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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

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!

4022 people found this helpful

High Sugar During Pregnancy - Tips To Help You Control It!

DGO, MBBS
Gynaecologist, Chandigarh
High Sugar During Pregnancy - Tips To Help You Control It!

Are you experiencing high blood sugar during pregnancy? This condition is known as gestational diabetes. It is associated with hormonal changes, which occur in your body during pregnancy. Women who are overweight, above the age of 25, and have a family history of diabetes are more likely to experience gestational diabetes. In most cases, the blood sugar levels return to normal after giving birth, and proper management enables you to keep away from any complications during pregnancy as well.

Here are ways by which you can control your sugar levels during pregnancy:

  1. Develop an ideal diet plan. You should consult a registered dietitian for framing a diet, which is specific to your condition. Your overall health, age, and other health conditions, if present, are taken into consideration while shaping your diet plan.
  2. Cut down your consumption of sugary food items and drinks. Avoid having candies, soda, cakes, cookies, and all food products, which contain simple sugar in large amounts. This can boost your blood sugar levels rapidly and worsen gestational diabetes.
  3. Have three to four small meals regularly, and also eat snacks in between. Eating frequently prevents the crashing of your blood sugar levels between meals.
  4. Reduce your amount of carbohydrate intake. Instead, consume a lot of food rich in fiber like fruits, vegetables, and whole grain.
  5. Drink a lot of water every day. Sufficient hydration of your body is important for stabilizing your blood sugar levels to keep away from complications during pregnancy.
  6. Undertake regular, light activity after your doctor’s approval. Activities like walking and swimming help in keeping your blood sugar under control. Exercising during pregnancy is also important for weight loss after giving birth.
  7. Buy a glucose meter and get your blood sugar levels checked frequently. Most common meters require you to prick your finger with a needle and drop your blood on a strip for testing. You can make changes in your diet and medication for preventing a hypoglycemic episode, based on your regular results.
  8. If your doctor recommends it, you should test your urine ketones. Ketones occur in your urine, while your body burns fat to produce energy. These are harmful for your growing baby.

Apart from these, you should take insulin strictly according to your doctor’s instructions. Your doctor will instruct you in detail about how and when to administer insulin. You will also be provided with information on storing insulin at a safe place. In case you have a concern or query you can always consult an expert & get answers to your questions!

3760 people found this helpful

Diabetes In Women - Because It's Your Right To A Healthy Future!

Diploma in Diabetology, MD - General Medicine, MBBS, DTM & H(1)
Diabetologist, Hyderabad
Diabetes In Women - Because It's Your Right To A Healthy Future!

The disease itself may not discriminate on the gender basis, but when it comes to healthcare for patients with diabetes, women find themselves at a disadvantage as compared to men. Studies indicate that diabetes, a disease that affects over 371 million people worldwide takes a greater toll on women than men. Though, hormones in women do account for some of the unique challenges they have to face, but there are other societal factors as well that bring in the differences.

This World Diabetes Day is about promoting the significance of affordable care for diabetes and equitable access for all women at risk or living with diabetes to essential medicines, technological information and self-management education they require and achieve an optimal outcome to strengthen their adequacy to prevent type-2 diabetes. Because it's your right to a healthy and disease-free future!

So, how will you know if you are suffering from this deadly disease – Diabetes?

Symptoms

Women with diabetes experience many of the same symptoms as that of men. However, there are some that are specific to women.

Symptoms experienced by both women and men:

Symptoms unique to women:

Diabetes is the ninth leading cause of death in women globally, causing 2.1 million deaths each year. Two out of every five women suffering from diabetes are of reproductive age. Women with diabetes have more difficulty conceiving and may have poor pregnancy outcomes.

Diabetes and Pregnancy

The affect of Diabetes, in a pregnancy, will not be great, if controlled properly. Women with diabetes should talk to their gynaecologists while planning to conceive so that they can control their blood sugar levels even before getting pregnant. Your gynaecologist will help you control and monitor your diabetes and blood sugar levels during pregnancy.

And, if you fail to get your blood sugar levels under control during pregnancy, you may experience severe risks:

  1. Miscarriage

  2. Premature delivery

  3. Difficult delivery or cesarean section (C-section)

  4. Birth defects

  5. Having a large baby

  6. Preeclampsia (high blood pressure usually with protein in the urine)

  7. Low blood glucose in a newborn

  8. Breathing problems in the newborn

  9. Yellowing skin and eyes (jaundice) in a newborn

  10. Worsening diabetic eye problems and kidney problems for the mother

  11. Urinary or bladder infections

What is Gestational Diabetes?

When diabetes occurs in women during pregnancy, it is called gestational diabetes. It is usually diagnosed at the first week of pregnancy. Like in type 1 and type 2 diabetes, blood sugar levels become too high. When a woman is pregnant, more glucose is required to nourish the baby developing inside her womb. During this time, the body needs additional insulin, which is produced by the pancreas. In some women, the body does not produce enough insulin to meet this need, and blood sugar levels rise, resulting in gestational diabetes. 

Fortunately, for most women, gestational diabetes will go away once the baby is delivered. However, women who have had gestational diabetes are at increased risk of developing type-2 diabetes. Further, people suffering from PTSD are at higher risk and should consult their doctors immediately and those who are presently affected with Diabetes should consult for pre-conception consultation.

Risk Factors for Diabetes in Women

You are at risk for type-2 diabetes if you:

  1. are overweight or obese

  2. are older than 45

  3. have a family history of diabetes (parent or sibling)

  4. have had gestational diabetes

  5. have had a baby with a birth weight of more than 9 pounds

  6. have high blood pressure

  7. have high cholesterol

  8. have other health conditions that are linked to problems using insulin, such as PCOS

Diabetes Treatment Options

Medications

There are various medications you can take to control the symptoms of diabetes. These include:

  1. Insulin therapy

  2. Sulfonylureas like chlorpropamide, which increase pancreatic insulin secretion

  3. Metformin (Glucophage), which reduces blood sugar

Lifestyle changes

A change in your diet and lifestyle can also help women control their diabetes

  1. Exercise and maintain a healthy weight

  2. Monitor your blood sugar

  3. Eat a diet focused on fruits, vegetables, and whole grains

  4. Strictly avoid smoking cigarettes

Alternative remedies

Women with diabetes can try other alternative remedies to treat the symptoms, such as 

  1. Eat more broccoli, buckwheat, sage, peas, and fenugreek seeds

  2. Take supplements like chromium or magnesium

  3. Take plant supplements

But, always remember to consult with your doctor before trying any new treatment. Even if they are natural, they can intrude with your on-going treatment or medications. So, this World Diabetes Day, take a pledge towards healthy living, because your health is important to someone else!

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

3920 people found this helpful

How Can High Diabetes Affect Your Pregnancy?

MBBS, MD - General Medicine, DNB, DM - Endocrinology
Endocrinologist, Gurgaon
How Can High Diabetes Affect Your Pregnancy?

Pregnancy brings with it the need to be extra careful about the overall well-being of the mother-to-be. Extreme caution has to be taken in managing health, as antibiotics and a lot of other treatment modalities are best avoided during pregnancy. With diabetes becoming common in the younger ages and women choosing to delay pregnancy, there are multiple women who are diabetic and choose to get pregnant later in life.

With diabetes being a chronic and a lifestyle condition, it definitely has its effects on pregnancy. However, the key is to manage diabetes cautiously in such a way that its effects on pregnancy, both the mother and the developing baby, are minimal. The increased blood sugar levels from the mother pass on to the baby, so keeping a close watch on the blood sugar levels is very important.

  1. The maximum effect of diabetes on the baby is during the first few weeks of pregnancy. It is when the vital organs (brain, heart, lungs and kidneys) are forming, and high blood sugar levels can be harmful. This is slightly tricky as most women realise they could be pregnant only after about 6 weeks. If pregnancy is planned, it is best advisable to keep a check on sugar levels much ahead of the pregnancy.
  2. The baby could be used to high levels of sugar while in the womb, and once delivered, it could have too low sugar levels. This needs to be monitored.
  3. Preeclampsia, which is increased protein in the urine and high blood pressure, can happen during the second trimester. This may require the baby to be delivered prematurely.
  4. Babies born to diabetic mothers are often bigger. The baby’s pancreas is used to higher sugar levels and so the extra sugar gets converted to fat, which is the reason for the bigger babies. This may also necessitate C-sections.
  5. Pregnancy can induce the development of diabetic retinopathy, which may prevent vaginal delivery, as the woman may not be able to exert the required pressure.
  6. Abnormal calcium and magnesium levels, which need to be monitored for a while after birth
  7. Most diabetic women reach full term if the sugar levels have been under good control.

Diabetic pregnant women are high at risk. However, with advanced medical care, these risks and complications are managed very well producing healthy babies from normal deliveries with effectively no harm to the mother’s health. Once a diabetic woman tests positive, it is advisable to seek medical help to plan diet/meal plan, physical activities, exercise regimen, lifestyle changes, and medication dose adjustments. This is not a one-time activity, but needs to be closely monitored with daily blood sugar levels throughout the pregnancy. If you wish to discuss about any specific problem, you can consult an Endocrinologist.

3308 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

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.

Hi I am 28 years old. I am 14 weeks pregnant now. I have been diagnosed with Gestational diabetes and I am on medication with glycomet. I hav been closely monitoring my blood glucose level and it is always been under the normal range during fasting between 87-102 mg/dl. However, the post breakfast range (after 2 hours) keeps fluctuating between 141-157 mg/dl. My last post breakfast range was 145 mg/dl. My Doc has asked me to take insulin shots. My first question, is it necessary to take insulin for these ranges. I have been doing walkings and adapted to lifestyle changes and following my diet strictly. Is it safe to consume insulin? Would it affect my baby?

MBBS, MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology)
Gynaecologist, Bangalore
The fasting range for pregnancy should be ideally less than 92mg% and the 2 hours post meal should be less than 153mg%. Try to maintain this range with glycomet, diet and exercise. You may even consider increasing the dose of glycomet. Insulin is only for uncontrollable conditions. If the sugars are under control then it won't have any negative impact on the baby. Both glycomet and insulin are very safe in pregnancy.
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Table of Content

What is Gestational Diabetes?

CAUSES

RISK FACTORS

TREATMENT

Play video
Treatment Modalities In Diabetes
Hello! Good Morning!

I am Dr. Anirban Biswas. I am an endocrinologist practicing in South Delhi. Today I am going to answer a few questions asked by my patients regarding new treatment modalities in diabetes and a few questions on insulin.

Q1. Mrs. Anshu Garg: Whether a person who is on insulin can be shifted to oral medicines?

Answer: My answer is Yes. Why not? We can always shift a patient from insulin to oral medicines if there are certain conditions which are fulfilled. We need to perform a few tests and based on that we can find out whether the pancreas are still active. I personally have shifted around more than 1000 patients who were on insulin to non-insulin based regimens or they have substantially lowered their insulin requirement and I have detailed all this in my website www.insulin.com. So, it is possible that there are newer drugs which can make it possible.

Q2. Mr. Atul Thakur: What are the newer medicines that can be used?

Answer: There are two classes of new medicines which have arrived. First are the gliptins which are based on the ingredient pathway and they act not necessarily on the pancreas. They act through the intestinal pathway of controlling sugar. Now let me explain you how this is possible. We all know that there is a test done in which we feed a patient 75 grams of glucose. This test is known as the Oral Glucose Tolerance Test (OGTT) and when scientists were replicating the OGTT through intravenous glucose, they were surprised to find out that only 25 grams of glucose is sufficient to replicate the graph of 75 grams of glucose in OGTT.

So, where does this 50 grams of glucose go, which was fed orally? Scientists asked this because both the graphs were similar. So the answer lies in ingredient pathway. So ingredient pathway was responsible for taking care of the 50 grams of extra glucose which had been fed orally. So, in this way we came to know about the ingredient pathway.

The other treatment modality which has arrived is the SGIT tool, the receptor inhibitor pathway which acts through the kidneys. It decreases the retention of glucose through the kidneys and increases the excretion of glucose through the kidneys and this results in fall in the sugar level in the patient s body. It also causes some increment in the blood pressure and the cholesterol level also. So, these are the two essential newer modalities which have arrived.

Q3. Ravi Bhatnagar: What is CGMS?

Answer: CGMS is Continuous Glucose Monitoring Device. This has been found to be useful in not control of the sugar level like the fasting, BP and the HbA1c levels. Other than that, it has been found to improve the glycemic variability, i.e., the day-to-day variations of the sugar levels can be very easily found out, and this device is available and has been manufactured by Abbott. This is a very good sensor device which can be pain free and can be used in all the patients and I have used in my patients and have got excellent results.

With this I come to the end of today s Questions & Answers and hope to see you soon.
Play video
Diabetes During Pregnancy
Namaskar!

I am Dr Nikhil D Datar I am a senior gynaecologist practicing in the area of Mumbai, I practice mainly in westerns aboves of Mumbai. I am attach to Cloudnine hospital, Lifewave hospital and Yashoda Hospital situated in the area of Malad and Goregaon.

Today I am going to speak to you about a very burning issue that is diabetes and blood pressure that occurs during pregnancy. Many of times these are the problems that are not detected by the people because usually patients do not have any great suffering or any great symptoms. So it is very important that you go to your doctor on regular basis and get yourself check mainly for the blood pressure as well as for the sugar level during pregnancy. These are two problems which if detected in time they can be treated very-very well and you get a very successful outcome, so you can definitely be a healthy mother and give a birth to a healthy baby. However, if it all these things are not taken care of then it can really be a dangerous thing. Both these problems occur because of the fact that you are pregnant, so it means that unless and until the delivery takes place these problems are not going to go away. Both blood pressure and diabetes can have significant side effects on the mother's health as well as on the baby s health. So it is very important that the obstetrician that you are going to on both hands checks on the mother's health as well as the baby s health and keeps that balance between these two situations. Senior obstetrician were well experienced can take care of such kind of problems very-very well and as an what I told you that early detection, quick and immediate treatment, regular kind of follow-up, diet, exercise and medical management frequent and regular monitoring can give you a brilliant outcome and you will have a very-very successful pregnancy and healthy baby at the end of the pregnancy.

I wish you all a good luck and of course Lybrate platform is there on which you can take an appointment for me or you can also do an online consultation or chatting with me. Thank you.
Play video
Gestational Diabetes
How diabetes can affect mother and child both?
Play video
Gestational Diabetes
Hello, I am Dr. Tripti Raheja. I am working as senior consultant Gynaecology at Max Superspeciality Hospital, Shalimar Bagh, Delhi. Today we are going to discuss a very important topic that is Diabetes during Pregnancy. We call it Gestational Diabetes.

Gestational Diabetes is a very common condition that develops when the body can not produce Insulin to meet extra requirement during pregnancy. So, this leads to high blood glucose level. It affects 15-20% women during pregnancy. Chances of developing diabetes during pregnancy are more if the patient is obese or if there is any past history of Diabetes or if any family member suffers from diabetes. Usually, it develops n the middle or later part of the pregnancy.

So, to diagnose a Gestational Diabetes, we advise a test, which is called glucose tolerance test after 24-28 weeks of pregnancy. So, Gestational Diabetes is an easily treatable condition if it is diagnosed on time, if it is treated properly, if the sugar level is maintained in the body, so it leads to healthy pregnancy which is a healthy baby. But is it is not diagnosed and not treated, it will lead to various complications. Most important of these complications is a large sized baby. So, if the baby is excessively large then you likely to have caesarian section delivery. And if you have a normal delivery, there are more chances of tears or injuries to the birth canal and there are more chances of injury to the baby in the form of nerve injury or fractures. And the new born babies are likely to have fluctuation in the blood sugar level. Even in later stages, these babies are more likely to develop Type 2 diabetes.

So, in order to avoid all these complications, it is advisable to diagnose this problem on time, take proper treatment and keep your sugar level in control. Most important treatment for GEstational Diabetes is maintaining a healthy diet plan and regular exercises. So, if you are diagnosed with Gestational Diabetes, you will be given a diabetic diet plan and advised for regular exercise for 30 minutes daily.

In 80-85% women, these two measures work nicely and blood sugar levels are controlled in a week or 2 weeks. But if the blood sugar levels are still high after 2 weeks of healthy diet and a regular exercise, then you need additional treatment in the form of Insulin.

The growth of the baby is continuously monitored during the pregnancy by repeated ultrasounds and scans. So, Gestational diabetes gets better immediately after the child birth.So, the child birth is planned around 38-40 weeks of pregnancy. It can be done by the mode of the Caesarian section or the normal delivery, depending on the individual circumstances. Immediately after the child birth, you are advised to stop all the medicines which you were taking for Diabetes or Insulin injections. Once you are discharged, it will be checked if you are sugar level has come to normal. THen again you will be advised to get your blood sugar test done after 6 weeks to 45 days after the delivery to check whether they have completely returned to normal. And if they are still abnormal, then you will have to refer a Diabetes specialist.

You should also have glucose tolerance test 6 to 8 weeks after your delivery. It is important to do this test to check if your blood sugar level has come to normal. In some women, the blood sugar level is found abnormal even after child birth and they may require continuous treatment. It is also advised that you should check your blood sugar level every year. And the women who had suffered from Gestational Diabetes, they are advised to check their blood sugar level after every 5 years.

In the end, I want to say that Gestational Diabetes is a very common problem but it can be diagnosed very easily and can be treated. If it is treated properly, it can lead to healthy pregnancy.

If you need further informatio, you can contact me through Lybrate where you can have text consultation and you also fix up an appointment at my clinic.

Thank you.
Play video
Gestational Diabetes
Here are cause, symptoms , and treatments of Gestational Diabetes

Hello I m Dr. Neeti Agarwal I m senior endocrinologist at Indus Health and she is our dietitian Monica Roman.

Gestational diabetes is diabetes which develops during pregnancy. Who is likely to develop gestational diabetes? One who has a family history of diabetes in first-degree relatives, somebody who has had gestational diabetes in previous pregnancy, somebody who has a history of having giving birth to a large size baby or somebody who is obese.

Now why it is important? because of the problems associated with gestational diabetes in both mother and the child the mother is likely to develop hypertension also the mother is likely to have bleeding problems during the delivery. There is increased likelihood of developing suzerain sections and later post-delivery the mother is likely to develop diabetes. The child who was born there is likelihood of developing obesity and diabetes later in life, if the mother has gestational diabetes early in pregnancy . There is likelihood of developing structural abnormalities of the heart and the nervous system in the child so it is very important to diagnose and manage gestational diabetes by the diagnosis which is done by simple blood glucose testing which should be done.

Diet is very important and exercise as advised by the gynecologist is important medication there are very few medications that we can give during pregnancy so therefore our treatment mainly relies on insulin therapy therefore we focus on diet. So to talk about diet during pregnancy, I invite Monica ma am. Hello friends there are some basic dos and don ts which we have to keep in our mind. During the gestational diabetes take your meal on time take small and frequent meals eat whole fruit instead of fruit juices include high fiber foods in your diet. Do regular physical activities for 40-45 minutes for day. Choose food with low food with low glycemic index 24 bit low glycemic index. Cut down saturated fats like butter, ghee and cheese from your diet. Monitor your blood sugar levels daily and cut down sugary products and redid drinks.

So if you have gestational diabetes all you need to know or consult regarding gestational diabetes you can reach us on Lybrate.
Having issues? Consult a doctor for medical advice