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I have Gestational Diabetes. Now What?


gestational diabetes

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1. Do I have type 2 Diabetes?

No...

Gestational Diabetes (GD) is different from “traditional” diabetes (or diabetes type 2). It is believed to be caused by (i) hormonal changes from your placenta (ii) 2-3 fold increase in the demand of your body compared to the pre-pregnancy state. (1)

But...

GD puts you at higher risk of developing the condition later in your life. Exercise, healthy eating and losing the pregnancy weight will help reduce this risk.

In many women, glucose levels will go back to pre-pregnancy ones days to weeks after the delivery.

2. Why me?

Whilst being overweight puts you at higher risk of developing GD, not all obese women will have this condition. This is where genetics play their role.

The known risk factors such are: (2)

Weight: Having a body mass index (BMI) above 30

You can check the UK’s National Health System’s (NHS) website to calculate your BMI and know if you have a healthy weight

Factors in your previous pregnancy: You had GD in your previous pregnancy and/or had a baby weighing 10 lbs (4.5kg or more)

Genetics: Your parents or siblings have diabetes, or you are from South Asian, Chinese, African-Caribbean or Middle Eastern origins

3. How is it treated?


The first line of treatment is diet and exercise (always refer to a physician before starting a diet during pregnancy).

Lowering the intake of sugary drinks, sweets, and other carbohydrates along with mild/moderate exercise (30 minutes of brisk walking a day) can be sufficient to control your blood sugars.

Medications such as metformin and/or insulin can be prescribed after exercise and diet have been tried.

4. What is required of me? (3)

If it is safe to do so, your healthcare professional will ask you to modify your eating patterns and increase exercise.

You will also need to test your blood glucose level at home (fasting, before/after meals).

You will most likely need to see your healthcare professional more frequently.

5. What are the risks for the baby?

Controlling the blood glucose levels profoundly reduce the risk of complications such as: (4)

-Having a big baby (,4.5kg or more)

-Early (preterm) birth and respiratory distress syndrome

-Low blood sugar at birth ad a few days after

-Untreated GD could lead to stillbirth or miscarriage

References

1.http://www.diabetes.co.uk/gestational-diabetes.html

2. https://www.nhs.uk/conditions/gestational-diabetes/ retreived December 7th, 2017

3.NICE Guidelines. Gestational diabetes: risk assessment, testing, diagnosis and management. 2017.

4.https://www.mayoclinic.org/diseases-conditions/fetal-macrosomia/symptoms-causes/syc-20372579

#diabetes #gestation #gestational #pregnancy #bloodsugar #diet #exercise #metformin #insulin

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