Pregnancy with Gestational Diabetes

2359 Words Jan 5th, 2013 10 Pages
Topic Pregnancy with Gestational Diabetes
Gestational diabetes is a condition characterized by high blood sugar (glucose) levels that is first recognized during pregnancy. The condition occurs in approximately 4% of all pregnancies.
What Causes Gestational Diabetes in Pregnancy
Almost all women have some degree of impaired glucose intolerance as a result of hormonal changes that occur during pregnancy. That means that their blood sugar may be higher than normal, but not high enough to have diabetes. During the later part of pregnancy (the third trimester), these hormonal changes place pregnant woman at risk for gestational diabetes.
During pregnancy, increased levels of certain hormones made in the placenta (the organ that connects
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If your results are abnormal based on the oral glucose tolerance test, another test will be given after fasting for several hours.
In women at high risk of developing gestational diabetes, a normal screening test result is followed up with another screening test at 24-28 weeks for confirmation of the diagnosis.
Gestational diabetes is managed by:
Monitoring blood sugar levels four times per day before breakfast and 2 hours after meals. Monitoring blood sugar before all meals may also become necessary.
Monitoring urine for ketones, an acid that indicates your diabetes is not under control.
Following specific dietary guidelines as instructed by your doctor. You 'll be asked to distribute your calories evenly throughout the day.
Exercising after obtaining your health care provider 's permission.
Monitoring weight gain.
Taking insulin, if necessary. Insulin is currently the only diabetes medication used during pregnancy.
Controlling high blood pressure.
Monitor Sugar Levels
Testing your blood sugar at certain times of the day will help determine if your exercise and eating patterns are keeping your blood sugar levels in control, or if you need extra insulin to protect your developing baby. Your health care provider will ask you to maintain a daily food record and ask you to record your home sugar levels.
Testing your blood sugar involves pricking your finger with a lancet device (a small, sharp needle), putting a drop of
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