Treatment & Perspective Because gestational diabetes can hurt you and your baby, it is critical to start treatment quickly. Treatment for gestational diabetes aims to keep blood glucose levels equal to those of pregnant women who don’t have gestational diabetes.
The treatment always includes special meal plans and scheduled physical activity, and it may also include daily blood glucose testing and insulin injections. If you’re testing your blood glucose, the American Diabetes Association suggests the following targets for women who develop gestational diabetes during pregnancy.
More or less stringent glycemic goals may be appropriate for each individual.
Before a meal (preprandial): 95 mg/dl or less One hour after a meal (postprandial): 140 mg/dl or less Two hours after a meal (postprandial): 120 mg/dl or less
If you’re diagnosed with gestational diabetes, you will need help from your doctor, nurse educator and other members of your health care team so that your treatment can change as needed. For you as the mother-to-be, proper treatment helps lower the risk of a cesarean section birth that very large babies may require.
Can I drink milk with gestational diabetes?
Don’t Drink Sweet Drinks If You Have Gestational Diabetes – Cross off juice, sweet tea, soda, and any drink with added sugars from your gestational diabetes diet plan. “Avoid foods high in sugar and carbohydrate content,” says Heard. Sweet drinks are one of the fastest ways to raise your blood sugar, which is why they must be off your menu.
Is gestational diabetes high risk?
Gestational Diabetes: Managing Risk During and After Pregnancy Contributor: Ellen Seely, MD, is Director of Clinical Research in the Division of Endocrinology, Diabetes, and Hypertension at Brigham and Women’s Hospital. Women who develop diabetes during pregnancy, known as gestational diabetes mellitus (GDM), may need high-risk pregnancy care due to complications that can arise during pregnancy and childbirth.
How can gestational diabetes make you feel?
Symptoms of gestational diabetes – Gestational diabetes does not usually cause any symptoms. Most cases are only discovered when your blood sugar levels are tested during screening for gestational diabetes. Some women may develop symptoms if their blood sugar levels gets too high (hyperglycaemia), such as:
increased thirst needing to pee more often than usuala dry mouthtirednessblurred eyesightgenital itching or thrush
But some of these symptoms are common during pregnancy and are not necessarily a sign of gestational diabetes. Speak to your midwife or doctor if you’re worried about any symptoms you’re experiencing.
What harm can gestational diabetes do to my baby?
Growing baby, growing impact – Gestational diabetes affects the mother in late pregnancy, after the baby’s body has been formed, but while the baby is busy growing. Because of this, gestational diabetes does not cause the kinds of birth defects sometimes seen in babies whose mothers had diabetes before pregnancy.
However, untreated or poorly controlled gestational diabetes can hurt your baby. When you have gestational diabetes, your pancreas works overtime to produce insulin, but the insulin does not lower your blood glucose levels. Although insulin does not cross the placenta, glucose and other nutrients do. So extra blood glucose goes through the placenta, giving the baby high blood glucose levels.
This causes the baby’s pancreas to make extra insulin to get rid of the blood glucose. Since the baby is getting more energy than it needs to grow and develop, the extra energy is stored as fat. This can lead to macrosomia, or a “fat” baby. Babies with macrosomia face health problems of their own, including damage to their shoulders during birth.
What can I eat for breakfast while pregnant with gestational diabetes?
Breakfast cereals AKA ‘GD kryptonite’! – The majority of dietitians and hospital dietary info. will suggest a suitable gestational diabetes breakfast as one of the following; Weetabix, Bran flakes, All Bran, Shreddies, Shredded Wheat, Granola, No added sugar Muesli, or porridge oats with semi-skimmed, or skimmed milk.
Should I be worried about my baby if I have gestational diabetes?
Complications that may affect you – Gestational diabetes may also increase your risk of:
High blood pressure and preeclampsia. Gestational diabetes raises your risk of high blood pressure, as well as preeclampsia — a serious complication of pregnancy that causes high blood pressure and other symptoms that can threaten both your life and your baby’s life. Having a surgical delivery (C-section). You’re more likely to have a C-section if you have gestational diabetes. Future diabetes. If you have gestational diabetes, you’re more likely to get it again during a future pregnancy. You also have a higher risk of developing type 2 diabetes as you get older.
How long does it take to correct gestational diabetes?
Plan your next pregnancy – If you know that you want to get pregnant in the future, have a blood sugar test up to three months before becoming pregnant to make sure you have a normal blood sugar level. High blood sugar early in the pregnancy (within the first eight weeks) can affect the developing body and organ systems of the fetus.
- It’s important to get your blood sugar level under control before you get pregnant.
- If you do get pregnant again, make sure your health care provider knows that you had gestational diabetes with your last pregnancy.
- If you had gestational diabetes with one pregnancy, your risk of getting it with another pregnancy is about 36 percent,
: Gestational Diabetes and Your Health After Your Baby is Born
Can gestational diabetes go away in third trimester?
After 36 weeks – Many ladies with gestational diabetes see a natural drop in blood sugar levels after around 36 – 37 weeks. After this time, the release of hormones slows down and ease off meaning insulin resistance may improve slightly and your blood sugar levels may start to normalise, requiring a reduction in insulin therapy if you have been using insulin and you may need to increase the amount of carbohydrates eaten to keep levels stabilised.
- Remember that ‘good’ blood sugar levels are not the concern, but a dramatic drop and/or levels not raising after eating and frequent hypos can be a concern of placenta deterioration.
- To learn more about placenta deterioration with gestational diabetes and the symptoms to look out for, then take a look at our page here,
The placenta naturally ages at the end of the pregnancy and so improved blood sugar levels can be a sign that your pregnancy is coming towards the end and baby may be getting ready to appear! If you have any concerns over gestational diabetes placenta issues or dropping blood sugar levels then you should discuss these with your health care professionals.
How quickly does gestational diabetes go away?
How long after birth does gestational diabetes go away? – Gestational diabetes usually goes away soon after delivery, but the timeframe is highly individualized. Your doctor will probably test for diabetes between 4-12 weeks after giving birth and, if your results are normal, test again every 1-3 years.
Even if gestational diabetes after birth does go away, a staggering half of all women who had gestational diabetes develop type 2 diabetes later in life, according to the CDC. Therefore, it’s prudent to take any preventative measures you can, and to do so involves understanding the risk factors that are within your control: maintaining a healthy weight while eating a healthy diet and exercising regularly.
Not smoking and getting regular check-ups at the doctor are vital, as well. On the weight and nutrition front, continuing with your healthy gestational diabetes meal plan — such as one with lean proteins, high- fiber carbohydrates, monounsaturated fats and minimally processed foods — makes as much sense after you’ve delivered your baby as it did before.
How long before gestational diabetes goes away?
Postnatal and future follow-up care – Gestational diabetes usually goes away after your baby is born, but there is a 50% higher risk of developing type 2 diabetes later in life, possibly within the next 5 years. Some women who develop gestational diabetes may have had undiagnosed diabetes before pregnancy.
For these women, diabetes does not go away after pregnancy and may be a lifelong condition. You should get a glucose tolerance test (GTT) 6 to 12 weeks after the birth and every year after that. You should continue a healthy and active lifestyle to prevent type 2 diabetes. It is important to tell your public health nurse, GP, GP practice nurse and other healthcare professionals about any complications that happened in pregnancy, labour and post-delivery.
Children of women who had gestational diabetes may be at risk of becoming overweight or obese during childhood. These children also have a higher risk of developing diabetes.