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Gestational Diabetes - Know The Risk Factors!

Dr.Rahul Manchanda 91% (75ratings)
Gynaecologist, Delhi
Gestational Diabetes - Know The Risk Factors!

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-

  1. 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
  2. Family history- Women who have a family history of diabetes are likely to have gestational diabetes.
  3. Age- Women aged more than 25 years are at a greater risk of developing this condition.
  4. 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.
  5. Previous pregnancy- Women who have 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 are 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-

  1. 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.
  2. 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.
  3. 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.

In case you have a concern or query you can always consult a specialist & get answers to your questions!

2105 people found this helpful

Helpful Tips To Manage Your Blood Sugar Level!

Dr.Shikhar Tripathi 93% (57577ratings)
BSc, BHMS-Bachelor of Homoeopathic Medicine &Surgery , Clinical Training & Case Management
Homeopathy Doctor, Lucknow
Helpful Tips To Manage Your Blood Sugar Level!

The blood sugar level, blood sugar concentration, or blood glucose level is the concentration of glucose present in the blood of humans and other animals. People with diabetes need to check their blood (sugar) glucose levels often to determine if they are too low (hypoglycemia), normal, or too high (hyperglycemia). Here are certain tips to maintain the blood sugar level in the body these are as follows:-

  • Exercise regularly
  • Control your carb intake
  • Increase your fiber intake
  • Drink water and stay hydrated
  • Implement portion control
  • Choose foods with a low glycemic index
  • Control stress levels
  • Monitor your blood sugar levels
  • Get enough quality sleep
  • Eat foods rich in chromium and magnesium
  • Lose some weight.
12 people found this helpful

Interesting Fact About Coconut Sugar!

Dt.Neha Suryawanshi 90% (20575ratings)
M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Interesting Fact About Coconut Sugar!

Interesting Fact About Coconut Sugar!

3 people found this helpful

Independence Day - 5 Lifestyle Changes To Get Freedom From Diabetes!

Dr.Sanjeev Kumar Singh 91% (193ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Lakhimpur Kheri
Independence Day - 5 Lifestyle Changes To Get Freedom From Diabetes!

India celebrates Independence Day on 15th August every year on the commemoration of the nation's independence from British Rule.
As India completes it's 73 years of Independence, our we really independent from illness? While many of us fight with health issues on a daily basis. Staying away from diseases with some simple changes in our lifestyle choices can help us to stay healthy.

Diabetes is a major problem in India. In fact, India is considered to be the diabetes capital of the world. It is expected that the diabetic population of India will reach 69.9 million by 2025.

With such grim statistics, it is clear that a lot needs to be done to make people aware of how to deal with this problem. When you are a diabetic, enjoying a normal life may not be easy. Depending on your blood sugar levels, there are restrictions you have to adhere to.

However, your ultimate goal is to bring your blood sugar down and keep it that way. This is where you can do with a little bit of help.

Here are 5 lifestyle changes that you have to implement to get freedom from diabetes –

  1. Include fibre in your diet - Foods like bananas, apples, broccoli and pears are rich in fibre. When you eat fibre, it slows the speed of digestion, which mean the sugar from food is released into your bloodstream slowly. Including fibre in the diet is a good way to prevent blood sugar spikes after a meal.  Moreover, fibre also promotes healthy bowel movements.
  2. Exercise on a daily basis - Jog on a treadmill, go for a walk or hit the gym to get a grip on your blood sugar levels. When you exercise, your body uses up sugar to energize your workouts. Moreover, obesity increases the risk of diabetes and its complications. Exercise also supports the body with more effective utilization of the insulin it produces.  Implement a regular workout regimen to keep yourself fit and healthy.
  3. Manage your stress better - When you stressed, your body releases hormones like cortisol that increase your blood sugar levels. Not just that, chronic stress also promotes inflammation in the body that increases the risk of diabetes complications.  Practise stress-busting techniques like yoga and meditation to calm yourself. Moreover, these techniques will improve your perception of life that will help you deal with stressful situations better.
  4. Sleep tight - Sleep is important to keep your body healthy. It allows the body to rest and recuperate. Ensure that you are getting 6-8 hours of sleep daily.
  5. Pick your carbohydrates wisely - All of the carbohydrates you eat are broken down into sugar in your blood. But all carbs are not equal – the speed at which they are broken down by the body varies.
  • Simple carbohydrates like fruits and milk trigger an instant rise in the blood sugar.
  • Refined carbohydrates like refined wheat flour (maida) and white rice also cause a similar effect.
  • Complex carbohydrates like whole grains and most vegetables are broken down slowly by the body and therefore allow the blood sugar to stay stable.

Implement these lifestyle changes today and take charge of your health. On this Independence Day, let's take an initiative to change our lifestyle to get freedom from Diabetes.

4 people found this helpful

Prediabetes - Know More About It!

Dt.Neha Suryawanshi 90% (20575ratings)
M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Prediabetes - Know More About It!

Prediabetes - Know More About It!

5 people found this helpful

Changing Role Of Diabetologist In COVID-19!

Diabetologist, Hyderabad
Changing Role Of Diabetologist In COVID-19!

Changing Role Of Diabetologist In COVID-19!

2 people found this helpful

COVID - 19 And Ongoing DIabetes Care!

Diabetologist, Hyderabad
COVID - 19 And Ongoing DIabetes Care!

COVID - 19 And Ongoing DIabetes Care!

1 person found this helpful

Diabetes Care In COVID-19!

Diabetologist, Hyderabad
Diabetes Care In COVID-19!

Diabetes Care In COVID-19!

1 person found this helpful

Pancreatic Transplant - When Is It Required?

Dr.Siddharth Jain 93% (299ratings)
Liver Transplant, Surgical Gastroenterology, Fellowship in Abdominal Multi Organ Transplant Surgery, MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
Gastroenterologist, Delhi
Pancreatic Transplant - When Is It Required?

Pancreas is a small organ that is located in the lower part of the stomach. It lies just behind the abdomen. It functions by producing the insulin hormone which is responsible for regulating blood sugar level in the body and breaking down food into glucagon which is stored in the body. This glucagon is converted into glucose which is used by the body for energy and other purposes. Therefore, pancreatic transplant is done in patients with a malfunctioning pancreas.

Why is pancreatic transplant required?
Patients suffering from type I diabetes usually undergo a pancreatic transplant. Type I diabetes is characterized by the inability of the pancreas to produce insulin, thereby leading to low blood sugar level. This type of diabetes occurs due to the malfunction of pancreatic beta cells whose primary role is to produce insulin. These beta cells make up around 65 to 80 percent of the cells found in the pancreatic islets. They typically malfunction when the body's immune system begins to attack and destroy the pancreatic beta cells. Therefore, type I diabetes is an autoimmune disorder. Patients with type I diabetes require insulin injections that might cause severe reactions. People dependent on insulin are prone to the development of diabetic retinopathy and diabetic nephropathy.

People with type II diabetes generally do not need pancreatic transplant because this type of diabetes occurs due to low production of insulin or lack of insulin resistance. Here is a list of the probable reasons why pancreatic transplant is required:

  1. People who have type I diabetes but are not cured by standard treatment
  2. Severe reactions to insulin injections
  3. Low blood sugar
  4. Kidney damage
  5. Hypoglycemia unawareness

A pancreatic transplant can be of three types. They are:

  1. Pancreas transplant only- People with type I diabetes and normally functioning kidneys require only a pancreatic transplant.
  2. Pancreas and kidney transplant- Type I diabetes, in rare cases, leads to end-stage renal disease (ESRD) or end-stage kidney disease where one or both the kidneys are damaged. In such cases, pancreas and kidney are transplanted simultaneously to disable the dependence on insulin injection. This type of surgery may also be required when the pancreas and the kidneys come from the same donor.
  3. Pancreas-after-kidney transplant- In some cases of type I diabetes, your doctor will recommend kidney transplant first followed by pancreatic transplant. It must be remembered that pancreatic transplant should be done by taking into consideration the side-effects caused by the anti-rejection injections administered after the procedure is performed. It may cause bone thinning, high cholesterol and high blood pressure in a patient’s body. As the anti-rejection injections work by suppressing the immune system, the body’s defense mechanism against infections and other diseases becomes ineffective to a considerable extent.

A pancreatic transplant is a serious procedure that requires a lot of deliberations and consultations with your doctor and should only be opted for when the benefits outweigh the side effects from the anti-rejection medications.

1674 people found this helpful

Recurrent Pregnancy Loss - What Can Constitute It?

Dr.Asha Gavade 88% (797ratings)
DNB - Obstetrics & Gynecology, MBBS
Gynaecologist, Pune
Recurrent Pregnancy Loss - What Can Constitute It?

Recurrent miscarriage is a condition when there have been three or more successive pregnancy losses. It is different from infertility as infertility is the inability to conceive. For many cases, the cause of a recurrent miscarriage has not always been found. A number of factors can cause recurrent miscarriages of which some are treatable. It may not always be possible to identify a cause for recurrent miscarriage in a couple even after extensive research and treatment procedures. Some of the common causes of recurrent miscarriage are described below:

1. Chromosomal abnormalities
Incompatible chromosomes can result in pregnancy losses. When an egg and a sperm meet, of which one of them is faulty, they can't line up properly resulting in chromosomal abnormality. Such conditions lead to miscarriages.

2. Uterine abnormalities or Incompetent cervixes
Miscarriages occur if the uterus is abnormally shaped since the embryo is not properly implanted or even if it gets implanted, it may not get sufficient nourishment to survive. If the woman has a weak cervix, it cannot hold the developing embryo, leading to miscarriage.

3. Immunologic disorders
Under rare cases, the embryo itself is not accepted by the body. Antiphospholipid antibodies are antibodies which attack self-tissues such as embryos and prevent them from building up. This leads to miscarriages.

4. Untreated thyroid problems
Conditions such as thyroid or uncontrolled diabetes result in uterine conditions which make it tough for the embryos to survive.

5. Polycystic ovary syndrome
Women with polycystic ovary syndrome tend to have high levels of male hormones which result in irregular menstruation and ovulation. This can prevent the lining of the endometrium from maturing that is required for holding the embryo.

6. Bacterial infections
There may be a presence of a number of micro-organisms inside the reproductive tract that may be harmless for the person. But there may be certain bacteria lined up in the reproductive tract which can prevent the development of an embryo, thus leading to miscarriages.

7. Lifestyle
Smoking and drinking are harmful lifestyle habits which may increase the chances of miscarriages to a great extent. It is always advised to avoid smoking or drinking when you wish to conceive. Other lifestyle conditions, such as working in certain environments like hospital environments, farms, laboratories, etc, may lead to miscarriages; however, the exact reason has not been identified yet.

8615 people found this helpful

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