{"id":1487,"date":"2021-05-24T17:36:09","date_gmt":"2021-05-24T12:06:09","guid":{"rendered":"https:\/\/www.drdalaldiabetes.com\/?page_id=1487"},"modified":"2021-06-30T11:01:53","modified_gmt":"2021-06-30T05:31:53","slug":"treatment-for-gestational-diabetes","status":"publish","type":"page","link":"https:\/\/www.drdalaldiabetes.com\/treatment-for-gestational-diabetes\/","title":{"rendered":"Treatment for Gestational Diabetes"},"content":{"rendered":"\t\t
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Gestational diabetes is diabetes during pregnancy. It usually goes away once delivery is done, however it does make the development of diabetes mellitus in future more likely for the mother and the child. Like in other types of diabetes in gestational diabetes to blood sugar is raised. High blood glucose is caused because the mother can\u2019t produce enough insulin and resistant to insulin. Insulin resistance occurs due to fat burden and hormones produces by the placenta.<\/p>

Insulin helps move glucose out of the blood and into the body\u2019s cells where it can be turned into energy. A pregnant woman\u2019s cells naturally become slightly more resistant to insulin and its effects. This change is specially designed to increase the mother\u2019s blood glucose level to make more nutrients available to the baby. Obesity before pregnancy adds to insulin resistance. The mother\u2019s body makes more insulin to keep the blood glucose level normal. In a small number of women, even this increase is not enough to keep their blood glucose levels in the normal range. As a result, they develop gestational diabetes. Thus Gestational diabetes is caused by a change in the way a woman\u2019s body responds to insulin <\/em><\/strong>during pregnancy. A pregnant woman\u2019s insulin needs are two to three times higher than that of normal.<\/p>

Two reasons why the mother needs more insulin:<\/p>

\u2022 Pregnancy causes the release of certain types of hormones (made by the placenta) which make it harder for insulin to do its job
\u2022 Because the growth demands of the foetus (developing baby) increase the mother’s need for insulin<\/p>

Effects OF GESTATIONAL diabetes on mother and child?<\/strong><\/p>

The risks to the mother include:<\/p>

\u2022 An increased chance of a caesarean section to deliver the baby.
\u2022 An increased chance of developing pregnancy-induced hypertension and protein in the urine.
\u2022 An increased chance of getting urinary tract infections.<\/p>

The risks to the baby include:<\/p>

\u2022 Being very fat and large at birth. Babies who are too large (4 kgs) or fat at birth have a much higher risk of developing serious problems following their birth.
\u2022 Having their shoulders dislocated during the birth process (because they are too large to fit well through the birth canal).
\u2022 Having a serious low blood glucose level soon after birth. This can happen because before being born the baby had been getting a very high level of glucose out of the mother\u2019s blood (across the placenta). The baby had adjusted to this high glucose level by making high levels of its own insulin. When the placenta separates after birth this high level of glucose (from the mother) suddenly stops. The baby still has very high levels of its own insulin and this can cause its blood glucose to fall too low.
\u2022 Prolonged new-born jaundice
\u2022 Low levels of calcium in its blood.
\u2022 Respiratory distress syndrome (this can be quite dangerous).
\u2022 Underweight and small babies.
\u2022 Future risk of developing diabetes with increased chances of diabetes-related complications of eye, kidney, brain and feet.<\/p>

This risk reduces with a reduction in the weight and waist length of the mother and the child.<\/p>

Symptoms of gestational diabetes<\/strong><\/p>

The symptoms of gestational diabetes can be tiredness and excessive urination. The patient may not have any complaints and diabetes may get detected during blood checkup.<\/p>

Risk of developing gestational diabetes:<\/strong><\/p>

If you have one or more of the following factors you are more likely to develop gestational diabetes:<\/p>

\u2022 Having a family history of type 2 diabetes in a close relative (parents or brothers and sisters)
\u2022 Having gestational diabetes in a previous pregnancy
\u2022 If a previous baby had a birth defect
\u2022 If you are very overweight
\u2022 If you are aged over 30
\u2022 If you have had a previous stillbirth or spontaneous miscarriage
\u2022 If you\u2019ve had a previous large baby (greater than 4 kilos ) or a small baby
\u2022 If you have a history of pregnancy-induced high blood pressure, urinary tract infections, or polyhydramnios (too much amniotic fluid)<\/p>

Screening for gestational diabetes?<\/strong><\/p>

All pregnant women must have screened for gestational diabetes. This test usually is done between 24 weeks and 28 weeks of pregnancy. It may be done earlier if you have risk factors. The only way to confirm gestational diabetes is with a glucose tolerance test, which needs to be carried out after eight hours without food. The woman is given a solution of 75 gms glucose to drink, and then blood samples are taken and analyzed after 2 hours post glucose reading if more than 140 mg\/dl is a diagnostic of GDM.<\/p>

Treatment of Gestational diabetes<\/strong><\/p>

Since every pregnancy is precious and demands good care, it is important to visit a Doctor who is a Diabetes specialist to understand the action plan to control the blood sugar levels.<\/p>

The first line of treatment is to follow a healthy lifestyle but eating nutritious food which full fill needs of mother and growing infants and regular physical exercise during the pregnancy.<\/p>

Some women with gestational diabetes require blood sugar-lowering medicines or insulin to manage their blood sugar levels in a healthy range during pregnancy.<\/p>

The target of blood sugars during pregnancy are:<\/p>

HbA1c < 6.5 %<\/p>

Fasting blood sugar: 80-100 mg\/dl<\/p>

1 Hour post meals: 120-140<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Gestational diabetes is diabetes during pregnancy. It usually goes away once delivery is done, however it does make the development of diabetes mellitus in future more likely for the mother and the child. Like in other types of diabetes in gestational diabetes to blood sugar is raised. 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