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Doctor insights on: Gestational Diabetes Corticosteroid Use

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Dr. Michael Carson
384 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


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What is gestational diabetes?

What is gestational diabetes?

Temporary Diabetes: 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. Having gestational diabetes does not mean that a woman will go one to develop diabetes in the absence of pregnancy but it is a risk factor. ...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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What causes gestational diabetes?

What causes gestational diabetes?

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. ...Read more

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How is gestational diabetes treated?

How is gestational diabetes treated?

Diet and/or insulin: Diet and safe exercise are most important in the management of gestational diabetes, and often these alone can control the condition. Insulin, and in some cases oral diabetic medication, can be added if diet & exercise are not providing adequate control. Mothers should check their blood sugars several times daily and keep a glucose log to bring to OB appointments. ...Read more

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What are the implications of having gestational diabetes?

What are the implications of having gestational diabetes?

Potentially severe.: The risks linked to gestational diabetes mellitus include: fetus exceeding its growth potential (too big) even ending with macrosomia, polyhydramnios, cesarean section, neonatal hypoglycemia/jaundice, and late fetal demise. Long-term effects include an increased risk for your fetus to develop diabetes/hypertension/coronary artery disease and metabolic syndrome in adulthood. ...Read more

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Whatt are longterm consequences of having gestational diabetes?

Whatt are longterm consequences of having gestational diabetes?

Develop type 2 DM: Gestational dm usually goes away after pregnancy but you are at risk for developing diabetes again in subsequent pregnancies. The risk is as high as 66%. People with gestational dm are also more likely to develop permanent type 2 diabetes. Data from the nih estimate this risk to be 7 times more than women who did not get gestational dm. The good news is with diet/exercise, you can lower this risk. ...Read more

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Do I need a test for gestational diabetes?

Do I need a test for gestational diabetes?

Yes: The american college of obstetrics and gynecology recommends that you take this test sometime between 24-28 weeks. They also recognize that if you are very low risk, you may not necessarily need to take this. Talk to your doctor to see what your risk level is. ...Read more

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Can I eat cashew nuts in gestational diabetes?

Can I eat cashew nuts in gestational diabetes?

Yes: Tree nuts, like cashews, are great sources of healthy oil, protein and calcium. All of those are nutrients you need right now. They do not raise blood sugar levels and blunt to blood sugar raising effects of other foods. People who eat nuts are, on average 10 lbs lighter than other people. ...Read more

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What are the treatments for gestational diabetes?

What are the treatments for gestational diabetes?

Diet and exercise: We start with a diabetic diet and regular exercise. If your sugars are still high, we can try oral medications (like glyburide). If you have very high sugars, we use Insulin injections to control the sugars. ...Read more

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What is the best treatment for gestational diabetes?

What is the best treatment for gestational diabetes?

Diet and exercise: The best treatment, for mom and baby, involves keeping the blood sugar (glucose) value stable and in an acceptable range. That involves a combination of eating properly and exercising as allowed. Some women also need to take medication. In all cases, frequent monitoring of the blood glucose is required. Monitoring of the baby is also typically done during visits at the ob's office. ...Read more

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Help docs, is gestational diabetes bad for the baby?

Help docs, is gestational diabetes bad for the baby?

Not necessarily: Anyone with gestational diabetes is at somewhat higher risk with a pregnancy for both difficulty in maintaining control & some risks for the baby. With close monitoring by your health care team you should be able to have a healthy baby. With poor control, the babies are more at risk for needing time on IV glucose after delivery but I seldom see more worrisome complications. ...Read more

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Hello docs, is gestational diabetes bad for the baby?

Hello docs, is gestational diabetes bad for the baby?

Yes: Increased risks miscarriages, still births, birth defects, and hypoglycemia and other disorders after birth. ...Read more

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Is gestational diabetes a dominant or recessive trait?

Is gestational diabetes a dominant or recessive trait?

Complex disease: Gestational diabetes (gdm), like type 2 diabetes, are related metabolic conditions with strong inherited genetic tendencies --- but multiple genes are involved in their expression (appearance in any person). So gdm is neither a dominant nor recessive trait. Whether a person gets gdm is also strongly impacted by age, weight, exercise levels, dietary factors, which are not genetically determined. ...Read more

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What are some good meal ideas for gestational diabetes?

What are some good meal ideas for 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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What is a healthy diet if you have gestational diabetes?

What is a healthy diet if you have gestational diabetes?

One That's Balanced: Carbs are necessary, but too much of anything isn't good. Work with a dietician to find out how to eat a diet that balances the correct amount of carbs (brown wheat/grains are better because they will not increase the blood sugar as much as white), proteins and fat. Avoid simple sugars (ice cream, sugar etc.) and white flour when possible. ...Read more

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How does a pregnant women cope with gestational diabetes?

How does a pregnant women cope with gestational diabetes?

Diligently: Gestational diabetes is caused by Insulin insensitivity during pregnancy, i.e., Insulin doesn't work as well to control blood sugar. Usually diet-controlled, it can require oral medications or even insulin. Control is important for the baby's sake. These baby's can be very fat and difficult to deliver, have very low blood sugar at birth and have higher lifetime risks of obesity and diabetes. ...Read more

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Can galactulose and fructose affect gestational diabetes?

Can galactulose and fructose affect gestational diabetes?

Not as much: Both fructose and galactose are of low glycemic index and are not regulated by insulin. They are slower absorbed than glucose and therefore don't cause blood glucose to rise. Excessive use of fructose, however, can lead to increase in central fat deposition and metabolic syndrome that can lead to significant cholesterolemia and atherosclerosis. ...Read more

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Dr. Alison Stuebe
248 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


Dr. Quang Nguyen
3,305 Doctors shared insights

Diabetes (Definition)

A group of diseases that result in too much sugar in the ...Read more