Gestational diabetes mellitus-various aspects-
Gestational diabetes mellitus-is diabetes which is diagnosed for the first time during pregnancy.It affects how your cells utilise glucose.Also called: diabetes during pregnancy
In this condition there is high blood sugar and it affects pregnant women.
What Causes Gestational Diabetes Mellitus ?
Gestational diabetes occurs when insulin cannot be produced in women in enough amounts during pregnancy. Insulin is a hormone made by beta cells of islets of Langerhans of pancreas that enable to transport blood sugar into the cells of your body for use as energy.
The placenta supplies nutrients to foetus and in addition to providing nutrition to foetus produces a variety of hormones to maintain the pregnancy. Some of these hormones (estrogen, cortisol, and human placental lactogen) can have a blocking effect on insulin.
Blocking effect of insulin is called insulin resistance which leads to gestational diabetes.
Those women who develop gestational diabetes are at higher risk of developing type 2 diabetes later in life.
More than 1 million cases per year (India)
In most cases, there are no symptoms. A blood sugar test during pregnancy is used for diagnosis.A routine ANC (Antenatal check up) of pregnant women at the start of pregnancy and there after at regular intervals as advised by MD Gynecologist doctor is extremely important as in case if gestational diabetes mellitus is detected then appropriate treatment is advised at the right time and undue complications can be avoided.
ANC check up is extremely important. Nowadays even in modern times we find that many pregnant women visit hospital directly at the time of delivery and never go for ANC check up. Pregnancy complications are extremely high in such cases. There is need to increase the health awareness in such people.
What are symptoms of gestational diabetes mellitus ?
Gestational diabetes can have no symptoms, but people may experience:
excessive hunger, excessive thirst, or fatigue.
Common things observed in gestational diabetes -: fetal macrosomia, frequent urination, or yeast infection .
Treatment consists of diet modifications ,
daily blood sugar monitoring, a healthy diet, exercise and monitoring the baby by ultrasound and other things. If blood sugar is too high, medication is required as advised by physician ( MD General Medicine doctor).
What is the main cause of gestational diabetes mellitus ?
What Causes Gestational Diabetes? Gestational diabetes occurs when your body can’t make enough insulin during your pregnancy. Insulin is a hormone which is necessary for the transport of blood sugar into cells so that they can utilize it as a source of energy .
Can gestational diabetes harm my baby?
If untreated, gestational diabetes can cause complications for your baby, such as premature birth and stillbirth. Gestational diabetes usually goes away after the baby’s born; but if some woman has got gestational diabetes, then she is more likely to develop diabetes mellitus later in life.
Is gestational diabetes mellitus caused by diet?
There is no relationship at all between diet and gestational diabetes. It occurs because the pancreas does not produce enough insulin during pregnancy. Even mothers who have had gestational diabetes in a previous pregnancy may not get it with a later pregnancy.
What should I avoid eating in gestational diabetes diabetes?
Plenty of whole fruits and vegetables.
Moderate amounts of lean proteins and healthy fats.
Moderate amounts of whole grains, such as bread, cereal, pasta, and rice, plus starchy vegetables, such as corn and peas.
Fewer foods that have a lot of sugar, such as soft drinks, fruit juices, and pastries.
Does drinking water help gestational diabetes mellitus ?
As water contains no carbohydrate or calories, it is the ideal drink for pregnant women. Studies have also shown that drinking water could help control glucose levels. Drink a large glass of water with every meal and another glass in between meals.
How do you deliver with gestational diabetes?
The perfect time to give birth if you have gestational diabetes is usually around weeks 38 to 40. If your blood sugar is within normal levels and there are no worries about your or your baby’s health, you may be able to wait for labour to start naturally.
How common is stillbirth with gestational diabetes?
Diabetes affects 1-2% of pregnancies and is a major risk factor for many pregnancy complications. Women with diabetes are around five times more likely to have stillbirths, and three times more likely to have babies that don’t survive beyond their first few months.
Does stress cause gestational diabetes?
Gestational diabetes mellitus (GDM) pregnant women are under more psychological stress than normal pregnant women. Research has shown that anxiety and depression are also an important cause of gestational diabetes mellitus .
What fruits to avoid if you are diabetic?
Following fruits should be avoided for a person with diabetes.
High sugar fruits
very ripe bananas.
Should I be worried about gestational diabetes?
After baby is born.
Gestational diabetes can cause problems for the mother and her baby after labour and in the long term. If she has gestational diabetes, she has also a higher risk of developing type 2 diabetes at later part of her life.
What is a good breakfast for gestational diabetes?
Weetabix, Bran flakes, All Bran, Shreddies, Shredded Wheat, Granola, No added sugar Muesli, or porridge oats with semi-skimmed, or skimmed milk
How can I lower my gestational diabetes naturally?
Following are the dietary recommendations-
Distribute your foods between three meals and two or three snacks each day.
Eat reasonable portions of starch.
Drink one cup of milk at a time.
Limit fruit portions.
Avoid fruit juice.
Strictly limit sweets and desserts.
Stay away from added sugars.
What happens if you don’t follow diet with gestational diabetes mellitus?
The high blood glucose levels of the baby will result in production of additional insulin by the pancreas resulting in additional transport of glucose into the cells and so the women with untreated gestational diabetes will give birth to big babies -babies with birth weight more than normal range.
Can I have coffee with gestational diabetes?
Yes, you can.But without sugar.At periodic intervals blood sugar should be done.
What are the symptoms of high sugar during pregnancy?
Usually there are no symptoms. Symptoms arise if blood sugar levels go very high.
Some women may develop symptoms if their blood sugar levels gets too high (hyperglycaemia), such as:
needing to pee more often than usual.
a dry mouth.
polyphagia -increased hunger
Can gestational diabetes mellitus cause autism?
A mom’s diabetes may increase the risk of her child developing neurological disorders such as autism spectrum disorder or attention deficit disorder. Woman who are considering becoming pregnant should see their MD Gynecologist doctors even before pregnancy, if possible, to help ensure their babies are as healthy.After becoming pregnant ANC(Antenatal check up ) from MD Gynecologist doctor is compulsory for women. In ANC check up besides routine investigations, random blood sugar is done.
What Weeks does gestational diabetes mellitus get worse?
Between 32 – 36 weeks gestational diabetes worsens due to insulin resistance.
Will one high blood sugar hurt my baby?
High blood glucose levels during pregnancy can also increase the chance that your baby will be born too early (premature baby), weigh too much (Overweight baby) or have breathing problems or low blood glucose right after birth. High blood glucose also can increase the possibility of miscarriage link or stillborn baby.
Do you gain weight faster with gestational diabetes mellitus ? Weight gain in women with gestational diabetes is less than in control patients .
How do doctors manage gestational diabetes?
Treatment for gestational diabetes aims to keep blood glucose levels in normal range .The treatment always includes special diabetics diet and scheduled physical activity, and it may also include periodic blood glucose testing and insulin injections.
What do you say to someone with gestational diabetes mellitus ?
The only thing that we can let her know that earlier the diagnosis and treatment of gestational diabetes is made, the more better it is and right from the point when diagnosis is made the best possible treatment must be started from MD Gynecologist doctor to reach the most favourable prognosis. Gestational diabetes is not a problem but to neglect it is a problem.
Can you exercise with gestational diabetes mellitus ?
It is recommended that women with GDM should do both aerobic and resistance exercise at a moderate intensity, a minimum of three times a week for 30-60 min each time. It is beneficial but at the same time too much of physical exercise is also not good for the health of pregnant women so the exact duration of physical exercise should be made clear from your gynecologist doctor.
Can you be induced early with gestational diabetes?
In people with GDM who have well-controlled blood sugar levels with diet and exercise alone labour induction should not be done before 39 weeks and expectant management is appropriate up to 40 weeks .Rest is at the sole discretion of the treating gynecologist depending on the underlying gynecological and obstetric problems .
Which vegetables should be avoided in gestational diabetes mellitus ?
People living with diabetes should look to avoid vegetables with a high GI rating, as the body absorbs blood sugar from those foods much quicker compared with low-GI foods. This includes artichokes, asparagus, broccoli, celery, cauliflower, eggplant/aubergine, green beans, lettuce, peppers, snow peas and spinach.
Who is high risk for gestational diabetes mellitus ?
Gestational diabetes can develop in any woman who is pregnant. But women over the age of 25 who are of African, Asian, Hispanic, Native American or Pacific Island descent are at a higher risk. Other factors that may increase your chances of GD include: Heart disease.
Can diabetics eat potatoes?-
Because of their high carbohydrate content they should be consumed in limited quantity and periodic blood sugar estimation should be done.
What You Can Drink, Besides Water, When You Have Diabetes
Chocolate Milk. This treat may remind you of the school lunchroom, but it’s a good calcium-rich choice for grown-ups as well. …
Is milk OK for gestational diabetes?
Milk is a healthy food and provides calcium and carbohydrates. But too much amount at a single time should be avoided and periodic blood sugar estimation should be done. an important source of calcium.
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