Importance Of Being Physically Active
Physical activity helps control diabetes during pregnancy and has numerous health benefits for pregnant women.
It is recommended that most pregnant women do a total of 150 minutes of physical activity per week, ideally in at least 3 to 5 sessions of 30 to 45 minutes each. If you werent active before your pregnancy, start gradually.
Safe cardiovascular activities during pregnancy include:
- cross-country skiing
Consult your doctor before starting these activities and avoid physical activities where you risk falling, losing your balance or have sudden changes in direction .
Stay well hydrated before, during and after exercise, in addition to having with you at all times your blood glucose meter and a source of rapidly absorbed carbohydrates in case of hypoglycemia.
Before engaging in physical activity, your insulin dosage may have to be reduced to limit the risk of hypoglycemia. Your medical team will help you adjust your dosage as required.
What Are The Warning Signs Of Gestational Diabetes
Pregnant women have heard tales or experienced it themselves of the orange drink they have to take around 24 to 28 weeks of pregnancy. Its a story thats passed from woman to woman about the overly sweet, syrupy taste of the drink and having to sit in the doctors office for blood tests.
But this important screening is worth the inconvenience. It detects and diagnoses gestational diabetes in pregnant women. Gestational diabetes affects nearly 10 percent of pregnant women, according to the American Diabetes Association.
Gestational diabetes, left untreated and unmanaged, can pose serious health risks to your baby, including:
- Excessive birth weight
- Preterm birth and respiratory distress syndrome
- Low blood sugar at birth
- Increased risk of type 2 diabetes later in life
Fortunately, gestational diabetes is easy to diagnose and manage, says Barbara E. Simpson, M.D., a board-certified obstetrician/gynecologist. The fasting blood sugar test can make sure mom and baby stay healthy and happy.
How Can Diabetes Affect My Baby
A babys organs, such as the brain, heart, kidneys, and lungs, start forming during the first 8 weeks of pregnancy. High blood glucose levels can be harmful during this early stage and can increase the chance that your baby will have birth defects, such as heart defects or defects of the brain or spine.
High blood glucose levels during pregnancy can also increase the chance that your baby will be born too early, weigh too much, or have breathing problems or low blood glucose right after birth.
High blood glucose also can increase the chance that you will have a miscarriage or a stillborn baby.1 Stillborn means the baby dies in the womb during the second half of pregnancy.
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Eating Well With Gestational Diabetes
An important part of managing gestational diabetes relates to diet. Following a healthy eating plan will assist in:
- Managing blood glucose levels within the target range advised by your doctor
- Providing adequate nutrition for you and your growing baby
- Achieving appropriate weight changes during your pregnancy.
It is advisable to see an Accredited Practising Dietitian to work out a meal plan that is appropriate for mum and the growing baby.
Random Blood Sugar Test
This measures your blood sugar at the time youre tested. You can take this test at any time and dont need to fast first. A blood sugar level of 200 mg/dL or higher indicates you have diabetes.
|140 mg/dL or below
*Results for gestational diabetes can differ. Ask your health care provider what your results mean if youre being tested for gestational diabetes.Source: American Diabetes Association
If your doctor thinks you have type 1 diabetes, your blood may also tested for autoantibodies that are often present in type 1 diabetes but not in type 2 diabetes. You may have your urine tested for ketones , which also indicate type 1 diabetes instead of type 2 diabetes.
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Signs And Symptoms Of Gestational Diabetes
Most pregnant women dont experience signs or symptoms of gestational diabetes. In fact, the only way to know is with a blood sugar test, typically given around 24 to 28 weeks gestation.
A few women may notice subtle signs and symptoms of gestational diabetes, including:
- Increased thirst. Drinking more than normal and feeling like youre always thirsty may be a sign of gestational diabetes.
- Fatigue. Pregnant women are tired, after all its a lot of work to grow and support a baby! However, gestational diabetes can make you feel even more tired than normal.
- Dry mouth. A parched mouth despite drinking a lot can be another sign of gestational diabetes.
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How Can My Diabetes Affect Me During Pregnancy
Hormonal and other changes in your body during pregnancy affect your blood glucose levels, so you might need to change how you manage your diabetes. Even if youve had diabetes for years, you may need to change your meal plan, physical activity routine, and medicines. If you have been taking an oral diabetes medicine, you may need to switch to insulin. As you get closer to your due date, your management plan might change again.
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What Are The Benefits Of This Routine Test
The benefits of this routine screening test havent yet been looked at in comparative studies. So it isnt exactly clear what advantages and disadvantages it may have. If the made it possible to treat the diabetes early enough, and that was shown to lower the risk of complications at birth, for instance, then that would be an advantage.
The research so far has shown the following:
- Treating gestational diabetes reduces the likelihood that the child will weigh more than 4,000 grams at birth.
- Treatment reduces the risk of one of the childs shoulders getting stuck in the mothers pelvis during the birth , which also reduces the risk of injury to the mother and child.
- Many women who are diagnosed with gestational diabetes dont have any related problems during pregnancy or childbirth.
Although the pros and cons of the test havent been thoroughly researched, it is thought that the advantages outweigh the disadvantages and that screening for gestational diabetes can somewhat lower the risk of complications in childbirth.
Glucose Screening Tests During Pregnancy
TWO-STEP TESTING During the first step, you will have a glucose screening test: You DO NOT need to prepare or change your diet in any way. You will be asked to drink a liquid that contains glucose. Your blood will be drawn 1 hour after you drink the glucose solution to check your blood glucose level. If your blood glucose from the first step is too high, you will need to come back for a 3-hour glucose tolerance test. For this test: DO NOT eat or drink anything for 8 to 14 hours before your test. You will be asked to drink a liquid that contains glucose, 100 grams . You will have blood drawn before you drink the liquid, and again 3 more times every 60 minutes after you drink it. Each time, your blood glucose level will be checked. Allow at least 3 hours for this test. ONE-STEP TESTING You need to go to the lab one time for a 2-hour glucose tolerance test. For this test: DO NOT eat or drink anything for 8 to 14 hours before your test. You will be asked to drink a liquid that contains glucose . You will have blood drawn before you drink the liquid, and again 2 more times every 60 minutes after you drink it. Each time, your blood glucose level will be checked. Allow at least 2 hours for this test.Continue reading > >
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Treatment For Gestational Diabetes
You can do a lot to manage your gestational diabetes. Go to all your prenatal appointments and follow your treatment plan, including:
- Checking your blood sugar to make sure your levels stay in a healthy range.
- Eating healthy food in the right amounts at the right times. Follow a healthy eating plan created by your doctor or dietitian.
- Being active. Regular physical activity thats moderately intense lowers your blood sugar and makes you more sensitive to insulin so your body wont need as much. Make sure to check with your doctor about what kind of physical activity you can do and if there are any kinds you should avoid.
- Monitoring your baby. Your doctor will check your babys growth and development.
If healthy eating and being active arent enough to manage your blood sugar, your doctor may prescribe insulin, metformin, or other medication.
How Does Blood Glucose Work
Blood sugar, or glucose, is the main sugar found in your blood. When you eat or drink, your body breaks down carbohydrates in the food or liquid into sugar for energy.
Then your pancreas produces a hormone called insulin, which helps blood sugar enter your bodys cells. It also helps your body store blood sugar for later use. As the cells use the blood sugar, glucose and insulin levels in the blood decrease.
But with diabetes, your body has trouble regulating glucose. Either your pancreas doesnt make enough insulin, or your body doesnt process insulin effectively. Therefore, the amount of sugar in your blood is higher than normal. And a lot of glucose in your blood is bad for your body.
A fasting blood glucose test measures the amount of glucose in your blood when it should be at its lowest. That happens in the morning and when you havent had anything to eat or drink for a while.
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Normal Blood Sugar Levels For Gestational Diabetes
05-Sep-2018 | Pennie Solorio
Actually, normal blood sugar levels are different for a pregnant woman . However, up to a third of cats absorb less of the medication than is. This figure will fall to just 12 given the new threshold, as nearly all regional banks will now be exempt from stricter regulatory oversight. After trying to produce blood and. Most people with type 2 diabetes have a high fasting blood glucose level, meaning its high even when nothing has been eaten for hours.
All diabetics should get regular blood tests which include kidney function, any irregularities would be flagged up by the lab. Dress warmly and avoid long exposure in very cold weather. Btw, at the initial surg, they removed 33 gaulstones. The domestication of beets can be traced to the emergence of an allele which enables biennial harvesting of leaves and taproot. The latest publications from the nccn have reported: side effects from adt (i. A child with diarrhoea should never be given any tablets, antibiotics or other medicines unless prescribed by a trained health worker. Hyde did i yell at you when my blood sugar was low.
a good example of this is in potatoes. Its also a good source of vitamin k. Nutritional balancing science is helpful for most of these cases,. Beet and have come to the conclusion that i prefer cane sugar, and that if the package does not say cane, it is probably beet sugar. Stevia gives me a nice option as a sweetener when i want to avoid sugar.
Will I Have Diabetes After I Am Pregnant
No. Because it occurs only during pregnancy, gestational diabetes is not the same as pre-existing type 1 or type 2 diabetes, and the large majority of women with gestational diabetes will have normal blood sugars immediately upon delivery. However, women with gestational diabetes are at risk for developing diabetes over their lifetime and it is very important they receive ongoing diabetes screenings and preventive care. No matter what type of abnormal blood sugar you have in pregnancy, it is very important that you receive proper follow up after you deliver. Your pregnancy care team will work with you and your primary care provider to help make sure you receive the care you need.
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If I Have Gestational Diabetes How Will It Be Treated
Treating gestational diabetes comes down to one key factor: controlling your blood sugar. The goal is to manage your blood glucose level so that it doesnt go too high and stay high. This is accomplished by eating wisely, remaining physically active, and if needed taking medication to help keep your blood sugar levels in your target range.
The importance of treating gestational diabetes gained attention following the Hyperglycemia and Adverse Pregnancy Outcomes trial, which demonstrated a direct link between continuous treatment of the maternal glucose levels and reducing negative outcomes.²
How Often Should You Check Your Blood Sugar Levels
The monitoring of blood glucose will be dependent on whether you are receiving insulin treatment or any other relevant oral medication. A qualified diabetes educator can help you not only check your blood glucose levels but also develop a healthy eating plan to keep your sugar levels within the normal range. What’s more, this ensures that your treatment targets are met or adjusted appropriately.
In addition to daily blood glucose monitoring, eating a variety of foods that can help regulate your glucose levels and engaging in regular exercise are important components of a diabetes management plan. To ensure a normal pregnancy, consider discussing all aspects of your lifestyle with your healthcare provider, including your sleep habits, work and mental state, among other things.
Can Gestational Diabetes Be Prevented
Its not possible to prevent gestational diabetes entirely. However, adopting health-promoting habits can help reduce your chances of developing the condition.
If youre planning to become pregnant in the near future and youre overweight, consider preparing for your pregnancy by talking with a healthcare professional about ways to safely lose excess weight.
They can help you create a plan to reach and maintain a moderate weight. Even losing a small amount of weight can help you reduce your risk of gestational diabetes.
Furthermore, its important for pregnant people to seek prenatal care and follow all doctor-recommended visits to receive the appropriate screenings and evaluations during their pregnancies.
Take Vitamin And Mineral Supplements
Folic acid is an important vitamin for you to take before and during pregnancy to protect your babys health. Youll need to start taking folic acid at least 1 month before you get pregnant. You should take a multivitamin or supplement that contains at least 400 micrograms of folic acid. Once you become pregnant, you should take 600 mcg daily.4 Ask your doctor if you should take other vitamins or minerals, such as iron or calcium supplements, or a multivitamin.
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Screening For Gestational Diabetes
During your first antenatal appointment at around week 8 to 12 of your pregnancy, your midwife or doctor will ask you some questions to determine whether you’re at an increased risk of gestational diabetes.
If you have 1 or more risk factors for gestational diabetes you should be offered a screening test.
The screening test is called an oral glucose tolerance test , which takes about 2 hours.
It involves having a blood test in the morning, when you have not had any food or drink for 8 to 10 hours . You’re then given a glucose drink.
After resting for 2 hours, another blood sample is taken to see how your body is dealing with the glucose.
The OGTT is done when you’re between 24 and 28 weeks pregnant. If you’ve had gestational diabetes before, you’ll be offered an OGTT earlier in your pregnancy, soon after your booking appointment, then another OGTT at 24 to 28 weeks if the first test is normal.
Find out more about an OGTT.
A Guide To Gestational Diabetes
This page by no means replaces the treatment that you should seek from your health care team. Diabetes and pregnancy require a program of treatment individualized to you and your baby.
- What is gestational diabetes?
- How is gestational diabetes diagnosed?
- Risks of gestational diabetes to the mother
- Risks of gestational diabetes to the baby
- How is gestational diabetes treated?
- Testing that may be done
- Having your baby
- Postpartum period
What is gestational diabetes?
Gestational diabetes is glucose intolerance that is diagnosed between 24 and 28 weeks of pregnancy. Glucose intolerance means a problem in the bodys usual process for changing the glucose from food into energy. Normally, the pancreas makes insulin that carries the glucose into the cells. The extra glucose is stored in muscle, liver, and fat cells.
When youre pregnant, the placenta makes hormones that work against the bodys insulin. During pregnancy, the body needs three to four times as much insulin as it usually does. In gestational diabetes, the bodys insulin supply cannot keep up with the need. The extra glucose stays in the blood and crosses the placenta to the baby.
Who gets gestational diabetes?
Gestational diabetes occurs in about 7 percent of all pregnancies. Your chances of developing gestational diabetes are greater if you:
However, gestational diabetes can occur even with no risk factors.
How is gestational diabetes diagnosed?
How will gestational diabetes affect me?
Large birth weight
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Will Gestational Diabetes Go Away After I Have The Baby
Most likely, after you deliver your baby, gestational diabetes should go away. About six weeks after delivery, your doctor will check your blood glucose level to see if its in the normal range again.
However, because you had gestational diabetes, youre at a higher risk for having it again in another pregnancy. Youre also at a higher risk for developing type 2 diabetes. To learn how to prevent type 2 diabetes, read our article on .