At what point is insulin necessary for gestational diabetes?

Insulin NG in GDM. 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. Rx should be directed at reducing Insulin resistance.
When your Dr. says. If you have gestational diabetes you should be checking your blood sugar levels multiple times a day and reporting those numbers to your OB doctor. You need to count carbs and be very strict in your diet - if not for you, then for the baby! when you cannot or will not control your blood sugar with diet alone, you doctor will need to add Insulin for the safety of your baby. No oral meds in preg.

Related Questions

When is insulin needed for gestational diabetes?

Few scenarios. 1) when blood sugar needs to be urgently brought down to normal (maybe because you are feeling very sick from the dm). 2) when your overall diabetes control is so poor that it will take a long time for a pill to bring down your blood sugar. 3) when the baby is already growing faster than expected and time is the essense... Read more...
Not diet controlled . If blood sugars remain high despite diet, Insulin is often used. Obs sometimes prescribe pills, but most will recommend Insulin because it had been used the longest and has been safe. Read more...

For gestational diabetes: do insulin shots hurt?

Minimally . If you use the right technique and the appropriately sized needle, it should not hurt much. Read more...

When is insulin needed for a woman with gestational diabetes?

It depends. It depends on the severity of the diabetes. If your blood sugar is only mildly elevated, you might be able to get away with it with oral medications, diet and exercise. If your numbers are very high, above the effectiveness of lifestyle changes and oral meds, then Insulin will be needed. A specialist is helpful in this situation. Read more...
Insulin NG in GDM. 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. Rx should be directed at reducing Insulin resistance. Read more...

Just started using insulin for gestational diabetes. Did I do something wrong to need it?

Take care for this. Some women with gestational diabetes need insulin, in addition to a meal plan and physical activity, to reach their blood glucose targets. Read more...

I have a few questions about gestational diabetes before seeing a perinatologist. What is risk to baby and me? Can I start insulin just in case?

Good control helps. Gestational diabetes is manageable with effort & your success at keeping your blood sugar values in a good zone lessens the effect on baby.Many are successful with diet & exercise alone but some require insulin. This is something best worked out with your treatment team so write down your questions & take them with you. Read more...
Wait for MFM advice. High blood sugar during fetal development can lead to excessive growth (macrosomia), predispose to adult diabetes mellitus, increase the risk for cesarean section, shoulder dystocia and fetal death from cardiac arrhythmias and hypertrophic cardiomyopathy. Most women with gdm have normal outcomes, but are at increased risk for all of the above, as well as polyhydramnios, preeclampsia (hypertension). Read more...

For gestational diabetes how high should your reading be to go on insulin during pregnancy?

Depends. Fasting #s above 100 or 2-hr after meals >140. But every doctor has different parameters. Read more...
Over 95 or 120. Recommendations vary slightly, but actually, most doctors agree and follow the recommendations of the american diabetes association and/or the american college of obstetrics and gynecology. If fasting sugars are >95 mg/dl or 2 hour post-meal sugars are >120 mg/dl, then medications should be started. Read more...
Insulin NG in GDM. 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. Rx should be directed at reducing Insulin resistance. Read more...

Does a gestational diabetes in a pcos pregnant woman tell that she is insulin resistance and her pcos is caused by insulin resistance factor?

No. Insulin resistance is extremely common in PCOS whether or not it is the cause and women with PCOS very frequently have gestational diabetes. Insulin resistance makes the ovarian changes worse and the ovarian changes make insulin resistance worse. It is a chicken and egg kind of thing with PCOS. Hope this explanation is clear. Read more...