxicity persists to varying degrees in nearly all such cases.
This article has two simple messages:
First, insulin testing is more important than glucose testing during pregnancy.
Second, gestation diabetes—insulin toxicity to be precise—must not be ignored after the baby is born.