Caring for a Woman at High Risk for Type 2 Diabetes


  • Mary K. Barger CNM, MPH,

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    • Mary Barger, CNM, MPH, is Assistant Professor and Director of the Boston University School of Public Health Nurse-Midwifery Education Program.

  • Mary Bidgood-Wilson CNM, MSN

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    • Mary Bidgood-Wilson, CNM, MSN, FNP, is the director of a family nurse practitioner/nurse-midwifery practice that cares for families in rural New Hampshire.

Boston University School of Public Health, T-5W, 715 Albany St., Boston, MA 02118. E-mail:


Women who are obese with a history of gestational diabetes are at risk for developing type 2 diabetes and metabolic syndrome. A weight loss of as little as 15 pounds can decrease these long-term risks. This case presentation reviews practical issues related to encouraging women to make important lifestyle changes and to adhere to taking cholesterol-lowering medications.