What Your Skin Is Trying To Tell You
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Dr. Andrea Suarez, dermatologist, gives us the inside info:
Most people don’t think much about it, but…
You might want to recognize these patterns of symptoms, because often there’s an easy fix, and sometimes there’s something very important you should know:
- Aracked corners of your mouth (angular cheilitis): redness, scaling, and painful cracks are most commonly caused by saliva pooling from lip licking, drooling, gum chewing, or poorly fitted dentures; candida yeast can overgrow in this moist environment, while nutritional deficiencies such as B vitamins or iron are less common causes; management focuses on barrier protection with petroleum jelly (e.g. Vaseline) or zinc oxide (e.g. Sudocrem), antifungals if there’s yeast*, and avoiding behaviors that increase saliva exposure.
- *Or rather, if there’s a yeast overgrowth. Because one thing about yeast is that there’s always yeast, unless you have gone to truly extreme lengths to not have yeast, and you did that right now, and/or in a clean-room that you are still in. Because otherwise, 10 minutes later, you’ll have picked up some yeast again from the environment.
- Dry, cracked heels: usually result from thick skin on your soles drying out due to low humidity, barefoot walking, aging, or menopause-related lipid loss, not diet or nutritional deficiencies; consistent barrier repair with ointments, keratolytic ingredients like urea, salicylic acid, or alpha hydroxy acids, wearing socks, and sealing painful cracks to allow healing are key for this one.
- Acanthosis nigricans: darker, thickened skin on your neck, underarms, groin, face, or hands is a sign of skin thickening rather than pigmentation and serves as a warning sign of insulin resistance; topical treatments alone are ineffective unless the underlying metabolic issue is addressed.
- Asteatotic eczema (eczema craquelé): very dry, cracked skin with a “dry riverbed” appearance, commonly on your lower legs in older adults, often caused (counterintuitively) by overbathing, long hot showers, and excessive soap use; improvement comes from shortening showers, avoiding soap on your legs, using petroleum jelly initially, then urea or ammonium lactate moisturizers, and increasing ambient humidity.
- Sudden oilier skin: rapid increases in oiliness are driven by hormonal changes such as puberty, pregnancy, postpartum shifts, starting or stopping birth control, perimenopause, menopause, testosterone therapy (but not estradiol/progesterone therapy) or certain steroids; excess oil can worsen acne and yeast-related conditions, so gentle cleansing and oil removal help, while aggressive exfoliation and overwashing can damage your skin barrier, so do still try to go easy on that.
- allergic contact dermatitis from shampoo or conditioner: itchy, red, or oozing rashes behind your ears, along your hairline, neck, or eyelids often follow a rinse-off pattern linked to allergens in hair products, commonly fragrances, preservatives like methylisothiazolinone, cocamidopropyl betaine, and often even some essential oils; patch testing is needed to identify and avoid the trigger.
For more on all of these plus visual demonstrations, enjoy:
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Want to learn more?
You might also like:
Six Ways To Eat For Healthier Skin
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Astrology, Mental health and the Economics of Well Being
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Ultimately can the mental health system single-handedly address the concerns of inequality and economic access in society?
Around 75 per cent of the Indian population lives in rural areas, but their access to quality mental health care is limited and traditional approaches continue to be in use. The shortage is to such a large extent that there are only 0.7 physicians per 1000 population and only one psychiatrist for every 343,000 Indians. While over the years the mental health sector has seen major developments, like the 2017 mental health care act. This act establishes equal access for all citizens, to avail government-run or funded mental health services in the country. However, it does not bridge the gap in society as the majority of the population remains deeply unaware or unable to access these services.
While the uncertainties of the pandemic brought mental wellbeing to the forefront, the national budget for the sector dropped, making this an issue of human rights. This accessibility to services is further corroborated by the recurring financial expenses of medications and frequent visits to government clinics. The cost of sessions is steep and a single session is not ideal. Spending exorbitant amounts on healthcare is a burden most families can’t afford leading to debt. In the absence of insurance and healthcare schemes and provisions, therapy remains a luxury to many Indians.
Economic struggles are only one of the causes of this discerning gap in the mental health sector. Barriers caused by sexuality, gender, caste and religion also play a major role in mediating people’s perception and access to therapeutic services. The persistent stigma surrounding mental health, especially in India continues to be a hindrance to seeking help. The supernatural inhibitions and disparity in knowledge across communities only create more confusion. The notion that mental well being is an optional expense is popular, even though the country’s population is in a dire state. Data collected in a WHO report found that nearly 15 per cent of Indian adults need active intervention for one or more mental health issues.
The population disregards the very prevalence of such mental disorders and more than often finds it fruitless to receive treatment. Some who are open-minded fail to afford the hiked fees that therapists in urban settings charge, leaving them with no option. While for years Indians attributed the systemic weakness of the mental health system to the people’s attitudes, a 2016 survey showed more than 42% of people have positive attitudes toward mental wellbeing and treatment. While the skeptics remain, these underprivileged sections of society too struggle to gain the accessibility they deserve.
This is where astrology, tarot card reading and other spiritual practices, have created a market for themselves in the well-being industry. The sceptics, and those from poor socio-economic backgrounds resort to these local and easily accessible ways of coping, to instil the faith they so desperately need. Astrology is a layman’s substitute for therapy, or for some even a supplement when they cannot afford extended periods of treatment. Visiting a local astrologer in many ways breeds the self-awareness one would expect from a session in therapy. These practices even hold certain similarities to actual psychotherapy settings, in the way they define, and alleviate aspects of one’s personality and behaviour.
Very often one simply needs an explanation, or an answer to the ‘why’ no matter how scientifically rooted that response truly is. Astrologers impart a level of faith, that things will get better. For those in rural areas, struggling to provide the bare necessities to their family affording therapy is impossible, so their local psychic, astrologer or pandit becomes their anchor during emotional duress. Tarot cards and other practices primarily focus on the future and act as a guide point for how to deal with the things ahead. For a farmer coping with anxiety, access to anti-anxiety medication is strained, and so is therapy. His best bet remains to consult his next-door jyotish about his burdens.
A famous clinician Caroline Hexdall in an interview said that “ Part of the popularity of astrology and tarot today has to do with their universal nature”. With growing technology and the pervasiveness of social media, people can gain easy access to self-care and astrology resources. Apps and web pages provide daily tarot cards, zodiac signs readings and astrological predictions for people, and almost serve the purpose of a therapist. Is reading the lines on our palm, and checking the alignment of the stars enough to cure the mental illness they undergo? Is it a solution or a quick fix as a consequence of an ignorant healthcare system?
Several studies have also shown the deteriorating effects of depending on astrology. Cases of worsening and onset of depression, anxiety and personality disorders are common for those who use astrology as more than just a temporary coping mechanism. It also becomes a source of losing control, as every feeling is attributed to fate and destiny, instilling a sense of helplessness. Ultimately can the mental health system single-handedly address the concerns of inequality and economic access in society?
Maahira Jain is a third-year student at Ashoka University studying Psychology and Media studies. She is a movie buff and is extremely passionate about writing and traveling.
This article is republished from OpenAxis under a Creative Commons license. Read the original article.
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Why Zebras Don’t Get Ulcers – by Dr. Robert M. Sapolsky
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The book does kick off with a section that didn’t age well—he talks of the stress induced globally by the Spanish Flu pandemic of 1918, and how that kind of thing just doesn’t happen any more. Today, we have much less existentially dangerous stressors!
However, the fact we went and had another pandemic really only adds weight to the general arguments of the book, rather than detracting.
We are consistently beset by “the slings and arrows of outrageous fortune” as Shakespeare would put it, and there’s a reason (or twenty) why many people go grocery-shopping with the cortisol levels of someone being hunted for sport.
So, why don’t zebras get ulcers, as they actually are hunted for food?
They don’t have rent to pay or a mortgage, they don’t have taxes, or traffic, or a broken washing machine, or a project due in the morning. Their problems come one at a time. They have a useful stress response to a stressful situation (say, being chased by lions), and when the danger is over, they go back to grazing. They have time to recover.
For us, we are (usually) not being chased by lions. But we have everything else, constantly, around the clock. So, how to fix that?
Dr. Sapolsky comprehensively describes our physiological responses to stress in quite different terms than many. By reframing stress responses as part of the homeostatic system—trying to get the body back into balance—we find a solution, or rather: ways to help our bodies recover.
The style is “pop-science” and is very accessible for the lay reader while still clearly coming from a top-level academic who is neck-deep in neuroendocrinological research. Best of both worlds!
Bottom line: if you try to take very day at a time, but sometimes several days gang up on you at once, and you’d like to learn more about what happens inside you as a result and how to fix that, this book is for you!
Click here to check out “Why Zebras Don’t Get Ulcers” and give yourself a break!
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What Flexible Dieting Really Means
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When Flexibility Is The Dish Of The Day
This is Alan Aragon. Notwithstanding not being a “Dr. Alan Aragon”, he’s a research scientist with dozens of peer-reviewed nutrition science papers to his name, as well as being a personal trainer and fitness educator. Most importantly, he’s an ardent champion of making people’s pursuit of health and fitness more evidence-based.
We’ll be sharing some insights from a book of his that we haven’t reviewed yet, but we will link it at the bottom of today’s article in any case.
What does he want us to know?
First, get out of the 80s and into the 90s
In the world of popular dieting, the 80s were all about calorie-counting and low-fat diets. They did not particularly help.
In the 90s, it was discovered that not only was low-fat not the way to go, but also, regardless of the diet in question, rigid dieting leads to “disinhibition”, that is to say, there comes a point (usually not far into a diet) whereby one breaks the diet, at which point, the floodgates open and the dieter binges unhealthily.
Aragon would like to bring our attention to a number of studies that found this in various ways over the course of the 90s measuring various different metrics including rigid vs flexible dieting’s impacts on BMI, weight gain, weight loss, lean muscle mass changes, binge-eating, anxiety, depression, and so forth), but we only have so much room here, so here’s a 1999 study that’s pretty much the culmination of those:
Flexible vs. Rigid Dieting Strategies: Relationship with Adverse Behavioral Outcomes
So in short: trying to be very puritan about any aspect of dieting will not only not work, it will backfire.
Next, get out of the 90s into the 00s
…which is not only fun if you read “00s” out loud as “naughties”, but also actually appropriate in this case, because it is indeed important to be comfortable being a little bit naughty:
In 2000, Dr. Marika Tiggemann found that dichotomous perceptions of food (e.g. good/bad, clean/dirty, etc) were implicated as a dysfunctional cognitive style, and predicted not only eating disorders and mood disorders, but also adverse physical health outcomes:
Dieting and Cognitive Style: The Role of Current and Past Dieting Behaviour and Cognitions
This was rendered clearer, in terms of physical health outcomes, by Dr. Susan Byrne & Dr. Emma Dove, in 2009:
❝Weight loss was negatively associated with pre-treatment depression and frequency of treatment attendance, but not with dichotomous thinking. Females who regard their weight as unacceptably high and who think dichotomously may experience high levels of depression irrespective of their actual weight, while depression may be proportionate to the degree of obesity among those who do not think dichotomously❞
Aragon’s advice based on all this: while yes, some foods are better than others, it’s more useful to see foods as being part of a spectrum, rather than being absolutist or “black and white” about it.
Next: hit those perfect 10s… Imperfectly
The next decade expanded on this research, as science is wont to do, and for this one, Aragon shines a spotlight on Dr. Alice Berg’s 2018 study with obese women averaging 69 years of age, in which…
In other words (and in fact, to borrow Dr. Berg’s words from that paper),
❝encouraging a flexible approach to eating behavior and discouraging rigid adherence to a diet may lead to better intentional weight loss for overweight and obese older women❞
You may be wondering: what did this add to the studies from the 90s?
And the key here is: rather than being observational, this was interventional. In other words, rather than simply observing what happened to people who thought one way or another, this study took people who had a rigid, dichotomous approach to food, and gave them a 6-month behavioral intervention (in other words, support encouraging them to be more flexible and open in their approach to food), and found that this indeed improved matters for them.
Which means, it’s not a matter of fate or predisposition, as it could have been back in the 90s, per “some people are just like that; who’s to say which factor causes which”. Instead, now we know that this is an approach that can be adopted, and it can be expected to work.
Beyond weight loss
Now, so far we’ve talked mostly about weight loss, and only touched on other health outcomes. This is because:
- weight loss a very common goal for many
- it’s easy to measure so there’s a lot of science for it
Incidentally, if it’s a goal of yours, here’s what 10almonds had to say about that, along with two follow-up articles for other related goals:
Spoiler: we agree with Aragon, and recommend a relaxed and flexible approach to all three of these things
Aragon’s evidence-based approach to nutrition has found that this holds true for other aspects of healthy eating, too. For example…
To count or not to count?
It’s hard to do evidence-based anything without counting, and so Aragon talks a lot about this. Indeed, he does a lot of counting in scientific papers of his own, such as:
and
The effect of protein timing on muscle strength and hypertrophy: a meta-analysis
…as well as non-protein-related but diet-related topics such as:
But! For the at-home health enthusiast, Aragon recommends that the answer to the question “to count or not to count?” is “both”:
- Start off by indeed counting and tracking everything that is important to you (per whatever your current personal health intervention is, so it might be about calories, or grams of protein, or grams of carbs, or a certain fat balance, or something else entirely)
- Switch to a more relaxed counting approach once you get used to the above. By now you probably know the macros for a lot of your common meals, snacks, etc, and can tally them in your head without worrying about weighing portions and knowing the exact figures.
- Alternatively, count moderately standardized portions of relevant foods, such as “three servings of beans or legumes per day” or “no more than one portion of refined carbohydrates per day”
- Eventually, let habit take the wheel. Assuming you have established good dietary habits, this will now do you just fine.
This latter is the point whereby the advice (that Aragon also champions) of “allow yourself an unhealthy indulgence of 10–20% of your daily food”, as a budget of “discretionary calories”, eventually becomes redundant—because chances are, you’re no longer craving that donut, and at a certain point, eating foods far outside the range of healthiness you usually eat is not even something that you would feel inclined to do if offered.
But until that kicks in, allow yourself that budget of whatever unhealthy thing you enjoy, and (this next part is important…) do enjoy it.
Because it is no good whatsoever eating that cream-filled chocolate croissant and then feeling guilty about it; that’s the dichotomous thinking we had back in the 80s. Decide in advance you’re going to eat and enjoy it, then eat and enjoy it, then look back on it with a sense of “that was enjoyable” and move on.
The flipside of this is that the importance of allowing oneself a “little treat” is that doing so actively helps ensure that the “little treat” remains “little”. Without giving oneself permission, then suddenly, “well, since I broke my diet, I might as well throw the whole thing out the window and try again on Monday”.
On enjoying food fully, by the way:
Mindful Eating: How To Get More Nutrition Out Of The Same Food
Want to know more from Alan Aragon?
Today we’ve been working heavily from this book of his; we haven’t reviewed it yet, but we do recommend checking it out:
Enjoy!
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How To Reduce Knee Pain After Sitting
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Sitting is bad for the health, and doubly so if you have arthritis, as a lack of regular movement can cause joints to “seize up”. So, what to do about it if you have to sit for an extended time?
Dr. Alyssa Kuhn, arthritis specialist, explains:
Movement remains key
The trick is to continue periodically moving, notwithstanding that you may need to remain seated. So…
- Heel slides
- Straighten and bend your leg by sliding or lifting your heel.
- Promotes blood flow and reduces fluid buildup in the knee.
- Helps lubricate the joint, making standing up easier.
- Heel lifts
- Lift your heels up and down while keeping feet on the ground.
- This one’s ideal for tight spaces, such as when riding in a car or airplane.
- Improves blood circulation and can reduce ankle swelling and leg heaviness.
Do 20–30 repetitions every now and again, to keep your joints moving.
Note: if you are a wheelchair user whose legs lack the strength and/or motor function to do this, in this case it’s the movement of the leg that counts, not where that movement originated from. So, if you use one hand to lift your leg slightly and the other to push it like a swing, that will also be sufficient to give the joint the periodic movement it needs.
For more on all of this plus visual demonstrations, enjoy:
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Want to learn more?
You might also like to read:
Stand Up For Your Health (Or Don’t) ← our main feature on this also includes more things you can do if you must sit, to make sitting less bad!
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- Heel slides
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News of a ‘giant’ baby boy is all over TikTok. Here’s what women really need to know
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Baby boy Cassian is an internet sensation. He was born earlier this year in the United States weighing 5.8 kilograms. But after his mum and the hospital shared the news recently, it wasn’t long before headlines about the “giant” baby spread around the world. These included:
‘Are you OK’?: Woman breaks record with giant newborn baby
Record-breaking baby tips the scales at almost double the average size of a newborn
While baby Cassian was born heavier than average, he’s not unique. There have been other examples in the news of babies born heavier. That includes a baby boy born in Brazil in 2023 who weighed 7.3kg.
These stories might make women all over the world cross their legs. But how common are big babies, and does their birth always lead to complications?
What are big babies?
Macrosomia describes babies born over 4kg or 4.5kg, depending on the definition.
A big baby can also be defined as having a birth weight over the 90th percentile at a particular gestational age. In other words, more than 90% of babies have a lower birth weight at this particular stage of the pregnancy. The term “large for gestational age” is probably a more accurate term as the weeks of gestation is used alongside the weight.
There has been little change overall in the percentage of large babies in the past decade in Australia. While stories of such births hit the media, their proportion hovers around 9–10% of births.
What are the problems for big babies and their mums?
We don’t know the specific circumstances of Cassian’s birth, his health or that of his mother. And we don’t know whether common reasons for larger babies are relevant in this situation.
But, generally speaking, birth complications can be higher for mothers and babies when the baby is big, especially if more than 4.5kg. This is certainly not always the case, however.
There is an increased need for interventions during the birth, such as forceps or vacuum delivery, or a caesarean section the bigger the baby is. Having these interventions can impact a women’s recovery after the birth, and options for the next birth.
For the baby there are higher risks of the shoulders getting stuck in the birth canal during the birth (known as shoulder dystocia).
Midwives and obstetricians also may need to make extra manoeuvres for the baby to be safely delivered. For instance, they may need to try and bring down one shoulder if it’s stuck behind the mother’s pubic bone.
These manoeuvres can damage the baby or lead to oxygen restrictions, with the baby needing to be resuscitated. However, these complications are rare and can occur when a big baby was not expected.
What leads to a big baby?
Big babies are most often healthy babies, and there are a number of reasons for them.
Genetic factors mean babies are always big in some families.
Babies that go over their due dates tend to be a bit bigger as they have more time to grow inside their mothers.
Having diabetes, especially if this is poorly controlled, can lead to larger babies. This is because the mother’s higher blood sugar leads to the baby receiving more energy than it needs, so it stores this extra energy as fat.
Babies of mothers with diabetes diagnosed for the first time in pregnancy (gestational diabetes) are at increased risk of being obese and developing diabetes in the future.
Mothers who are larger before pregnancy, or when pregnant, may also be more likely to have big babies. This is mostly due to the increased likelihood of developing diabetes in pregnancy, and perhaps poorer nutrition choices.
Can you predict a big baby?
Estimations of babies’ weights before they are born are imprecise. That’s why so many women are told they are going to have a big baby and don’t, and others are surprised by a big baby when it arrives.
Midwives and obstetricians routinely feel a woman’s growing uterus when they provide antenatal check-ups. They are looking at the position the baby is lying in the uterus as well as where the top of the uterus is compared to the woman’s belly button. This gives an idea of whether the baby is growing as you would expect at that time.
They also measure from the top of a woman’s belly to the top of her pubic bone with a tape measure. The weeks of pregnancy usually correspond to the measurement within a couple of centimetres.
For example, at 36 weeks of pregnancy the tape measurement would be somewhere between 34cm and 38cm. If there is more or less than a 3cm difference between the measurement and the numbers of weeks of pregnancy then an ultrasound would be offered to look at how the baby’s growing and to estimate the size.
But ultrasounds are poor predictors of actual birth weight. The Big Baby Trial was published earlier this year. It randomised nearly 3,000 women in the United Kingdom to being induced at 39 weeks if suspected to be having a big baby (according to an ultrasound) or waiting for labour to start.
There was little difference in birth weight or poor outcomes, such as shoulder dystocia for the baby, leading to the trial being stopped early. Around 60% of babies screened as being big babies were not actually big at birth, showing the inaccuracy of ultrasounds in predicting birth weight.
What can women do?
The best health advice for women is to try to be a healthy weight (under a BMI of 30) before getting pregnant.
Eat a balanced diet and limit your intake of foods and drinks high in saturated fats and sugar. Try not to put too much weight on during pregnancy and exercise regularly. Talk to your midwife or obstetrician for advice and support about this.
If you have diabetes, or if this has been diagnosed during the pregnancy, close monitoring of your blood sugar and baby’s growth is important.
Hannah Dahlen, Professor of Midwifery, Associate Dean Research and HDR, Midwifery Discipline Leader, Western Sydney University
This article is republished from The Conversation under a Creative Commons license. Read the original article.
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How pregnant women are tested for gestational diabetes is changing. Here’s what this means for you
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How Australian pregnant women are tested for gestational diabetes is set to change, with new national guidelines released today.
Changes are expected to lead to fewer diagnoses in women at lower risk, reducing the burden of extra monitoring and intervention. Meanwhile the changes focus care and support towards women and babies who will benefit most.
These latest recommendations form the first update in screening for gestational diabetes in more than a decade, and potentially affect more than 280,000 pregnant women a year across Australia.
The new guidelines, which we have been involved in writing, are released today by the Australasian Diabetes in Pregnancy Society and published in the Medical Journal of Australia.
What is gestational diabetes? Why do we test for it?
Gestational diabetes (also known as gestational diabetes mellitus) is one of the most common medical complications of pregnancy. It affects nearly one in five pregnancies in Australia.
It is defined by abnormally high levels of glucose (sugar) in the blood that are first picked up during pregnancy.
Most of the time gestational diabetes goes away after the birth. But women with gestational diabetes are at least seven times more likely to develop type 2 diabetes later in life.
In Australia, routine screening for gestational diabetes is recommended for all pregnant women. This will continue.
That’s because treatment reduces the risk of poorer pregnancy outcomes. This includes babies being born very large – a condition called macrosomia – which can lead to difficult births, and a caesarean. Treatment also reduces the risk of pre-eclampsia, when women have high blood pressure and protein in their urine, and other serious pregnancy complications.
Screening for gestational diabetes is also an opportunity to identify women who may benefit from diabetes prevention programs and ways to support their long-term health, including support with nutrition and physical activity.
Why is testing changing?
Most women benefit from detection and treatment. However, for some women, a diagnosis can have negative impacts. This often relates to how care is delivered.
Women have described feeling shame and stigma after the diagnosis. Others report challenges accessing the care and support they need during pregnancy. This may include access to specialist doctors, allied health professionals and clinics. Some women have restricted their diet in an unhealthy way, without appropriate supervision by a health professional. Some have had to change their preferred maternity care provider or location of birth because their pregnancy is now considered higher risk.
So we must diagnose the condition in women when the benefits outweigh the potential costs.
Which pregnant women need a blood test and when? And when are other types of testing warranted? Elizaveta Galitckaia/Shutterstock When are blood sugar levels too high?
Diagnosing gestational diabetes is based on having blood glucose levels above a certain threshold.
However, there is no clear level above which the risk of complications starts to increase. And determining the best thresholds to identify who does, and who does not, have gestational diabetes has been subject to much research and debate.
Globally, screening approaches and diagnostic criteria vary substantially. There are differences in who is recommended to be screened, when in pregnancy screening should occur, which tests should be used, and what the diagnostic glucose levels should be.
So, what changes?
The new recommendations are the result of reviewing up-to-date evidence with input from a wide range of professional and consumer groups.
Screening will continue
All pregnant women who don’t already have a diagnosis of pre-pregnancy diabetes, or gestational diabetes, will still be recommended screening at between 24 and 28 weeks’ gestation. They’ll still have an oral glucose tolerance test, a measure of how the body processes sugar. The test involves fasting overnight, and having a blood test in the morning before drinking a sugary drink. Then there are two more blood tests over two hours. However, fewer women will have this test twice in their pregnancy.
Changes mean more targeted care
The following changes mean health services should be able to reorient resources to ensure women have access to the care they need to support healthier pregnancies, including early support for women who need it most:
- women with risk factors of existing, undiagnosed diabetes (such as a higher body-mass index or BMI, or a previous large baby) will be screened in the first trimester, with a single, non-fasting blood test (known as HbA1c)
- fewer women will have an oral glucose tolerance test early in the pregnancy, ideally between ten and 14 weeks gestation. This early testing will be reserved for women with specific risk factors, such as gestational diabetes in a previous pregnancy, or a high level on the HbA1c test
- women will only be diagnosed if their blood glucose level is above new, higher cut-off points for the oral glucose tolerance test, for tests conducted early or later in the pregnancy.
Which tests do I need?
These changes will be implemented over coming months. So women are encouraged to speak to their maternity care provider about how the changes apply to them.
Alexis Shub, Obstetrician & Maternal Fetal Medicine specialist, The University of Melbourne; Matthew Hare, Senior Research Fellow & Endocrinologist, Menzies School of Health Research, and Susan de Jersey, Associate Professor, Advanced Dietitian and Credentialled Diabetes Educator., The University of Queensland
This article is republished from The Conversation under a Creative Commons license. Read the original article.
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