"The article does not mention costs. The story provides absolute proportions of children who were overweight or obese at 5 or 7 years old. Groups compared included children of those mothers with normal glucose levels, children of those with a diabetes diagnosis who were treated, and children of those with high blood sugar levels who were not treated. Although it’s not entirely clear which group actually received treatment. The study does not mention any harms of treatment for high blood sugar, which could potentially include severe episodes of low blood sugar (if treated with insulin). Would also have been helpful to say more about the lifestyle/nutrition interventions and to note that they have not been found to cause harm, though the effects of materal stress/worry and the costs of blood glucose monitoring are not well studied. The story does not make it clear what type of evidence the findings are based on. For instance, it’s not clear if results are from a randomized trial (the gold standard) or some other study design. An astute reader may be able to infer that this is not a randomized clinical trial from the statement that data were ""analyzed"", but one also doesn’t know if the design was prospective or retrospective, which would add to knowledge about the strength of the study. The fact that we actually don’t know what treatment women actually got is also not clearly discussed. There is no obvious embellishment or mistatement about gestational diabetes. The article provides a brief, but accurate description of what it is. The lead line ""women who develop diabetes during pregnancy"" is somewhat misleading because without clarification of the often transient nature of gestational diabetes, readers could think it means Type II diabetes – women who develop and continue to have diabetes. It would be preferable to define and use the term gestational diabetes or pregnancy-related diabetes much earlier. There is a quote from a researcher at Northwestern University who apparently is not affiliated with the latest findings. The story mentions treatment approaches of gestational diabetes, including diet, exercise, and insulin, which are appropriate. The article does not note the option of not treating (especially in the lower range) which is advocated by some. Assuming ""treatment"" in this case is ""exercise, a special diet, or insulin,"" the article does imply that these are available. Most, if not all, people will understand that treatment for high blood sugar is readily available. What’s new is that treatment of women with blood sugar that is high, but not high enough for a diagnosis of diabetes, may benefit from treatment with exercise, diet, or insulin as well. A more important wrinkle in this particular study is that ""treatment"" is inferred by practice patterns used at Kaiser and no individual-level data is available to determine if the women in the group that would have been provided with counseling/intervention of gestational diabetes actually received that counsel or acted on it. Thus the ""treated group"" is actually those who met gestational diabetes criteria by National Diabetes Data Group criteria – thus they are really the treatment eligible group among whom some (likely large) group received some completely not specified treatment. Treatment for gestational diabetes is not new, although the story does not explicitly state this. What the story implies is that diagnosis and treatment of diabetes at lower blood sugar thresholds than those currently treated may have a benefit for children, although more studies are needed. Diagnosing and treating more pregnant women with high blood sugar who don’t necessarily meet the traditional diabetes diagnosis would be new and there is some discussion around this. Since the story used at least one independent perspective, it does not appear to have relied soley or largely on a news release."
Diabetes care during pregnancy reduces risk of obese children