Dr Natalie Crawford

So someone who was non-diabetic before pregnancy and then develops diabetes.

So her blood sugars have now reached a threshold where they are

higher than normal and can cause, you know, problems for her pregnancy and herself long term.

And up to 50% of those patients who develop diabetes in pregnancy will develop type 2 diabetes within 10 to 15 years after that gestation, after being pregnant.

And so what we know now is like we have warning signs of this well before pregnancy where we can set these women up for success.

Before, it's just we wait till we make the diagnosis.

Everybody gets their glucose test and off you go.

But now with this PCOS diagnosis, we are monitoring earlier.

We're starting her on the nutrition.

You know, we're treating her like a diabetic.

with nutrition and exercise recommendations, rather than waiting until she reaches the criteria.

We live in this obesogenic environment.

I mean, there's no doubt, at least in the U.S.

And most industrialized nations, our environment is what we call obesogenic and insulin-resistant-ogenic.

So you have to fight against kind of the systems that are in place now for most of us, unless we have some genetic predisposition to just be magical.

Right.

too because the way we process food the way food is delivered to communities the way you know our lack of exercise you know everyone's working from home now just just modern life is is really you have to fight against one of the questions that came in from the audience was i would like to know how best to manage my pcos when it comes to managing your pcos targeting those two factors that we talked about earlier insulin resistance and inflammation are really the key

In the medical model of PCOS, when I'm talking about what we're taught and how we train our clinicians, we go into the, you know, we aren't taught a lot about disease prevention or, and I hate to use the term root cause because I think it's been usurped by certain members of, you know, the wellness community.

Let's take it back.

Yeah, we're going to take it back.