Profound. 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).
Baby may be at risks. Excessive birth weight. Early (preterm) birth and respiratory distress syndrome. Low blood sugar (hypoglycemia). Jaundice. Type 2 diabetes later in life.
Higher than normal. The baby can have macrosomia (large birth weight), increased amniotic fluid, fetal death, neonatal hypoglycemia, jaundice, shoulder dystocia, brachial plexus injury, cesarean section, cardiomyopathy. The mother is also at risk for diabetes after pregnancy, especially if she is overweight, older than 35, physically inactive, hispanic or has a family history of diabetes.
Might. Tight blood sugar control reduces the risk.
Yes. Increased risk stillbirths, miscarriages, birth defects; increase size of baby, low blood sugar after birth all, if not treated well.
Prognosis. Good for all if the diabetes is well controlled during pregnancy. Work closely with your physicians. Be mindful of what you eat and do. Gestational diabetes is not a death sentence. There are many effective treatment options currently available.
Gestational diabetes. If a mother has gestational diabetes this can usually be well controlled with diet or diet and insulin. It is important for the mother to monitor her blood sugars and keep them in the normal range. Mothers who have high blood sugars during the pregnancy give birth to large infants and these babies may have hypoglycemia (low blood sugars) after birth and often need to be treated with IV glucose.
Macrosomia. If mom's blood sugar is high, the baby can grow excessively because of exposure to high levels of glucose. The baby also tries to control this by turning on higher production of Insulin in its own little body - this can then cause the blood sugar to drop dangerously after the baby is born and the sugar source is cut off. It can slow down organs from maturing, so term babies can act premature.
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.
Yes -caused by carbs. 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.
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.
Not really. Not really, but is kind of one of those "runs in the family" type problems.
No! No! gestational diabetes goes away after your baby is delivered. Having gestational diabetes does increase your risk of developing type 2 diabetes down the road, but you can reduce that risk by maintaining a normal weight, limiting simple carbohydrates (sugar, white flour) in your diet, and exercising regularly.
If really bad. 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. This situation also predisposes to eclampsia.
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.
Lab tests. Check blood glucose and Insulin and do glucose tolerance test.