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A 41-year-old member asked:

What causes gestational diabetes ?

3 doctor answers3 doctors weighed in
Dr. Nikolaos Zacharias
Maternal-Fetal Medicine 27 years experience
Obesity/age/hormones: Excessive maternal weight for height, increasing maternal age, poor dietary habits, family history and placental hormones can all contribute to cause gestational diabetes mellitus in any one pregnant woman. Other risk factors are hispanic race/ethnicity, increasing number of previous pregnancies and multifetal pregnancies (twins, triplets etc).
Dr. Michael Rothman
Internal Medicine 36 years experience
Insulin resistance: Gestational diabetes is the result of excessive sugar and carbohydrate intake which causes high blood sugar levels, which then make your Insulin levels rise. Plus the hormone changes in preg make prob worse. . Over time the chronically high Insulin levels lead to Insulin resistance and you will need to make higher and higher levels of insulin. You must improve your diet or you will end up with dm.
Dr. Stephen Sudler
Obstetrics and Gynecology 41 years experience
Insulin Resistance: Gestational Diabetes is the development of glucose "intolerance" after the diagnosis of pregnancy has been made. During pregnancy, at least 6 factors are produced by the pregnancy that interfere with the body's ability to manage blood sugar by blocking the action of insulin. Age, weight, previous history,, and family history are among the risk factors. Diet,and/or medication (oral or insulin)

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Cincinnati, OH
A 28-year-old female asked:

What causes gestational diabetes and how can I avoid it?

2 doctor answers15 doctors weighed in
Dr. Kathleen Hands
Endocrinology 68 years experience
Insulin resistance: If you have a family history of diabetes, you are already predisposed to having Insulin resistance. As you gain weight with pregnancy and the hormonal changes take place, you increase Insulin exposure and become more Insulin resistant till you can no longer keep up with demands and start spilling sugar (as they say). Avoid by eating no sugar, minimal carbs, keep pregnancy weight gain to <25 if ove.

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Last updated Dec 8, 2016

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