Pregnancy is a time when women need to be in the best of their health. Yet, there are various kinds of conditions and ailments that a pregnant woman can suffer from. One of them is gestational diabetes mellitus. Gestational diabetes is a type of diabetes mellitus that usually afflicts pregnant women who are suffering from high glucose levels in their blood. Let us get to know more about this condition.

Timing: gestational diabetes strikes an expecting mother around the third trimester. This is usually the time when pregnant women exhibit levels that are higher than normal. This may be due to the fact that the placental lactogen can block the action of the insulin receptors, leading to a spike in blood sugar levels.&nbsp;

Past history of diabetes: women who have not previously witnessed a rise in their blood sugar levels or any previous diagnosis of diabetes can also end up contracting gestational diabetes during their pregnancy due to an ineffective insulin response of the body and its chemicals. Also, after suffering from gestational diabetes, women are at a higher risk of suffering from type 2 diabetes mellitus, thereafter.&nbsp;

Untreated gestational diabetes: the children born to mothers, who were not treated properly for gestational diabetes, are usually at risk of various other ailments. These children may be prone to complications during delivery. After birth, they are prone to various issues like low blood sugar levels as well as jaundice. These children may not be able to enjoy a normal delivery, and may have to be delivered via caesarean section, and even face premature delivery.&nbsp;

Food: it is important to monitor the blood sugar levels in gestational diabetes. One of the best ways to do this is to follow a proper diet plan. The food in the diet of these expecting mothers should include dietary fibres, carbohydrates and other nutrients like protein, calcium and iron. It is important to break the meals down into smaller portions or mini meals so that the insulin inhibitors can do their work more effectively, even as the body and the baby remain nourished.&nbsp;

Exercise: while most forms of exercise are discouraged during pregnancy, it is always a good idea to remain fit by doing your chores and walking. Pre-natal yoga can also help by introducing certain yogic poses that are good for expecting mothers. Gestational diabetes can also be tackled with the help of exercises like walking.&nbsp;
Gestational diabetes must be treated on time, and properly, so as to avoid complications for the baby and mother during and after birth.


Things To Know About Gestational Diabestes

Gestational diabetes is a form of diabetes where the blood sugar levels of the body increase during pregnancy. When you are expecting, your body is more repellent to insulin so that a larger amount of glucose is manufactured for the baby s nourishment. However, this excess blood glucose can build up within the body which causes gestational diabetes. This can lead to health problems for both the mother and the baby. At the end of the gestational period i.e. once the baby is delivered, blood sugar reduces to normal.

When are you at a risk for gestational diabetes?

Gestational diabetes can also be hereditary. If a family member or a relative has diabetes, you are more likely to develop gestational diabetes.

If you are overweight, you are more susceptible to developing gestational diabetes.

What causes gestational diabetes?

During pregnancy, the placenta connects your baby to the blood supply. This produces other hormones which reduce the levels of insulin. This increases the level of blood sugar in your blood. As your baby develops, your body manufactures more of such hormones which block your insulin levels leading to gestational diabetes. This usually occurs from the 20th week of your pregnancy.

Complications:

Increase in Birth Weight   Extra glucose crosses through the placenta which instigates the baby s pancreas to manufacture more insulin. This can make your baby very large. Sometimes, it becomes difficult for the baby to pass through the birth canal during childbirth as a result.

Premature Birth and Respiratory Diseases   High blood sugar may increase the risk of an early labor. It may make the baby due before the 37th week of pregnancy. This also makes the baby more susceptible to respiratory disorders.

High Blood Pressure   Gestational diabetes also raises your risks for high blood pressure. This can be fatal for you as well as your baby s health.

Treatment:

Book an appointment with a dietitian and follow a healthy eating schedule. Limit the amount of carbohydrates and ensure you have a healthy and balanced meal.

Do light exercises regularly during pregnancy. This helps you to control your blood sugar level. Physical activities which require low levels of energy utilization such as swimming and walking will control your blood sugar level without exerting you too much.

Taking insulin shots and medicine for diabetes will also control your blood sugar levels if you have a pre-existing condition.

Causes and Treatment of Gestational Diabetes

Pregnancy can be a tricky time for most women, although it is not a pathological condition. One must be prepared for pregnancy with the best of health in the pre-pregnancy period. This also includes women who are suffering from diabetes. The complications during pregnancy and delivery increase manifold if one has not controlled the glucose and blood sugar levels before getting pregnant. So read on to know more about coping with the pregnancy if you happen to have diabetes.

Complications: Pregnancy with diabetes can cause severe complications if blood sugar levels are not controlled properly before pregnancy. This can cause diabetes to become even worse in the long run, with the onset of various other related ailments like kidney disease, heart disease, eye problems and more. It can also increase the risk of premature delivery, and too much birth weight of the baby as well as low glucose levels right after the baby s birth. Further, one can also lose the baby to a miscarriage due to excessively high blood sugar levels. This can also affect the glucose and blood sugar level of the baby as the glucose passes through the body.

Related conditions: If you happen to have high blood sugar levels, then you and your baby can get affected in an adverse way. To begin with, you may come down with severe depression regarding how you will be able to manage your diabetes and pregnancy together, and also due to the implications of the condition after the birth of the baby. It can also cause a condition called Preeclampsia in which the pregnant woman s blood pressure becomes high and too much protein starts to pass from the urine, which can also result in frequent urination and life-threatening defects and problems for you and the baby. In such cases, you will have to be hospitalised and the baby will need to be delivered via a C section or a Caesarean Section.



Planning ahead: If you know that you are trying to conceive, the best way is to be fully prepared well in advance. This includes planning ahead for managing the blood sugar levels and keeping the risk of other ailments at bay. You can start by losing excessive weight and seek treatment to bring down the blood sugar levels. Exercising and watching your diet are also some good ways to ensure that your Type 1 or Type 2 diabetes is in control.

Medical Team: It is pertinent to be in touch with your medical team on a constant basis. This team should include the obstetrician and gynaecologist as well as your regular doctor to whom you can report any changes.
Keep health close to your heart when you are pregnant by taking care of all existing ailments.

If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

Diabetes in Pregnancy - How to Tackle it?

'Congratulations! You're pregnant!' Almost all women long to hear these words and nothing should come in the way, even diabetes. So, if you are a Type 1 or Type 2 diabetic, here are a few things you should keep in mind to have a healthy baby.

1. Your blood sugar must be monitored regularly-
The most important thing you can do to have a healthy baby is to keep your blood sugar as close to normal before and during your pregnancy. Testing is recommended a minimum of four times a day. Glucose passes through the mother's blood to the fetus and hence if your blood sugar fluctuates, so will your baby's. High blood sugar levels are especially harmful during the first 8 weeks of pregnancy when the baby's brain, heart, kidneys and lungs are formed.

2. Your pregnancy is considered high risk-
High blood sugar levels can increase the risk of a miscarriage as well as the risks of your baby being born with birth defects. Diabetes can also increase the risk of developing preeclampsia during the second half of your pregnancy. This could result in a C section or premature birth. Thus, maintain regular checkups and keep your doctor in the loop of all your activities.

3. You should watch out for signs of ketosis-
When you have low blood sugar, the body produces ketones that can be passed on from you to your baby. This production of ketones is a result of the body's burning of fat instead of glucose to provide energy and can develop a condition called ketosis. Symptoms you should watch out for are stomach aches, nausea, fatigue, muscle stiffness, frequent urination and fruity breath.

4. You need Vitamins and Supplements-
Most women require vitamin and mineral supplements at the time of pregnancy. Of these, folic acid, iron, calcium and vitamin D are the most important. These supplements help in the healthy growth of the baby.

5. You should exercise regularly-
Maintaining a regular physical activity routine is very important for diabetics who are expecting a baby. This will help you regularize your blood sugar, relieve stress and strengthen your heart. Avoid activities that increase your risk of falling and aim for at least thirty minutes of daily exercise such as walking, swimming or yoga.

6. Check your medication-
Some medication can be detrimental during pregnancy such as cholesterol and blood pressure medication. Consult your doctor to find a suitable alternative if needed. You may also need to change the kind of insulin you take and its frequency and amount. As you get closer to the delivery date, your insulin requirement may even double or triple.

The key to preventing complications during pregnancy is controlling your diabetes. So take your insulin regularly, maintain regular checkups and eat healthy. You need to be seen by your obstetrician more frequently. Your pregnancy will be monitored closely by more frequent ultrasounds and NST. If your sugar level remains under control and pregnancy is advancing well, a natural onset of pains is aimed for and normal delivery is expected.

Diabetes - How To Handle It While Pregnancy?

Gestational diabetes is a condition characterized by higher than normal blood sugar levels during pregnancy. The symptoms of this disorder are mild and a blood test has to be conducted as a part of the diagnosis. In all cases, the women should be administered treatment to avoid medical complications associated with it and to be on the safer side. Proper diagnosis is absolutely essential in the case of women with prediabetes or those women who had diabetes prior to pregnancy.

When the insulin receptors fail to function normally, the blood sugar levels may rise. This is known to be one of the causes of gestational diabetes. Post pregnancy, the symptoms of gestations diabetes disappear on their own; however, such patients are an in increased risk of suffering from type 2 diabetes at a later stage. Moreover, children born to mothers with gestations diabetes are at an increased risk of suffering from conditions such as jaundice, diabetes, and certain other health issues. 

As a part of gestational diabetes treatment, the expecting mother is advised to consume a nutritious diet, practice a daily exercise regime, and monitor blood sugar levels on a regular basis. Nonetheless, if your blood sugar levels become extremely high, you may be advised to take specific medicines to control it and avoid complications. 

The following are some of the treatment methods used to manage gestational diabetes: 

Medical Treatment: Under modern medicine, the patients are prescribed antidiabetic drugs and insulin to keep blood sugar levels within the normal range.
Natural treatment: Some of the ways to naturally manage gestational diabetes include the following: 
Balanced Diet: According to several research studies, an erratic eating schedule can cause diabetes because the functioning of the body gets disrupted. For this reason, consuming a balanced diet becomes extremely important. In fact, eating small meals at an interval of two to three hours is recommended by the nutritional experts. Consequently, the body becomes accustomed to metabolizing the nutrients and blood sugar imbalances are avoided as well. 
Exercise Regime: If you are suffering from gestational diabetes, then maintaining a regular exercise regime is beneficial. At the start, you can exert the body for 30 minutes and gradually, increase the time limit. Only the low-impact exercises such as swimming and walking are advised. However, be sure to consult your doctor beforehand. 
Fiber-rich Diet: The intake of foods that are rich in fiber such as whole grains and flaxseeds is advised for women with gestational diabetes. This nutrient helps balance the insulin levels within the body by regulating the activity of the insulin receptors. During pregnancy, women are advised to increase their consumption of fiber-rich foods anyway to improve their cardiovascular and digestive health. However, the positive effect of fiber-rich foods on insulin receptors is crucial during the onset of gestational diabetes. 
Additional Dietary Recommendations: During the gestational diabetes recovery period, foods that are sources of vitamin D (such as tofu, salmon, and mushrooms) must be consumed as they foster the growth of healthy bacteria in the gut and helps to have a healthy pregnancy. Other foods that pregnant women with gestational diabetes can benefit from include foods rich in vitamin C and proteins. Also, foods that come under the category of complex carbohydrates must be consumed. Moreover, women with gestations diabetes should abstain from sugar-rich foods.
Conclusion: On a concluding note, you should note that the above treatments for gestational diabetes should be practiced only after a thorough discussion with the doctor. Keep in mind that during pregnancy you have to adopt a precarious approach; by doing so, you can prevent you and your baby from getting adversely affected.

Gestational Diabetes Management Tips!

World Diabetes Day is celebrated on 14 November, each year. It is the primary global awareness campaign for diabetes as it is one of the major problem of today's time. With an upsurge in the number of people suffering from diabetes, the sole aim of celebrating this day is to create awareness about this disease and suggest preventive measures to those who have not acquired it and provide tips to manage it to those who are living with it. 

So, here are 15 health tips that will help you manage your diabete effectively: 

You should quit smoking as it is very bad for diabetes patients. Smoking leads to narrowing of the blood vessels, which reduces proper blood circulation.
You have to track your exercise patterns. Take actual notes about your exercise habits and make necessary changes based on the record.
Eliminate fast food from your diet. Avoid eating out at restaurants and avoid taking extra salt, sugar and calories. You should cook your meals at home with light ingredients and less salt and sugar.
Diabetes severely affects your vision and blindness is and blindness is a serious problem which may occur. Hence, get your vision checked regularly to prevent retinopathy.
Avoid having quick coffees. Fancy cups of coffee are full of sugar, which lead to glucose and insulin fluctuation in your body.
You must stay active and fit. This is the most important lifestyle choice for any diabetic patient. By exercising, you will maintain a good shape, your metabolism gets boosted and the insulin production increases as well.
You should use a pedometer to calculate how much you are moving each day while exercising.
Try to consume fruits and vegetables. By trying new vegetables and fruits, you will be able to keep your blood sugar under check and see how your body reacts.
You must increase your amount of fibre intake. Fibre is important for diabetic patients, which keeps the digestive processes to run smoothly. Your cholesterol level decreases and blood sugar levels may reduce if you take enough fibre.
You should chew gum as it keeps your mouth busy. It makes you crave for less food.
You should eat on smaller plates. This is a psychological trick which makes you consume less amount of food and your sugar and calorie levels are maintained.
Before taking any food item or eating out, gather information about them. Learn about diabetes friendly food options at restaurants and check which products you should avoid buying from the market.
You should get your blood sugar levels checked regularly. You should check it several times a day to learn how your body responds to food.
Circulation problems may cause issues with your feet, which may lead to a lack of sensation, cuts and scrapes. Check your feet regularly to notice changes.
Instead of having 2,3 large meals a day, you should take several small meals throughout the day. This will keep your body s digestive processes active thereby increasing insulin sensitivity.

World Diabetes Day Special - 15 Ways to Effectively Manage Your Diabetes

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