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Limit high-fat foods : Limit creamy sauces and soups, and choose baked or grilled rather than fried foods

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The American Diabetes Association similarly recommends at least 150 minutes of moderate-intensity exercise weekly, spread over at least 3 days, with no more than 2 consecutive days without activity

These reflect either elevated cardiometabolic risk (prediabetes) or established cardiovascular disease (prior heart attack, prior stroke, symptomatic PAD)

doi: 10.1016/S0140-6736(20)30045-3

Ethical, clinical, and health system considerations The reviewed literature emphasizes the ethical dilemmas of balancing maternal metabolic benefits against uncertain fetal risks