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Doctor insights on: Gestational Diabetes Chronic Hypertension

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How is gestational diabetes mellitus diagnosed?

How is gestational diabetes mellitus diagnosed?

High blood sugar: Pregnancy can make a woman's body resistant to Insulin (similar to type 2 diabetes). If she was not diabetic before being pregnant and meets one of several sets of criteria for diabetes after becoming pregnant, then she may have gestational diabetes. This gives her an increased risk of developing diabetes after delivering the baby. Usually found during routine glucose tolerance testing. Thanks! ...Read more

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Dr. Michael Gabor
324 doctors shared insights

Hypertension (Definition)

A blood pressure reading has two numbers: a systolic blood pressure and a diastolic blood pressure. The systolic blood pressure is the maximum pressure the blood exerts on the vessels when the heart is beating. The diastolic blood pressure is the pressure the blood exerts on the vessels in between heartbeats. Hypertension, or high blood pressure, begins when the systolic blood pressure remains above 140 or when the diastolic blood pressure remains above 90. Hypertension can be a result of increased blood flow through vessels or increased resistance to ...Read more


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Is gestational diabetes treatable?

Is gestational diabetes treatable?

Sure: If it's mild, diet and exercise may be all that's needed. If it's more severe you may need Insulin to control the blood sugars to help avoid complications. Also be aware that you're at risk to develop diabetes later in life too and should be checked occassionally for it. ...Read more

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Is gestational diabetes hereditary?

Is gestational diabetes hereditary?

Yes, but partially: Gestational diabetes, which is often a precursor to type 2 diabetes, has a strong hereditary genetic component. The tendency for the body to be insulin-resistant and insulin-deficient (leading to high sugars) are often transmitted in the genetic make-up. However, gestational diabetes is also strongly related to other non-hereditary factors like age, weight, physical activity levels, and diet habits. ...Read more

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Is gestational diabetes curable?

Is gestational diabetes curable?

Possibly.: Gestational diabetes usually goes away on its own after delivery. However, it is possible that women with gestational diabetes may continue to have problems with Insulin resistance after their pregnancy, and are at higher risk of going on to develop diabetes. They are also more likely to have gestational diabetes in subsequent pregnancies. ...Read more

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What causes Gestational diabetes?

What causes Gestational diabetes?

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) ...Read more

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Gestational diabetes mellitus--what are risk factors or causes?

Gestational diabetes mellitus--what are risk factors or causes?

Weight/Family Hist.: Obesity is a major risk for any diabetes. The other factor is genetics. There are many women of asian descent who have a normal weight (and body mass index), but develop gestational or regular diabetes. Obesity is one that people can modify though. ...Read more

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How is gestational diabetes diagnosed?

How is gestational diabetes diagnosed?

Glucose tolerance: Gestational diabetes is diagnosed with a glucose tolerance test, more precisely, 1 hour glucose tolerance test. That implies taking a 75 gram glucose load (usually a sweetened drink is served) and measurement of glucose 1 hour after that. The test doesn't need to be done on empty stomach. If abnormal, it is followed by the 3 hour glucose tolerance test that is done on empty stomach. ...Read more

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How are diabetes insipidus and diabetes mellitus different?

How are diabetes insipidus and diabetes mellitus different?

Very different: Diabetes mellitus is the typical "diabetes" that we are familiar with. It's caused by an Insulin problem (too little or just not working well (resistance)) causing elevation in blood sugar. Diabetes insipidus is a water problem characterized by lots of urination and high sodium level. It's caused by an ADH (vasopressin) (antidiuretic hormone) problem (too little or just not working well). ...Read more

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Pathophysiology of diabetes mellitus in pregnancy?

Glucose intolerance: The short paragraph here doesn't give me alot to explain this, but basically pregnancy is a relatively glucose resistant state and the more times you are pregnant, the more likely you get gestational diabetes. There are alterations in Insulin levels and Insulin resistance during the pregnancy. The typical american diet of high sugar processed foods doesn't help. ...Read more

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What are the predisposing factors in gestational diabetes mellitus?

What are the predisposing factors in gestational diabetes mellitus?

Weight/Genetics: Diabetes often runs in families, and 70% of women with gestational diabetes will get diabetes later in life. Major risks include obesity (body mass index >30), older maternal age, past history of gestational diabetes, and ethnicity (african americans, native americans, south asia/india, hispanic, pacific islanders, and some from the caribbean). Be sure to get re-tested 6-12 weeks after delivery. ...Read more

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Possible complications of diabetes mellitus?

Possible complications of diabetes mellitus?

Many: Diabetes is a multi system disease. Therefore it can affect almost any part of your body. You name, i can tie a potential diabetic complication. I'll quickly go head to toe. 1: brain - stroke 2: eyes: blindness 3: heart: coronary disease 4: gi: gastroparesis (slowing) 5: genito/urinary: erectile dysfunction 6: legs: poor circulation this is just a small sampling! ...Read more

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How does diabetes mellitus causes placental insufficiency ?

How does diabetes mellitus causes placental insufficiency ?

Blood flow: Diabetes is a glucose control disorder that affects blood vessels. If diabetes is well controlled then the injury to blood vessels is negligible. When blood vessels are narrowed or compromised-then the fetus receives less blood flow and nutrients which may be associated with newborn problems. ...Read more

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Is gestational diabetes a disease?

Is gestational diabetes a disease?

Yes.: Gestational diabetes is when during pregnancy, a woman is unable to produce enough Insulin to regulate her body's blood sugar. Gestational diabetes should be managed carefully to reduce health risks to the woman and her fetus. Also, there is higher risk of developing diabetes in the future. ...Read more

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Can gestational hypertension be cured?

Hypertension: Gestational hypertension occurs in the third trimester of pregnancy. It is a blood pressure of 140/90 without any protein in the urine or any biochemical abnormalities seen with pre-eclampsia. The cure for gestational hypertension is delivery of the infant. Medical intervention is not always necessary and will depend upon the gestational age of the fetus. ...Read more

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Can gestational hypertension cause heart failure?

Can gestational hypertension cause heart failure?

Yes: Heart failure for the fetus and seizures with heart failure in mothers. ...Read more

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My cousin has chronic hypertension she uses losartan 50mg, she is found pregnant but took the medicine for 7 weeks of pregnancy.Does it harm fetus?

My cousin has chronic hypertension she uses losartan 50mg, she is found pregnant but took the medicine for 7 weeks of pregnancy.Does it harm fetus?

Class D: Losartan is class d, which means there is positive evidence of human fetal risk; maternal benefit may out weigh fetal risk in serious or life-threatening situations. ...Read more

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Can you have a c-section if you have gestational diabetes?

Yes: C sections should be performed if clinically indicated. Diabetes is not a contraindication. ...Read more

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Can exercise help gestational diabetes?

Can exercise help gestational diabetes?

Yes: Activity such as walking, or moderate exercise after meals can help lower sugars a bit, but women still need to follow the diet, check sugars, and possibly take meds. Don't think that "more exercise" (such as a marathon) is a substitute for the diet/medication treatment. While it was done, and we don't know exactly how much exercise is "safe", i'm not confident that a marathon is the best idea. ...Read more

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How can I cope with gestational diabetes?

How can I cope with gestational diabetes?

Lo carb, no sugar: 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. A lo carb, no sugar diet is effective for many women. ...Read more

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Can gestational diabetes go away by itself?

Can gestational diabetes go away by itself?

Sort of: Gestational diabetes often resolves shortly after delivery of the baby. However, once you have gestational diabetes, you are at increased risk for developing type ii diabetes later in life. ...Read more

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How often could gestational diabetes go away?

Most of the time: Most of the time, right after the baby delivers. However, patients with gestational diabetes are at higher risk for developing diabetes later and should be checked periodically by their doctor. A healthy diet and lifestyle can help to avert type 2 diabetes in many patients, but not always. ...Read more

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Can gestational diabetes cause my child to have diabetes?

Can gestational diabetes cause my child to have diabetes?

Yes: There is a lot of evidence to suggest that a baby exposed to high blood sugars in utero is at higher risk to develop type 2 diabetes in later childhood-adulthood. It's important for such children to have healthy lifestyles because becoming overweight or obese increases their risk for developing type 2 diabetes. ...Read more

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How common is it for somebody to get gestational diabetes?

Getting more common: Gestational diabetes is reported to happen to 2-10% of pregnant women, but the incidence is increasing in the U.S. Because of the increasing obesity of americans, our relatively poor diets, and sedentary lifestyles. ...Read more

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Found out that I have gestational diabetes. What do I do now?

Found out that I have gestational diabetes. What do I do now?

Check w/your: Doctor and see a good registered dietitian. Monitor your sugar closely and your doctor can determine whether to initiate medication or not. ...Read more

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Can your baby die inside you, if you have gestational diabetes?

Can your baby die inside you, if you have gestational diabetes?

Yes: Not only do you risk early pregnancy loss or increased birth defects with uncontrolled diabetes in pregnancy, but you have the risk of a stillborn in late pregnancy if blood sugars are too high. This is why you need tight glycemic control, not just to avoid a large baby. Fasting cs should be < 100 and 1 hr post prandials < 140. ...Read more

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How should I take care of myself if I have gestational diabetes?

How should I take care of myself if I have gestational diabetes?

Sugar control: Watch your diet, decrease sugars and carbs, exercise daily, and check your sugars. Most gd can be controlled without medication. ...Read more

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Which type of diabetes will i get if I've had gestational diabetes?

Which type of diabetes will i get if I've had gestational diabetes?

Type 2: Under utilization of Insulin receptors. Once you are no longer pregnant your sugar situation/ balance should return as long as your weight returns to a healthier means. Your ob/gyn and primary care md can assist you with this situation as it progresses and after you have your child. ...Read more

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What are some diet recommendations for someone with gestational diabetes?

What are some diet recommendations for someone with gestational diabetes?

Small portions: You need to have an honest, realistic assessment of your calorie needs per day which is generally too much. It is based on your prepregnancy height and weight. You need to eat unprocessed food. Make your food yourself. You need to eat a tremendous amount of vegetables of all sorts. The bulk of your plate should be filled with vegetables. Eat a lot of fish for your protein source. ...Read more

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If I had gestational diabetes with baby number #1, will I have it with baby #2?

If I had gestational diabetes with baby number #1, will I have it with baby #2?

Likely: It's not certain but you are at higher risk of developing gestational diabetes with the second one. Keep close eye on it and get tested sooner. ...Read more

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Im pragnet on my 25weeks and have gestational diabetes its hot where I livr what kind of drinks I can. Have?

Im pragnet on my 25weeks and have gestational diabetes its hot where I livr what kind of drinks I can. Have?

WATER, diet lemonade: Water, 2% milk, diet lemonade, iced diet tea, diet sodas. Avoid exposure to heat and humidity when pregnant - stay in air-conditioned spaces. ...Read more

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Can gestational diabetes be life threatening?

Can gestational diabetes be life threatening?

Can be for the baby: Diabetes can affect the developing baby throughout the pregnancy. In early pregnancy, a mother's diabetes can result in birth defects and an increased rate of miscarriage. Many of the birth defects that occur affect major organs such as the brain and heart. During the 2nd & 3rd trimester, a mother's diabetes can lead to over-nutrition & excess growth of the baby. ...Read more

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Dr. Michael Carson
387 doctors shared insights

Diabetes Onset During Pregnancy (Definition)

Gestation diabetes is diabetes that occurs during pregnancy. This develops when pregnancy hormones change a patient's metabolism so that they can not regulate their blood sugar. A patient with GDM will have to go on a low sugar and low carb diet and monitor blood sugars very carefully. Sometimes they will require medications. There is a 30% chance ...Read more


Dr. Alison Stuebe
251 doctors shared insights

Gestational Diabetes (Definition)

Gestational diabetes occurs in women who are pregnant. Prior to becoming pregant the woman was not diabetic and once the woman delivers the baby the diabetes goes away, although she has a higher chance of getting non-insulin-dependent diabetes in the future. With gestational diabetes, hormones from the pregnancy ...Read more