Gestational Diabetes (GD) during pregnancy

 

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5 Tips for Women with Gestational Diabetes Exercise Regularly Exercise is another way to keep blood sugar under control. It helps to balance food intake. After Monitor Blood Sugar Often Because pregnancy causes the body’s need for energy to change, blood sugar levels can change Take Insulin. Gestational diabetes (GD) is high blood sugar or glucose levels during pregnancy.

About 6% of pregnant women in the U.S. will be diagnosed with gestational diabetes. In the U.S., universal screening is performed via blood testing between 24 and 28 weeks’ gestation. Gestational diabetes is a temporary (in most cases) form of diabetes in which the body does not produce adequate amounts of insulin to regulate sugar during pregnancy. It may also be called glucose intolerance or carbohydrate intolerance. Gestational Diabetes signs and symptoms can includ.

Gestational diabetes is high blood sugar that you get only when you’re pregnant. The word “gestational” means the time when the baby grows in the womb. About 3 to 5 out of every 100 pregnant women.

If you’ve been diagnosed with gestational diabetes, try not to feel alone. Gestational Diabetes Mellitus, or GDM, affects around 15 percent of pregnant women, usually between their 24-28th weeks of pregnancy. In fact, it’s so common that all pregnant women are tested for GDM in their second trimester, not.

Gestational diabetes is a type of diabetes that affects only pregnant women. It shows up in women who’ve never had diabetes before. And for many (but not all) such women, it goes away on its own.

If you have gestational diabetes (GD), choosing the right food to eat is important. Keeping your blood sugar stable by eating healthy food and exercising makes it less likely that you and your baby will face complications due to your gestational diabetes. Reviewed on September 29, 2018. Gestational diabetes can be a tricky condition to manage.

But with the guidance of a dietitian (and by using menus like this one), you can keep your blood sugar levels in check. What medication do I take for gestational diabetes? You many not need to take medication for gestational diabetes.It’s possible to manage the condition by following a special diet and exercise plan.However, about 15 percent of women won’t be able to control blood sugar with diet and exercise alone. The exact cause of gestational diabetes is unknown, but it may be due to hormones your placenta produces. These hormones help your baby grow, but they can also stop insulin from doing its job.

If.

List of related literature:

Most women should be able to maintain glucose levels between 60 and l20 mg per dL (3.33 to 6.66 mmol/L).57 About 70% of pregnant diabetic women have increased insulin requirements after the 24th week, and requirements usually double by the end of pregnancy.

“Textbook of Therapeutics: Drug and Disease Management” by Richard A. Helms, David J. Quan
from Textbook of Therapeutics: Drug and Disease Management
by Richard A. Helms, David J. Quan
Lippincott Williams & Wilkins, 2006

The GTT should be carried out in early pregnancy if the patient has • a history of gestational diabetes • recurring glucosuria.

“Evidence-Based Medicine Guidelines” by Duodecim Medical Publications, Ilkka Kunnamo
from Evidence-Based Medicine Guidelines
by Duodecim Medical Publications, Ilkka Kunnamo
Wiley, 2005

Women with gestational diabetes should be screened for type 2 DM at the postpartum visit and every year thereafter, most commonly with a fasting serum blood glucose or a 75 g, 2-hour GTT.

“Blueprints Obstetrics and Gynecology” by Tamara L. Callahan, Aaron B. Caughey
from Blueprints Obstetrics and Gynecology
by Tamara L. Callahan, Aaron B. Caughey
Wolters Kluwer Health/Lippincott William & Wilkins, 2009

Usually after the pregnancy, gestational diabetes resolves, though there is a greater risk for type 2 DM.

“Kinn's The Medical Assistant E-Book: An Applied Learning Approach” by Brigitte Niedzwiecki, Julie Pepper, P. Ann Weaver
from Kinn’s The Medical Assistant E-Book: An Applied Learning Approach
by Brigitte Niedzwiecki, Julie Pepper, P. Ann Weaver
Elsevier Health Sciences, 2019

that a threshold of 130 mg/dl in the first trimester provided a sensitivity of 91% for gestational diabetes at any time during pregnancy among a group of 43 high-risk patients, but in this study patients prepared assiduously for the screening test with 3 days of carbohydrate loading and an overnight fast.

“Diabetes in America” by National Diabetes Data Group (U.S.), National Institute of Diabetes and Digestive and Kidney Diseases (U.S.), National Institutes of Health (U.S.)
from Diabetes in America
by National Diabetes Data Group (U.S.), National Institute of Diabetes and Digestive and Kidney Diseases (U.S.), National Institutes of Health (U.S.)
National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, 1995

A study in Diabetes Care in August 2001 showed that a normal pregnant woman without diabetes will have a blood glucose of between 55 mg/dl and 105 mg/dl one hour after meals from the 28th to the 38th week.

“Type 1 Diabetes For Dummies” by Alan L. Rubin
from Type 1 Diabetes For Dummies
by Alan L. Rubin
Wiley, 2011

The blood glucose levels need to be assessed every 1–2 weeks throughout pregnancy.

“Textbook for MRCOG-1: Basic Sciences in Obstetrics & Gynaecology” by Richa Saxena
from Textbook for MRCOG-1: Basic Sciences in Obstetrics & Gynaecology
by Richa Saxena
Jaypee Brothers,Medical Publishers Pvt. Limited, 2019

If the first-trimester results are not diagnostic of overt diabetes but the FPG level is between 92 and 125 mg/dL, IADPSG recommends treating those women as having GDM.

“Creasy and Resnik's Maternal-Fetal Medicine: Principles and Practice” by Robert Resnik, MD, Robert K. Creasy, MD, Jay D. Iams, MD, Charles J. Lockwood, MD, MHCM, Thomas Moore, MD, Michael F Greene, MD
from Creasy and Resnik’s Maternal-Fetal Medicine: Principles and Practice
by Robert Resnik, MD, Robert K. Creasy, MD, et. al.
Elsevier Health Sciences, 2013

Gestational diabetics truly compliant with their diets gain little or no weight during pregnancy and may show small acetonuria.

“Practical Guide to High Risk Pregnancy and Delivery E-Book” by Fernando Arias, Amarnath G Bhide, Arulkumaran S, Kaizad Damania, Shirish N Daftary
from Practical Guide to High Risk Pregnancy and Delivery E-Book
by Fernando Arias, Amarnath G Bhide, et. al.
Elsevier Health Sciences, 2012

Gestational diabetes increases the likelihood of macrosomia (high-birthweight infants) and hence a more difficult delivery.

“Manual of Dietetic Practice” by Briony Thomas, Jacki Bishop
from Manual of Dietetic Practice
by Briony Thomas, Jacki Bishop
Wiley, 2013

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
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25 comments

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  • you should be more careful with your wording as i found a few things were not from a women centered veiw
    but really great info and i have based my exam info sharing off alot of this thankyou!!

  • Great content! I delivered my baby 11 weeks ago and loved watching all your videos throughout my pregnancy!

    I am Registered Dietitian who also happened to develop gestational diabetes during my pregnancy. I talk about my journey and also provide diabetes education on my instagram.

    If anyone is interested, I would love for you to follow me on Instagram @thevitaminrd ��

  • Hi Sarah. I am currently 36 weeks pregnant and a type 2 diabetic. At my ultrasound appointment my baby is measuring 7lbs 7oz and my doctor is proposing an induction at 37 weeks 3days due to baby size. Should I worry?

  • I had gestational diabetes last year during my pregnancy. It was diet-controlled, which was great! It honestly helped so much with my pregnancy nutrition!

    When my daughter was born, she was normal weight 7lbs, 12oz, but she did end up having low blood sugar, which was treated by giving her formula.

    The only sign I had GD before testing was that my heart rate would increase about 20 BPM after I ate. I didn’t make the connection until my GD testing, I actually was seeing a heart doctor!! Once my sugars were under control, my heart rate was too!!

    Thanks for another great video!

  • Would you say that a mama with a previous shoulder dystocia birth is at risk for it again with the added GD in her current pregnancy?

  • THANK YOU for having such an upbeat, positive, reassuring attitude about GD. I was diagnosed yesterday and spent the entire day crying and worrying about my poor bubs and what might happen to us moving forward. You have really helped me understand what this means going forward and how I can control it. I plan to be diet controlled (have always been low carb and I think that’s why I ended up not passing the glucose test to begin with) and tested my sugar for the first time by myself this morning. Your videos are SO helpful and informative and I feel confident in the knowledge you’re sharing!! Thanks, Sarah!!

  • Sigh… No luck for me. I have been diagnosed with GD. Not freaking out about it. But I am a little confused.  

    QUESTIONS: 1. Is it normal for blood sugar to drop almost 90 points in 30 minutes? I tested 1 hour after eating lunch yesterday and my blood sugar came back at 180. I tested again 30 minutes later and it was 97. 2. Why am I required to hit “normal (non-diabetic)” blood sugar numbers. I was looking at blood sugar and diabetes online, and I was seeing medical organizations reporting much higher normal (for diabetics) numbers than the standard normal numbers that my doctor gave me. I’m confused ������

  • My Dr says he won’t let me go past 39 weeks and will have to do a C-section. I’m 36 weeks baby is weighing 6.8pounds according to ultrasound.. I’m trying to go for vbac but he wants to do C-section at 39 weeks…(makes me want to cry).

  • You do not HAVE to take that test. Many women, esp those with HG, are unable to keep that drink down. One week of at-home glucose testing is an alternative.

  • Hey Sarah, is it possible for my placenta to move up before birth? I’m 30 weeks, baby is head down. Only my placenta is low. Please do let me know, I’m stressing out��

  • Instead of posting every week, can u try and do one every few days? I don’t like waitjng a full week for your vids. love u so much, i love your channel that much i wish u did a vid everyday! i am just asking this one time, but when u going to do my vid request?

  • This is perfect timing. Just got diagnosed and meet my counselor tomorrow, I’m a nurse so I already understand most of it but it’s different when you actually have to deal with it yourself.

  • I’m dealing with just low blood sugar (as far as I know). My blood sugar was 80 an hour after drinking the glucose drink. I feel faint/dizzy if I don’t eat every couple of hours. Should I be checking my blood sugar often? Any advice?

  • I had GD with my first. The hospital never checked my sugar before or after birth. I ended up fainting in the shower after birth and damaged my tailbone due to my sugar dropping so quickly. I’ll be bringing snacks for after birth this time around to prevent this!

  • 8:15 you dont want a massive baby coming out of your vagina.. like no.. women do not want to hear this from any sort of educator of birth.. you can rephrase ” If you have high levels of sugar in your blood, that does pass through the placenta and to the baby, giving baby that same increased blood sugar as well. This causes their pancreas to produce lots of insulin, causing all their cells to uptake more sugar to help keep that sugar regulated. All this increased energy being created in your baby’s cells causes your baby to grow larger than expected.of course that may come with “complications” suchas… increased rik of trauma to pernium, increase risk of pain relief, increase risk of baby becoming destressed, but its great as we have many techniques to monitor the wellbeing and health and you and your baby, also great we can screen for this early to help “reduce” complications…

  • or hangout outch ya.. another risk is that as baby travels through your pelvis. the head or shoulder may become stuck, indicating medical assistance. little things can help!! welcome to message me and i can help you with cool ways to phrase your videos and i may learn something in the process,

  • My numbers were awful this week and they are under control again but I’m so worried I hurt my baby and myself:( I’m feeling so so guilty. My numbers were perfect the whole time and I’m 36 weeks now and for about a week and a half they have been high. I had a meltdown of guilt because I would never forgive myself if something went wrong

  • Love all the Info you give. I’m boarder line gestational diabetes so I do have to prick my finger to make sure I’m not high. Specifically in the mornings when I wake up. Can you make a video about NST?

  • 1st love your videos currently 36 weeks with baby #2. 2nd I had to be tested again for gd as my baby is measuring big. I failed the 1 hour test but passed my 2 hour test. But during the 2 hour test I literally almost passed out they made me lay down the last hour because i almost lost consciousness… What would cause this if I passed?

  • Can you please talk a little bit about placenta abruption and if there’s anything I can do to prevent it? I’ve had 2 pregnancies with PA, first was born at 30 weeks due placenta abruption. And 2nd PA at 36 weeks (third pregnancy) I had low iron and preeclampsia which caused another PA. I’m pregnant with my 4th baby and praying for no PA this time or preeclampsia.

  • Would you be able to address in a video about severe spd pain or how to cope with it / how it might affect delivery? Your videos are helping me prepare for my first baby so much! Thank you ��������

  • YES to the stuff at 16:57. Should have said all that at the beginning of the video. Because that’s the first thing I’d have wanted to hear when I was diagnosed.

  • I needed this series about this time last year when I was diagnosed with GD! I was lucky to not need insulin. My sugars were actually never high after failing the 3 Hour Glucose Test. It made me question the methods they used to test.

  • Your videos give me the best kind of confidence (knowledge) to go into the whole process of having a baby, when I do. I love watching you even though I’m nowhere close to even thinking of a child. I don’t even have a boyfriend yet lol.

  • Your gorgeous!! Congratulations on your pregnancy girly����I am currently pregnant not as far along as you tho. I can’t wait. I also vlog my pregnancy on my channel I hope you can check it out and subscribe back. I would love to be mom friends ������