Publications by authors named "B Almeida-Pititto"
Lactation is known to improve insulin resistance, but this phenomenon remains poorly understood. Our goal was to evaluate whether subclinical inflammation could mediate the association between breastfeeding (BF) and improvement in glucose metabolism and markers of insulin resistance (MIRs) in the postpartum. A total of 95 adult women (≥18 years) with a BMI ≥ 25 kg/m from the outpatient clinic of the Federal University of São Paulo were followed from early pregnancy until 60 to 180 days postpartum.
View Article and Find Full Text PDFEvaluation of the Steno Type 1 Risk Engine in predicting cardiovascular events in an ethnic mixed population of type 1 diabetes mellitus and its association with chronic microangiopathy complications.
Cardiovasc Diabetol
October 2024
Background: The Steno Type 1 Risk Engine (ST1RE) was developed to aid clinical decisions in primary prevention for individuals with type 1 diabetes (T1D), as existing cardiovascular (CV) risk models for the general population and type 2 diabetes tend to underestimate CV risk in T1D. However, the applicability of ST1RE in different populations remains uncertain, as prediction models developed for one population may not accurately estimate risk in another. This study aimed to evaluate the performance of the ST1RE in predicting CV events among ethnically mixed T1D individuals and its association with the progression of microangiopathy complications.
View Article and Find Full Text PDFNutritional guidance through digital media for glycemic control of women with gestational diabetes mellitus: a randomized clinical trial.
J Perinat Med
October 2024
Article Synopsis
- The study aimed to compare the effectiveness of standard nutritional guidance versus guidance supplemented with digital media (WhatsApp reminders) for pregnant women with gestational diabetes mellitus (GDM).* -
- Conducted from February 2021 to January 2023, 81 women were divided into two groups, with results showing improved glycemic control and increased lipid intake in the group receiving digital reminders compared to those with standard guidance.* -
- While glycemic control improved significantly with the addition of reminders, no notable changes were observed in calorie intake, other macronutrients, or the need for pharmacological treatment between the two groups.*
Association between neck circumference and glucose tolerance levels at 2-6 months postpartum in women with and without gestational diabetes.
Arch Endocrinol Metab
October 2024
Objective: To evaluate the association between neck circumference (NC) measured during pregnancy and markers of glucose metabolism measured 2-6 months postpartum in women with overweight/obesity with and without gestational diabetes (GDM).
Subjects And Methods: This prospective study enrolled 100 pregnant women (including 50 with GDM) with pregestational body mass index (BMI) ≥ 25 kg and < 40 kg/m². The cohort was stratified according to NC tertiles during pregnancy.
Telephone lifestyle intervention to prevent diabetes in women with recent gestational diabetes mellitus attending the national health system: the LINDA-Brasil clinical trial.
BMJ Open
October 2024
Objectives: To evaluate a postpartum telephone-based lifestyle intervention to prevent diabetes in high-risk women with recent gestational diabetes mellitus (GDM).
Design: Multicentre parallel randomised clinical trial.
Setting: Specialised antenatal clinics in the Brazilian National System.