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?

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

Gestational diabetes, as the name suggests, occurs during gestation or pregnancy when the blood sugar levels exceed the normal level. Gestational diabetes, like other form of diabetes, affects how your body cells use glucose or sugar during pregnancy, and usually disappears after you ve given birth.

Causes and symptoms to look out for!
During gestation, the placenta produces hormones that lead to the accumulation of blood glucose. Under normal condition, the pancreas forms enough insulin to counter the buildup of blood glucose. The level of blood sugar rises when the pancreas fails to produce adequate insulin to manage your blood sugar.

Usually, women with gestational diabetes do not show symptoms. So, the presence of the condition can go unnoticed if they are not diagnosed during routine checkups and screening tests. Nevertheless, if the condition goes out of control, you may feel tired, feel thirsty or hungry, or feel the urge to urinate more often.

What are the risk factors?
About 2-10% of pregnant women are affected by gestational diabetes every year. The following factors are likely to put you at risk of developing gestational diabetes-

Excess body weight- You may develop gestational diabetes if you were overweight or had gained excess weight (BMI equal to or greater than 30) before getting pregnant
Family history- Women who have a family history of diabetes are likely to have gestational diabetes.
Age- Women aged more than 25 years are at a greater risk of developing this condition.
Diabetic history- A slightly raised blood sugar level may act as the precursor to Type-2 diabetes, which in turn increases your chance of getting affected by gestational diabetes.
Previous pregnancy- Women who ve previously given birth to a child weighing more than 4.1 Kg (9 pounds), or have delivered a stillborn child are likely to have gestational diabetes.
What is the treatment for gestational diabetes?
Urine tests are performed to check for ketones. In a non-diabetic person, glucagon, insulin and other hormones avert ketone levels in your blood from soaring up too high. Once you re diagnosed with gestational diabetes, it s important that you consult your doctor for treatment. Uncontrolled blood sugar level can affect you and your baby s health after birth. This condition can be treated in the following ways-

Keep a check on your blood sugar- During pregnancy, your doctor will have you tested for gestational diabetes 4-5times a day to keep a tab on your blood glucose level. For this, a small drop of blood is first drawn from the finger using a needle. The sample of blood is then placed on the test strip inserted into a device called the blood glucose meter to measure and monitor the level of blood sugar in your body.
Medication- Anti-diabetic medications and insulin are prescribed to control the amount of glucose or sugar in the bloodstream. Your doctor may also suggest oral medications like Diabeta and Glynase to manage your blood glucose level.
Healthy diet- Diabetic diet- one that helps control blood sugar levels- is highly prescribed by doctors during pregnancy. Cut down on carbohydrates and sugar, and switch to food items that provide your body sufficient nutrients and calories.
Post treatment the blood sugar levels usually come down to normal within 4-6 weeks of giving birth.

Gestational Diabetes - Know The Risk Factors!

Diabetes is one of the most common problems that are caused by obesity, unhealthy and inactive lifestyle. It is a metabolic disorder in which the body is unable to store and use energy from food. Being physically inactive and eating unhealthy food are primary causes of diabetes. It is a long term condition, which causes high or unstable blood sugar levels in the body.

When a patient suffers from low blood sugar it is called hypoglycemia and if the blood sugar levels are too high, it is called hyperglycemia. Both are extremely harmful for a patient.

Type 1 and type 2 and gestational diabetes:

Type 1

In type 1 diabetes, the body does not produce insulin. The condition has no known cure and is usually hereditary in nature. Approximately 10% of those suffering from diabetes have type 1 diabetes. Patients with type 1 diabetes have to take regular medication, including insulin injections as well as take care of their diet.

Type 2

Type 2 diabetes happens when the body does not produce enough insulin for its proper functioning. 90% of all diabetic people suffer from type 2 diabetes. It is usually caused by poor lifestyle choices, like physical inactivity and unhealthy food habits. The disease lasts a lifetime and is usually progressive in nature, but can be managed by taking regular medication, choosing an active lifestyle and maintaining proper body weight.

Gestational diabetes

Diabetes during pregnancy is known as gestational diabetes. This has to be managed by taking medication or in extreme cases insulin shots. If undetected or untreated, gestational diabetes increases complications during childbirth, and causes unusual weight gain in the baby. However, gestational diabetes usually ends after the baby is born and women can go back to their normal lifestyle and eating habits post delivery.

Symptoms of diabetes

 Frequent urination
 Extreme hunger or thirst
 Weight loss
 Problems with vision
 Tingling or numbness of the extremities.
 Unexplained fatigue
 Dry skin
 Cuts or sores that heal slowly
 High number of infections

Who is at greatest risk for developing diabetes?

People who:

 Are 45 or over
 Are overweight
 Are habitually physically inactive
 Have previously been identified as having ifg (impaired fasting glucose) or igt (impaired glucose tolerance)
 Have a family history of diabetes
 Are members of certain ethnic groups (including asian american, african american, hispanic american, and native american)
 Have had gestational diabetes or have given birth to a child weighing more than 9 pounds
 Have elevated blood pressure
 Have an hdl cholesterol level (the good cholesterol) below 35 mg/dl and/or a triglyceride level above 250 mg/dl
 Have polycystic ovary syndrome
 Have a history of vascular disease

What is pre-diabetes?

Pre-diabetes is a condition of elevated blood glucose level that has not yet reached a diabetic level. Along with insulin resistance, pre-diabetes causes no symptoms. An individual may be pre-diabetic for years without knowing it. Pre-diabetes increases your risk of developing type 2 diabetes and heart disease. Weight loss and exercise may halt the onset of diabetes from pre-diabetes by returning blood glucose levels to a normal range.

Diabetes: At A Glance

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!

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

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