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Follow a healthy eating plan to nourish you and your baby. Gestational diabetes is a type of diabetes that can develop during pregnancy in women who don’t already have diabetes. Every year, 2% to 10% of pregnancies in the United States are affected by gestational diabetes. Managing gestational diabetes will help make sure you have a healthy pregnancy and a healthy baby. What Causes Gestational Diabetes?Gestational diabetes occurs when your body can’t make enough insulin during your pregnancy. Insulin is a hormone made by your pancreas that acts like a key to let blood sugar into the cells in your body for use as energy. During pregnancy, your body makes more hormones and goes through other changes, such as weight gain. These changes cause your body’s cells to use insulin less effectively, a condition called insulin resistance. Insulin resistance increases your body’s need for insulin. All pregnant women have some insulin resistance during late pregnancy. However, some women have insulin resistance even before they get pregnant. They start pregnancy with an increased need for insulin and are more likely to have gestational diabetes. About 50% of women with gestational diabetes go on to develop type 2 diabetes, but there are steps you can take to prevent it. Talk to your doctor about how to lower your risk and how often to have your blood sugar checked to make sure you’re on track. Symptoms and Risk FactorsGestational diabetes typically doesn’t have any symptoms. Your medical history and whether you have any risk factors may suggest to your doctor that you could have gestational diabetes, but you’ll need to be tested to know for sure. Related Health ProblemsHaving gestational diabetes can increase your risk of high blood pressure during pregnancy. It can also increase your risk of having a large baby that needs to be delivered by cesarean section (C-section). If you have gestational diabetes, your baby is at higher risk of:
Your blood sugar levels will usually return to normal after your baby is born. However, about 50% of women with gestational diabetes go on to develop type 2 diabetes. You can lower your risk by reaching a healthy body weight after delivery. Visit your doctor to have your blood sugar tested 6 to 12 weeks after your baby is born and then every 1 to 3 years to make sure your levels are on target. Testing for Gestational DiabetesIt’s important to be tested for gestational diabetes so you can begin treatment to protect your health and your baby’s health. Gestational diabetes usually develops around the 24th week of pregnancy, so you’ll probably be tested between 24 and 28 weeks. If you’re at higher risk for gestational diabetes, your doctor may test you earlier. Blood sugar that’s higher than normal early in your pregnancy may indicate you have type 1 or type 2 diabetes rather than gestational diabetes. PreventionBefore you get pregnant, you may be able to prevent gestational diabetes by losing weight if you’re overweight and getting regular physical activity. Don’t try to lose weight if you’re already pregnant. You’ll need to gain some weight—but not too quickly—for your baby to be healthy. Talk to your doctor about how much weight you should gain for a healthy pregnancy. Treatment for Gestational DiabetesYou can do a lot to manage your gestational diabetes. Go to all your prenatal appointments and follow your treatment plan, including:
If healthy eating and being active aren’t enough to manage your blood sugar, your doctor may prescribe insulin, metformin, or other medication.
Original Article (adsbygoogle = window.adsbygoogle || []).push({}); Analysis of risk factors related to gestational diabetes mellitusUnder a Creative Commons license Open access AbstractObjectiveWith the rapid rising prevalence, gestational diabetes mellitus (GDM) has become one of the leading causes of maternal and child mortality and morbidity worldwide. The present study aimed to analyze GDM-related risk factors for early intervention. Materials and methodsFrom January to June 2018, a total of 250 pregnant women from Chengdu Second People's Hospital were enrolled in the study. According to the diagnostic criteria for GDM, they were assigned into GDM group (n = 48) and non-GDM group (n = 202). The clinical data and biochemical indicators were compared between GDM group and non-GDM group, and Logistic regression analysis was performed to analyze the risk factors of GDM. ResultsGDM group was significantly higher than non-GDM group in the age, pregnancy times, pre-pregnancy body mass index (BMI), low-density lipoprotein cholesterol (LDL-C) level, history of diabetes mellitus in first-degree relatives, incidence of subclinical hypothyroidism (SCH) and the positive rate of thyroid peroxidase antibody (TPOAb) (P < 0.05), whereas was conspicuously lower than non-GDM group in the education level above junior college (P < 0.05). The results of Logistic regression analysis revealed that the age [odds ratios (OR) = 1.125, 95% confidential interval (CI) = 1.019–1.241, P = 0.020], pre-pregnancy BMI (OR = 1.280, 95%CI = 1.118–1.466, P < 0.001), history of diabetes mellitus in first-degree relatives (OR = 4.938, 95%CI = 1.418–17.196, P = 0.012) and TPOAb (+) (OR = 4.849, 95%CI = 1.742–13.501, P = 0.003) were the risk factors of GDM. ConclusionsAdvanced age, pre-pregnancy BMI overweight, history of diabetes mellitus in first-degree relatives and TPOAb (+) are associated with an increased risk of GDM. KeywordsGestational diabetes mellitus Risk factors Subclinical hypothyroidism Thyroid peroxidase antibody Cited by (0)© 2020 Taiwan Association of Obstetrics & Gynecology. Publishing services by Elsevier B.V. What are the factors that increase the risk of developing gestational diabetes?Risk factors for gestational diabetes include:. Being overweight or obese.. Not being physically active.. Having prediabetes.. Having had gestational diabetes during a previous pregnancy.. Having polycystic ovary syndrome.. Having an immediate family member with diabetes.. What is the main cause of gestational diabetes?During pregnancy, your body makes more hormones and goes through other changes, such as weight gain. These changes cause your body's cells to use insulin less effectively, a condition called insulin resistance. Insulin resistance increases your body's need for insulin.
What are the risk of having gestational diabetes during pregnancy?If you've had gestational diabetes, you are also at higher risk of developing type 2 diabetes during your life. Babies of mothers with gestational diabetes may also be at greater risk of developing obesity or diabetes in later life.
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Which factor is known to increase the risk of gestational diabetes mellitus?
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