Women tend to develop high levels of blood sugar during their pregnancy (especially within the 24th and 28th weeks), irrespective of whether they already had suffered from diabetes prior to their pregnancy. However, gestational diabetes, if not taken proper care of, might escalate the risks of developing diabetes in the near future for both the mother and the child, accompanied by complications in pregnancy or labor. Gestational diabetes is usually characterized by mild symptoms such as excessive urge to urinate, excessive thirst, blurred vision and fatigue.

Causes:
Insulin, a hormone produced by the pancreas, allows for the utilization of the glucose for energy. The food consumed is broken down by the digestive tract of the body, converting carbohydrates into glucose before releasing it into the bloodstream. The glucose is then absorbed by the cells to be used as an energy source. Now, at the time of pregnancy, the placenta (organ nourishing the fetus) connecting the baby to the blood supply also produces various other hormones in high levels, for instance, estrogen and human placental lactogen. Most of these hinder the normal functioning of insulin in the cells, hence raising the blood sugar count. With subsequent growth of the baby, the placenta keeps on producing more amounts of such insulin resistant hormones to an extent that they are capable of meddling with the development of the baby.

Treatment:
1. Monitoring the blood sugar count at least four to five times a day and keeping it under control might help to ease the complication.
2. A healthy diet consisting of whole grains, vegetables and fruits in the right proportion and limiting sugar or other highly refined carbs meets the nutrition and fiber requirement of the body. Guard against additional weight gain during pregnancy as that hampers the entire process.
3. Exercise or regular physical activities help to normalize blood sugar level by boosting glucose absorption in the cells. Furthermore, exercises also enhance the sensitivity of the cells towards insulin. This means that only a little amount of insulin production by your body would be enough for the transportation of sugar.
4. Medication, If exercise and diet fall inadequate, insulin injections are often administered to control blood sugar count.
5. Keeping the baby under close observation with the help of repeated ultrasound and other tests to record its growth and development is an essential part of the treatment plan.

Gestational Diabetes - How It Can Be Treated?

You often get into this mess of losing part or whole of the tooth, and this is actually a nasty situation in several ways. You may get severe pain there, or the sharp edge of the broken tooth may cut the cheek and other areas of the skin in the mouth white chewing or biting. Besides, if left untreated the broken part may accumulate dirt and food particles and can later form serious infections in the gum too. It looks bad too when a front tooth is broken, and often leaves your inner mount with cuts and abrasions when the sharp edge of the broken tooth rips of skin inside the mouth as you chew.


The first aid part


There are several ways to manage the broken tooth, and the first steps of first aid after the incident are as follows:
-  To control the acute pain after the tooth break, you may take a painkiller like acetaminophen. This will soothe the pain, and make it much easier and bearable.
-  You must try sticking some sugar-less chewing gum on the tooth to prevent cutting inside the mouth. In case a gum is not available, you may try putting some simple wax in there.
-  Try gulping the food and chew less, or go on a liquid diet to avoid touch of much food with the broken tooth unless it gets the first treatment.


Filing and Bonding- the initial treatment
On going to the dentist based on the tooth break condition, you will be suggested various remedies. A tooth filing or bonding is the general remedy. If a small portion of the tooth is broken, then the tooth can be simply filed in case it is one of the rear teeth. The tooth will be chipped and filed to smoothen the cut edge so that it never again pokes the skin around. 
If the break is not small, then bonding is a good option. The dentist fills the rest of the tooth space with a resin or porcelain material to make it look whole and natural again, and this solves the problem both physically and cosmetically.


Crowning the tooth
If the tooth is damaged more than a root canalling may be needed, and thereafter a cap or crown will be worn over the broken teeth so that it gets a natural look and the hardness to chew. You may lose sensations permanently on the tooth if the root nerve is blocked during the process. Else you will have a cosmetically working tooth for a few years until the crown wears off and needs a re-crowning.

How To Repair Chipped Front Tooth In Child

The tendency for the development of Attention Deficit Hyperactivity Disorder, which is more popularly known as ADHD, during the months of pregnancy is growing with each passing day. The main reason behind this is the increased exposure to the digital devices. This disorder is characterized by some specific characteristics, the most common ones being the inability to concentrate on anything and being hyperactive at all times of the day. People tend to show impulsive actions in all cases. 

But the good news is that the researchers have come up with some possible solutions to ADHD during pregnancy with the help of which it can be prevented-

Curb the intake of sugars: One of the main steps that you can take towards preventing the development of ADHD during your pregnancy is going on a low sugar diet. Several types of research have proved that when the mother has a high sugar diet, it directly correlates to the development of ADHD. The reason behind this is quite simple. It is because there is a particular gene in the human body called the IGF2 and this gene is responsible for the development of the brain. But when there is a high amount of sugar in the diet, the IGF2 levels are compromised which ultimately leads to the development of ADHD. So, don t take too much of processed proteins and stick to a healthy diet. If necessary, approach a dietician who can give you a proper diet chart to follow.
Get the proper probiotics for yourself: Probiotics have a major role in many of the health conditions and one of them is the development of ADHD in pregnancy. Adding the necessary probiotics to a pregnant woman is not only good for her overall health but also enhances the growth and development of the fetus. Not only does the application of the right probiotics prevents the chances of development of ADHD in newborns, but it also reduces the risk of development of conditions like autism, bipolar disorder, mood disorders, and even schizophrenia.
Keep your cell phones away from you: All forms of digital devices create a heavy impact on the fetus leading to ADHD in many cases. Mobile phones are no doubt an important part of your lifestyle but you can keep them away from yourself when they are not needed, especially, keep them away from your pockets.
Drink filtered water: Unfiltered water contains many chemicals and other unhygienic substances. You should refrain from consuming unfiltered water especially in your months of pregnancy.
In the months of pregnancy, when your body is vulnerable to the outside factors that are harmful, you must stay extra vigilant and take all the precautions necessary to ensure that your child does not develop ADHD. Maintain your diet and don t skip your checkups.

How To Prevent ADHD During Pregnancy?

A child s tantrums, especially during teens, are quite common. However, there could be some children who could be exhibiting an extreme version of these symptoms. This is known as oppositional defiant disorder.
Children with this disorder become easily irritable, angry, argumentative, defiant and feel vindictive against most elders (parents, teachers, and others). While this is something very common and can be ignored to be a part of teenage tantrums, the issue is when these symptoms do not seem to end. If they persist for beyond 6 months, it is time to worry. These may then begin to interfere with their daily activities including schooling, where they may not be easy for the teacher to manage.

Diagnosis of ODD: With the changing behaviour of teenagers, it is often difficult to pinpoint and say there is ODD. However, some guidelines for diagnosis are listed below. Angry/irritable, argumentative, defiant and vindictive. If these symptoms are seen for more than 6 months with no inducing reason, happens with non-siblings, and is affecting learning and playing, it is highly likely the child has ODD.

These symptoms can occur at home, at school, or in other settings   seen respectively in one, two, or more settings. Some of the symptoms are listed below.

Repeated temper tantrums
Anger bursts, swearing, using obscene language
Extremely argumentative, especially with people in authority (teachers, parents, etc.)
Annoying others and getting annoyed easily
Noncompliance to rules and regulations at school and institutions
Defending one s mistakes and blaming others for it
These result in poor academic performance, antisocial behavior, substance abuse, and higher suicidal tendencies.
Treatment

Treatment depends on the presenting symptoms, the age of the child, and supportive care available. The child should be able to actively take part in psychotherapy to reap good benefits. It would otherwise be a task with no results.

Psychotherapy will help the child improve its cope and express and control anger. This also improves problem-solving skills.
Cognitive-behavioural therapy tries to mould the behaviour.
If required, the parents also would be involved to improve family s involvement in the treatment. Caretakers are given special training if required so that they can support in long-term medical care.
The child also needs to be trained for appropriate behaviour under different circumstances.
Rewards for positive behaviour and punishments for negative behaviour are useful ways.
Prevention: Early identification can help in minimizing distress to the family and help in the early arrest of the disease. The family is also taught basic and simple steps which can help in supporting therapy. Early rejection at school and loss of learning, can happen which can be managed with early intervention. A nurturing and supportive family can help manage the child very well.

Oppositional Defiant Disorder in Kids - How to Deal with it ?

It is that time of the year when insects are all around. Suddenly one feels a buzzing sound or an itchy feel in the ear. To your horror, one feels a live insect is in your ear, which can be extremely annoying and is like a nightmare. Insects often get stuck when they enter our ears as they cannot fly or crawl out. They try to find their way out and their movements inside our ears can be very uncomfortable, painful and can be itchy as well. Moreover, they can easily produce infection.

In this scenario, do not try to remove an insect with cotton swab, tweezers or hair clip as it will make the situation worse and can lodge the insect deeper into the ear canal, which can possibly damag the eardrum, leading to permanent hearing loss. If an individual is not certain about the potential harm taht can be caused by the insect in the ear, one should seek medical care immediately. Insects in the ear are common reasons for visits to doctor's clinic, especially in children.

If one suspects an insect in ear, one may experience pain, swelling, blood or crackling. One may even feel biting, stinging, hearing loss or dizziness. It is best to stay calm in this situation as being active may lodge the bug further in ear or cause it to move further back or cause serious damage to the sensitive eardrum

One way to try to remove a bug in ear is by tilting the ear toward the ground and attempt to wiggle the ear. Grasp the earlobe and give it a wiggle. If the bug is not too far into ear canal, it may fall out on its own. If the bug is still alive and is not too far inside of the ear canal, it may simply come out on its own. If one stays calm and keep objects including fingers away from ears, it is likely that the bug will find its way back out of ear.

One can also try to flush the ear with warm water with a dropper or a bulb syringe. This can be done by holding head upright and stretching the ear canal by pulling the outer ear and then putting a steady stream of warm water into ear. Tilt head to the side to drain out the ear. Do not try this if one suspects that ear drum has been ruptured to prevent additional damage.

To avoid stinging or eardrum rupture from scratching or biting , one may use a drop or two of mineral, baby, or olive oil inside your ear canal to kill the insect. Finally, visit an ENT specialist doctor as they can remove the insect by special suction devices. Post insect removal, one must look out for signs of infection as swelling, dizziness, hearing loss, fever, and pain. Finally follow up with ENT specialist or Otolaryngologist for the final opinion.

How to Remove Insect from Ear at Home? 

Few things in life take longer than habits to be inculcated and eventually to die out. Every parent tries in his or her way to teach the child certain healthy habits, those that they wish would be followed long enough to be internalized by them. Certain healthy habits that every child should follow are:

1. Include a lot of vegetables in the diet: There is an array of vegetables available in the market, which is replete with rich nutritional values. Though children are generally averse to the idea of eating vegetables, it is your duty to inculcate in them the habit of eating vegetables and constantly remind them of their rich nutritional benefits.

2. Never skip breakfast: Breakfast is the most important meal of the day and is often the most ignored. Most children have the propensity to skip breakfast if they are late and generally they are seldom reprimanded by their parents. As a parent, you must make it a point not to take this lightly and severely insist on a healthy breakfast every morning.

3. Indulge in physical activities: With the advent and easy access of technology, going out to play in has become a distant reality, one that is never explored. However, it goes without saying that nothing can substitute the physical and mental benefits that a physical activity entails. It not only keeps the body of your child fit but also helps in keeping the mind fresh.

4. Read daily: Few things in life can be as rewarding and fulfilling as reading a book. However the habit does not come easy and as a parent it is your responsibility to induce in them this. Try to make your child read a few pages everyday till they take it up themselves out of their volition.

5. Drink water and skip the soda: The many flavored sodas, which are available serve as a more palatable alternative to the drab water for the children. Though the choice may seem convenient, it must be snipped off right from the beginning. Sodas are packed with harmful preservatives and should be duly avoided by children. Instead, they must choose the bottle of water to quench the thirst.

5 Healthy Habits That Every Child Should Follow

Don't wait any longer, manage your Pediatrician online with a Lybrate doctor today

Consult for Pediatrician - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES