Gestational Diabetes
What is Gestational Diabetes?
Gestational diabetes is a type of diabetes that is first diagnosed during pregnancy, and it is more likely to recur in a future pregnancy. Pregnant women with this diagnosis have an increased risk of developing type 2 diabetes later in life.
What is Diabetes?
Diabetes is a serious medical condition, characterized by chronically elevated blood glucose levels. Glucose is an essential sugar that fuels the body. The hormone insulin, produced by the pancreas, is crucial in the absorption of glucose from the bloodstream so that it can be converted into energy in the body cells. With diabetes, poor insulin production, or insulin resistance, interferes with your ability to absorb glucose. Gestational diabetes can cause health problems in both mother and baby. It develops typically between 24th and 28th weeks of pregnancy. It often occurs in women who have no prior family history of diabetes. It impairs your body’s ability to absorb glucose and leads to high blood sugar levels. Pregnancy hormones cause insulin resistance, and this raises blood glucose levels. Gestational diabetes may also increase the mother’s risk of high blood pressure and pre-eclampsia.
Gestational diabetes can put a pregnancy at risk, and requires careful monitoring by your obstetrician.
Having the disease increases the baby’s risk of:
Growing large inside the mother- macrosomia. This may require as c-section delivery
High birth weight
Pre-term labour
Low glucose levels at birth
Jaundice
All these risks can be managed with diligent antenatal care and careful blood glucose monitoring.
Risk Factors for Gestational Diabetes
Overweight
Previous history of gestational diabetes.
Previous very large baby in a past pregnancy
Previous stillbirth
Indian or Black racial heritage
Management of Gestational Diabetes
Keeping blood glucose levels under control is the most important. Many people can achieve this with a healthy diet and regular physical activity. You may need to check your blood glucose daily with a finger-pricking device, and keep a food diary.
If diet and exercise alone cannot keep your blood sugar down, you may need to take metformin or insulin injections.
Once the baby is delivered your gestational diabetes goes away.
You are also invited to establish care with Dr Annabelle Pollard. Please click here to make an appointment or call us.