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Overview

Gestational Diabetes - Symptom, Treatment And Causes

What is Gestational Diabetes?

It takes place only during pregnancy. Having a healthy baby is possible despite having gestational diabetes. You would require assistance from your doctor and practicing simple things daily to manage blood sugar levels. You might not have diabetes after the baby has been delivered. Gestational diabetes increases the likelihood of developing type 2 diabetes, but it doesn’t necessarily have to happen.

CAUSES

The placenta during pregnancy, produces hormones that might lead to sugar build up in the blood. The pancreas generally makes enough insulin so as to counter this rise in sugar. If this fails to happen, the level of blood sugar will increase, which may lead to gestational diabetes.

RISK FACTORS

Here are a few risk factors which increases the likelihood of having gestational diabetes:

  • If your BMI was higher than normal, before the pregnancy
  • The blood sugar level is high, but not enough for it to be diabetes
  • There are other family members who have diabetes
  • You’ve had the condition before as well.

TREATMENT

For treating gestational diabetes, your doctor may ask you:

  • To keep a check on your blood sugar four times or more in a day.
  • To check for ketones in your urine by doing tests.
  • To exercise regularly and make it into a habit.
  • To eat healthy and in accordance with what your doctor suggests.

Your doctor can best advice you if insulin or any other drugs may be required for you after tracking weight changes.

type diabetes
Treatable by medical professional Require medical diagnosis Lab test not required Short-term: resolves within days to weeks Non communicable
Symptoms
Fatigue is the major symptom, but there may not be any symptoms at all Increases urine output

Popular Health Tips

Gestational Diabetes - How To Deal With It?

MBBS, DGO(DAWN)
Gynaecologist, Bhopal
Gestational Diabetes - How To Deal With It?

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 pregnancy if you happen to have diabetes.

Complications: Pregnancy with diabetes can cause severe complications if the blood sugar levels are not controlled properly before pregnancy. This can cause the 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.

Gestational Diabetes - 2 Common Risk Factors

Masters In Counselling & Psychotherapy, DGO, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Mumbai
Gestational Diabetes - 2 Common Risk Factors

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?

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

  2. 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:

  1. 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.

  2. 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.

  3. 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:

  1. 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.

  2. 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.

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

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

3546 people found this helpful

Precautionary Measures To Be Taken During The Third Trimester Of Pregnancy!

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Allahabad
Precautionary Measures To Be Taken During The Third Trimester Of Pregnancy!

With the third trimester (from the 7th month to the time of delivery) of pregnancy, you move a step closer to welcoming the happiness that you have long been waiting for, braving so many complications and pregnancy woes. While all the trimesters are crucial, stepping into the third trimester, a pregnant woman needs to be extra careful. Be it her diet, medications, or health check-ups, proper care and precautionary measures should be followed to ensure both the mother and baby stay healthy and disease-free.

Health check-ups: No matter how healthy you or the baby are, do not skip even a single health checkup or doctor's appointment. Incidences of Gestational Diabetes, Preeclampsia, Anemia, can be observed in many pregnant women during the later stages of pregnancy, which, if left unattended can complicate the pregnancy. Thus, any uneasiness or discomfort, no matter how small, should be brought to the notice of your attending physician. When it comes to the well being of the baby, taking chances is just not an option.

Rest, sleep and relax: With all the hormonal changes and the growth and development of the fetus, body aches, fatigue (physical as well as mental), and tiredness are inevitable, especially during the third trimester. Stay happy and relaxed as much as you can. While a sound sleep and proper rest are vital, listening to soft and soothing music or meditation can work wonders to keep you relaxed, thereby uplifting your mood.
Try and avoid climbing too many stairs during this stage. Avoid bending too much or doing strenuous and physically and mentally exhausting work (household chores or professional commitments).

Exercise: Many pregnant women in their third trimester have benefited immensely from exercise (specially designed for the third trimester) and physical activities. However, what works for one may not produce similar results for another. Exercise only when you are physically and mentally up for it and most importantly when you are advised by a physician.

Dietary Requirements: The nutritional requirements change with each trimester and so does the diet. Proteins, vitamins, calcium, iron, folic acid, DHA or omega-3 fatty acids are all essential for the overall development of the baby.

Enrich your diet with avocados, kiwi, melon, strawberry, nuts, seeds, wholemeal toast, bacon (lean), salmon, Brussels sprouts, lean beef, green leafy vegetables, broccoli, eggs, pork, milk and dairy products during the third trimester.

Processed and fast foods, raw papaya, uncooked or raw vegetables and meat, aloe vera, fenugreek, pineapple, unpasteurized milk, can, however, trigger complications and are best left avoided during the third trimester.

Overeating just because you are carrying a life within does not make any sense. Instead, it can trigger heartburn and acidity. Having small meals at regular time intervals will be more beneficial. To deal with heartburns, one should also avoid retiring to bed immediately after a meal. Increased intake of dietary fibres goes a long way to prevent constipation (common during the third trimester). In case you have a concern or query you can always consult an expert & get answers to your questions!

2340 people found this helpful

Gestational Diabetes Management Tips!

DNB (Obstetrics & Gynecology), DGO, MBBS
Gynaecologist, Delhi
Gestational Diabetes Management Tips!

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:

  1. Medical Treatment: Under modern medicine, the patients are prescribed antidiabetic drugs and insulin to keep blood sugar levels within the normal range.
  2. 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. In case you have a concern or query you can always consult an expert & get answers to your questions!

4021 people found this helpful

Diabetes During Pregnancy - 7 Important Facts You Must Know About It!

Advanced Infertility, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Hyderabad
Diabetes During Pregnancy - 7 Important Facts You Must Know About It!

Gestational diabetes is a kind of diabetes that happens during pregnancy. Diabetes is referred to a condition where your blood glucose or blood sugar is very high. Although, glucose is good as it used by your body for energy, but excessive glucose in your blood can be harmful for both you and your child. Gestational diabetes is mostly diagnosed in the later stages of pregnancy. If gestational diabetes is diagnosed in the early stages of pregnancy, then it is quite possible that you may have had diabetes before you became pregnant. Treating gestational diabetes can help both you and your baby stay fit and healthy. You can protect both, yourself and your baby by controlling your blood glucose levels.

Problems with gestational diabetes in first 3 months prem can lead to abortion or congenital authorities in baby. Mid trimester abortions, urinary and vagina infection can occur. Preeclampsia , chorioamnionitis also possible. In 3rd trimester preterm Labour, intrauterine death, large baby or small for dates can happen. Neonatal hypoxia, respiratory distress are common. So it has to be controlled strictly throughout pregnancy with diet, exercise and medicines.

Here are 7 things that you need to know about Gestational diabetes:

  1. Every three to eight out of 100 ladies tend to develop diabetes during pregnancy, a condition known as gestational diabetes. Fortunately, it can be dealt with and even kept away by maintaining healthy lifestyle choices. Eating leafy foods and avoiding sugar-rich things, is a vital step for both control and counteractive action. Exercise, after consulting your doctor can guarantee that you have a healthy pregnancy.
  2. In diabetes, when your body's glucose or sugar levels get so high that the carbohydrates and sugars cannot be converted into energy, the excess starts accumulating in your body. This additional glucose can harm the vessels in your kidneys and all through your body, particularly in organs like eyes.
  3. Two or three factors might cause danger for creating gestational diabetes, both inside and outside of your control. If you are overweight before you get pregnant or while you are pregnant or your family history shows that you are hereditarily inclined to the sickness, you will probably build up the condition.
  4. One will have to stay on the right path as far as medication and insulin goes. Your specialist may prescribe that you require diabetic pills or insulin to help you control your glucose levels.
  5. Your weight can bring about complexities during the delivery in case of gestational diabetes. So it is best to keep your weight in check in order to have a smooth sailing pregnancy and delivery.
  6. Gestational diabetes can likewise put ladies at risk of contracting preeclampsia, which can bring about a number of side effects and complexities. Side effects brought on may start from swollen feet, legs, fingers, and hands to hypertension and even seizures or strokes.
  7. Apart from the risks of having gestational diabetes during your pregnancy, it might affect the child later on. Your baby may have a higher danger of obesity as it develops, both in the teenage years and youth. Youngsters who are overweight may suffer from type 2 diabetes in the long run.

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

4535 people found this helpful

Popular Questions & Answers

My wife is 26 week pregnant. Her 75g glucose tolerant test result is 133. Dr. Said it's border line. It should be below 140. 5.5 kg weight increased in last 2 month (5th & 6th month of pregnancy ). Dr. Prescribed BGR-34 for precaution for Gestational diabetes Is BGR-34 safe in pregnancy? Can blood glucose level control through diet without taking medicine? 140-199 is prediabetes. Is level above 140 considered as a Gestational diabetes?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. To diagnose Gestational diabetes following criteria are considered: Fasting >92 mg, on 75 g glucose 1 hour level should be >180 mg & 2 hour glucose > 153 mg. The level mentioned 133 mg is at what time after taking 75 g of glucose? Plus the tablet mentioned is an ayurvedic preparation without any clinical studies. I would never give it in pregnancy. First of all whether she has GDM is itself a question mark. I hope you have followed all the details mentioned. Please take care. Thanks.
1 person found this helpful

Should I take metformin in my 35 weeks of pregnancy to treat gestational diabetes? Fasting sugar: 98 postprandial: 134.

Ms obg, Dnb obg
Gynaecologist, Delhi
Do a comprehensive monitoring of blood glucose 5 times a day which is called smbg self monitoring of blood glucose please email or call me for details.

I have done hba1c test. It shows 5.8.average sugar level considering hba1c is 120 Thyroid profile also normal. Shud I be worried about diabetes Age: 31 years old. Was diagnosed wit gestational diabetes 1 year ago.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
HbA1c is borderline prediabetes. Patients with gestational diabetes has increased chance of developing diabetes in future. Your weight is 64 and height is 5 ft. It suggests you are overweight. At present it is advisable to loose weight with diet and exercise. Please consult any dietitian for weight loss meal plan.
1 person found this helpful

Hello. My Age 23 my height 5'5 .I have interested join in air Force .But my height was getting problem. Feeling depress. 1 DOCTOR ANSWERED I am having gestational diabetes, sugar is high, please suggest diet plan for sugar control. I am having gestational diabetes, sugar is high, please suggest diet plan for sugar control. 1 DOCTOR ANSWERED I have acne problem from last 3-4 years. I take medicines which doctor prescribes me. But still I have acne. I did every. I have acne problem from last 3-4 years. I take medicines which doctor prescribes me. But still I have acne. I did every. 1 DOCTOR ANSWERED.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Gestational diabetes is a condition that occurs when a lady is pregnant and high blood glucose is detected during weeks of pregnancy. This is not seen in males. It is possible you may be having diabetes itself or a prediabetic condition. If blood glucose levels are mentioned then I may be able to say what is the situation. As regards acne, some times that problem does continue for quite some time. Thanks.