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?

Diabetes is a lifestyle disease that can easily be managed by controlling our diet. Along with being aware of your sugar intake, your diet should help you lower blood pressure and cholesterol levels. However, this does not mean you have to resign yourself to a lifetime of tasteless food.

Here are a few diet tips that can help manage diabetes: 

Choose high fiber carbohydrates: Carbohydrates are an essential element of the daily diet but have a huge impact on blood sugar levels. Hence, it is important to pick the right carbohydrates. Your diet should have a limited amount of refined carbohydrates such as white bread, pasta, soda etc. and should be focused more on high fiber carbohydrates such as brown rice, sweet potatoes, rolled oats and bran flakes that are digested slowly. This prevents your body from producing excessive insulin.
Be sweet smart: The key to indulge your sweet tooth and controlling diabetes is moderation. Abruptly, removing sugar from your diet can make you crave for it. Instead, gradually lower your sugar intake. If you can't miss out on the dessert at the end of a meal, reduce the amount of carbohydrates in your meal. Adding healthy fats like peanut butter, yogurt or nuts to your dessert can also slow down the digestive process and thus control blood sugar level.
Keep a food diary: When you are diabetic, it is very important to eat at regular intervals. Eating frequent, small meals are often better than fewer large meals. Try and maintain a food diary to keep track of your calorie intake. This helps identify problem areas of where your body is getting excessive calories from. When you are aware of the calories associated with things you eat, it is easier to cut down on snacks and replace unhealthy snacks with healthier options.
Choose fats wisely: It is impossible to completely cut out fats from your diet. While some fats such as liquid vegetable oils and commercial baked goods are unhealthy, others have important health benefits. Unsaturated fats are the healthiest and safest. Replacing your vegetable cooking oil for olive oil and biscuits with nuts are easy ways to make smart choices with your fat intake.
Go green: Green leafy vegetables are low on carbohydrates and high on nutrients. Thus, make them an integral part of your meal. Vegetables like kale, spinach, lettuce, etc. can be eaten raw or cooked. Along with being nutritious, they also add texture and color to your meals, thus making them more visually appealing.
If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

5 Tips To Control Diabetes Through A Diet!

How Thyroid issues affect your weight - When I talk with women suffering with unexpected weight gain, often one of the first questions I am asked is "Is it my thyroid?"

Sometimes, my answer is "Yes" - after all, our thyroid hormones play a huge role in regulating our metabolism and how we use nutrients.

And research shows that even small changes to the thyroid function can cause weight gain. In fact, many women who have been told their thyroid test results are "normal" may still have a reduced thyroid function (subclinical hypothyroidism) that's enough to cause weight gain and other bothersome symptoms.

At the clinic, I work with women suffering from a wide range of thyroid issues from those just starting to suspect they have a thyroid problem to those already taking medication. And I tell each and every one of them how they can benefit from natural thyroid support and a holistic approach that considers thyroid function as part of overall hormonal balance.

The thyroid and unexpected weight gain: an early signal - Unexpected weight gain and difficulty losing weight may be one of the first noticeable signals that you're struggling with hypothyroidism (a sluggish thyroid) or subclinical hypothyroidism. Many women tell me about their frustration with gaining five pounds every year and not being able to figure out why!

Reduced thyroid function may be the result of the thyroid's impaired ability to produce hormones, or the body may have difficulty using the thyroid hormones. Either way, problems with your thyroid hormones may cause the rate at which you use nutrients (your metabolic rate) to slow down.

We are especially prone to thyroid issues and weight gain as women because the thyroid is linked to other systems that affect weight including the proper functioning of our neurotransmitters, reproductive hormones, and adrenal glands.

Thyroid issues affect women of all ages - While we see women of all ages with thyroid issues, there are times in your life when your hormones fluctuate more and when the development of thyroid issues may be even more likely.

If you have any questions related to thyroid, ask me by clicking on 'Consult'.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.

Revealed - How Thyroid Issues Affect Your Weight

Diabetes is a condition that affects the pancreas to the extent that it does not release the required quantity of insulin, which can lead to a high blood sugar level as the body starts to absorb excess glucose from the food that it ingests. This can be of various types and have different implications for different patients. While many experts insist that keeping a low cholesterol level and low weight is a primary requirement for the treatment of diabetes patients, there are a number of myths in this regard. Not eating fat is one such myth that we are out to prove wrong today.

So read on to find out why diabetic people need to eat fat:

Saturated Fats and Trans Fats: There are studies that demonstrate how saturated fats can actually prove to be beneficial for diabetes patients. These can be found in various sources like fish and nuts. This releases heptadecanoic acids, which can normalise the blood sugar levels as well as the insulin and triglyceride levels in the body.
Dairy Fat: The use of milk and yogurt as well as butter can actually be helpful in bringing the blood sugar levels down. It also shows up favourably on the lipoprotein markers. Butter, in particular, is known to have clarifying properties that can bring down the risk of diabetes as well. One must take care to use dairy products that are fat-free. 
Animal Fat: Having meat which releases fat and having dairy products like cheese and milk which releases healthy saturated fats are two different things. One can replace carbs and meat with these kinds of products so that there are better absorption and creation of quality animal fats which can actually help the insulin levels.
Monounsaturated and Polyunsaturated Fats: Food items like fish and nuts that carry high levels of Omega-3 fatty acids as well as monounsaturated and polyunsaturated fats can help patients suffering from diabetes by clearing the bloodstream of cholesterol and high lipid levels. This also prevents the risk of heart disease and arterial blockages. These kinds of fats are also found in flax seeds, soya products and walnuts. 
Going low on carbohydrates and avoiding sugar is usually recommended for patients suffering from diabetes. Yet, it is important to have your fill of essential fats as mentioned above with the help of dairy products, clarified better, omega three fatty acids, dry fruits, soya products and some amount of vegetable oils, as these actually have a number of benefits for these patients.

Why Do Diabetic People Need To Eat Fat?

Diabetes is a condition wherein one suffers from high blood sugar levels. Gestational diabetes is a form of diabetes which occurs only during pregnancy. It is certainly possible to bear a healthy child, provided certain lifestyle modifications are adhered to. Once the baby is born, the condition usually tends to disappear. However, this does make you prone to Type 2 diabetes (a condition wherein the body is unable to utilize the insulin effectively).

High blood sugar levels during pregnancy can affect the baby. It usually gives rise to complications such as high blood sugar levels in the baby, impaired functioning of the pancreas in order to produce insulin, and excess sugar deposits in the form of fats. The baby might also become predisposed to jaundice and other breathing difficulties.

Causes:

Pregnancy causes the placenta to produce hormones that impair the functioning of insulin. The pancreas too does not produce the required amount of insulin. Both these factors contribute to the rise of sugar levels in the body.

There are certain factors which may put you at risk of being affected by gestational diabetes  

Obesity

A family history of diabetes

Past history of the condition

Treatment:

There are measures one can adopt to reduce risks of this disorder. Shed the extra pounds and maintain optimal weight levels. An active lifestyle would ensure proper utilization of the insulin by the body. The main goal of treating gestational diabetes is to get the blood sugar levels back to normal. This can be done by:

Insulin Shots: Insulin shots help normalize and regulate high blood sugar levels. Another advantage is that these shots do not affect the baby.

Diet: A healthy eating plan helps prevent sudden surge in blood sugar. You have to be conscious of the type of foods you eat and be mindful of the portions you eat. Processed foods should be avoided; instead the focus should be on natural foods.

Being Physical Active: Pregnancy does put certain restrictions on your mobility and your ability to perform certain exercises. Hence, an exercise plan should be designed accordingly. In times such as these, cardio vascular exercises, such as brisk walking, swimming or Yoga should be enjoying maximum priority in your list of the doable exercises.

Gestational Diabetes - High Blood Sugar During Pregnancy

Diabetes is growing to be the epidemic of modern days. The challenge here is it is not just about managing your sugar levels, but the whole lot of symptoms that diabetes brings with it. From bones to teeth to kidneys to wounds, diabetes affects all body systems. It is therefore very essential to watch out for symptoms of diabetes and curb it in its early stages. This will help control diabetes significantly along with its effects on the whole body.

Diabetes Complications-

Long-term complications of diabetes develop gradually. The longer you have diabetes   and the less controlled your blood sugar   the higher the risk of complications. Eventually, diabetes complications may be disabling or even life-threatening. Possible complications include:

Cardiovascular disease. Diabetes dramatically increases the risk of various cardiovascular problems, including coronary artery disease with chest pain (angina), heart attack, stroke and narrowing of arteries (atherosclerosis). If you have diabetes, you are more likely to have heart disease or stroke.
Nerve damage. Excess sugar can injure the walls of the tiny blood vessels (capillaries) that nourish your nerves, especially in your legs. This can cause tingling, numbness, burning or pain. Left untreated, you could lose all sense of feeling in the affected limbs. 
Kidney damage. The kidneys contain millions of tiny blood vessel clusters (glomeruli) that filter waste from your blood. Diabetes can damage this delicate filtering system. Severe damage can lead to kidney failure or irreversible end-stage kidney disease, which may require dialysis or a kidney transplant.
Eye damage. Diabetes can damage the blood vessels of the retina (diabetic retinopathy), potentially leading to blindness. 
Foot damage. Nerve damage in the feet or poor blood flow to the feet increases the risk of various foot complications. These infections may ultimately require toe, foot or leg amputation.
Skin conditions. Diabetes may leave you more susceptible to skin problems, including bacterial and fungal infections.
Hearing impairment. Hearing problems are more common in people with diabetes.
Alzheimer's disease. Type 2 diabetes may increase the risk of Alzheimer's disease. 
The following are some of the basic must do's if you have diabetes. These can go a long way in preventing adverse diabetic side effects.

Diet: Whether diabetic or not, it is always important to watch your diet. You are what you eat. Eat what your body needs, reduce refined foods, processed foods and increase the amount of whole grains and fruits and vegetables. Eating small frequent meals goes a long way in managing sugar levels than binging at one meal and starving the rest of the day. Reduce intake of saturated fats; include more lean meats. Choose grilling and steaming over frying and roasting. Diet is very important in diabetes. Recommended foods - Healthy carbohydrates, Fiber-rich foods, Heart-healthy fish and Good fats. Foods to avoid - Saturated fats, Trans fats, Cholesterol and Sodium
Exercise: Every week, make sure about 2 hours is dedicated to physical activity. This could include any exercise of your choice, brisk walking, swimming, cycling, aerobics, hiking, jogging, skipping, gymnastics, or playing games like football or basketball. While in most cases, the person can do these on their own, in some people, supervision may be required.
Watch your weight: For a diabetic person, controlling weight to a desirable level of BMI of 18 and 23 is very important. Obesity is one of the predisposing factors for diabetes, and reducing weight controls the onset of diabetes and helps the progression of symptoms in diabetics.
Smoking: Another risk factor for diabetes onset, quitting is the best option. If not feasible, reducing smoking and gradually quitting should be aimed at. Not just diabetes, the effects on overall health will be evident almost immediately after quitting.
Stress management: One of the main risk factors for diabetes, there is no getting away from stress. Everybody has their stresses but the trick is to manage it well. Whether it is music or meditation or medication or counselling, make sure stress levels are managed. This also helps prevent diabetic complications like heart disease and stroke and promotes well-being.
Constant Checkups: Periodic check-up of blood sugar levels, cholesterol levels, eye exam, dental checkup, foot checkup to test for nerve damage are all extremely important. Take your medications regularly without fail.
Diabetes requires a change in lifestyle, which may seem tedious initially. But after a while, it will become the norm and then diabetic control does not feel like something additional that is to be done.

Diabetes - 6 Ways You Can Prevent it

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

Consult for Endocrinologist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES