 Diabetes that appears for the first time in pregnancy is called gestational diabetes, and affects 5 to 20% of pregnant women. High blood sugar – also known as hyperglycemia – in pregnancy is associated with adverse outcomes for both mother and child, including higher rates of pre-eclampsia, caesarian section, babies born large for their gestational age and shoulder dystocia, and hypoglycemia in newborns. We also know that treatment of gestational diabetes decreases the risk of these complications.
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 Harvard Medical School has removed nutrition education from its curriculum.
Last summer, I taught a section of the week-long HMS nutrition course for second year medical students, and there were rumblings of this possibility then. But at least to me, it still seemed likely that with nutrition-related diseases being of such overwhelming concern to the general public, HMS leadership would change its mind.  Several months ago, I got into a twitter spat. In response to a blog post that decried how inadequately doctors were treating patients with obesity, I wrote in a series of tweets: “When will we stop blaming doctors for what they fail to do about obesity and accept that they cannot reverse the epidemic? Primary care docs have a role but not enough support or time to spend on obesity while treating myriad other issues. Reversing obesity is more of a policy and societal challenge than a health care matter. Surgery and drugs can only do so much.” In response, the author of the original blog post wrote another piece, quoting me anonymously, lamenting that I thought there was nothing that doctors could do to treat obesity.
 Full disclosure: all of my colleagues refused to write a blog post on this topic. “Ewww,” one said. “I don’t feel comfortable writing about that,” said another. Even when I pointed out that our department has written papers on very similar topics, they all declined. So I decided to tackle it myself, because a) it’s a topic that applies to everyone who was ever born, b) is biologically very important and interesting, and c), I think it’s an excellent example of how the implications of a small but interesting scientific study can be misinterpreted, exaggerated, or distorted.
 Whatever your take on the Affordable Care Act (ACA), the Syrian refugee crisis, or the bailout of Wall Street, there is probably at least one area where we can (mostly) agree that the Obama Administration has earned high marks over the past 8 years – Obesity. Michelle Obama, with her “Let’s Move” campaign, has been a champion for healthful dietary choices and physical activity, with a strong focus on obesity prevention in children. As great as this has been for those of us who research, treat, or are generally passionate about obesity, the era is now coming to an end. Entering the heart of the 2016 presidential campaign, I often find myself wondering – how will Obama’s successor deal with this important issue? Will the nation’s current laser focus on health and wellness fade into the background as a new family, with new issues to promote, moves into the White House?
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