What Is Gestational Diabetes and How Treat That ?
Screening for gestational diabetes
In a pregnant woman should always be measured glucose level . Women planning pregnancy should measure blood glucose in the following circumstances:
When the blood test shows elevated blood sugar but definitely something diagnoses diabetes, you should perform a blood glucose curve to be sure. If the blood glucose curve is normal, it must make a new determination of blood glucose 32nd -33 th week of pregnancy.
Therefore, gestational diabetes can be diagnosed either by a simple determination of blood glucose as a glucose curve.
– If you have a family history of diabetes mellitus type 1 or 2.
– If you have previously given birth to a child over 4.5 kg.
– If you are overweight before pregnancy.
– If you have more than 35 years.
– If at any analysis detects sugar in the urine.
What is the treatment of gestational diabetes?
Generally, when necessary insulin used acting insulin before meals, and slow acting insulin night. It is always important medical monitoring by a specialist.
– Gestational diabetes always requires treatment with diet.
– Sometimes it is also necessary to administer insulin to control blood glucose level.
What types of medications are used in the treatment of gestational diabetes?
Gestational diabetes is treated with only insulin of any of the following types:
In gestational diabetes oral agents are never used (taken by mouth) in pill form.
– Fast or crystalline insulin Insulin
– Insulin slow
– A mixture of both.
What can make the pregnant?
Maintaining a healthy diet with no animal fats and foods rich in complex carbohydrates or slow absorption (pasta, rice, vegetables …) and fresh vegetables and fruits.
The pregnant woman should frequently measure their blood glucose levels to monitor the effectiveness of treatment. You should consult a specialist in diabetes to manage their disease and the gynecologist to monitor the progression of the child during pregnancy.
After pregnancy should continue annual checks to detect if diabetes appears again. The likelihood of developing diabetes later can be reduced by:
– Careful monitoring of weight avoiding obesity
– Making a healthy diet
– Exercising regularly
– Avoiding snuff .
Prognosis of diabetes in pregnancy
Poorly controlled diabetes during pregnancy carries significant risk to the newborn as:
For the mother, as already mentioned, increases the risk of type II diabetes mellitus later but during the same pregnancy also increases the risk of hypertension and eclampsia (late pregnancy disease that causes high blood pressure and severe convulsions, and put in serious risk to the fetus and mother).
A proper medical control of diabetes in pregnancy dramatically reduces the associated risks.
– Hypoglycemia (low blood sugar after birth)
– Excessive weight at birth with increased risks and complications during childbirth
– Increased risk of congenital malformations and other diseases.
Dr Jan Erik Henriksen , a specialist in endocrinology, Dr. Henning Beck-Nielsen , specialist in Endocrinology, Ian W. Campbell , general practitioner