With gestational diabetes why do I have to see a perinatologist?

Comfort of your OB. Many obs simply do not feel comfortable treating persons with gestational diabetes due to the potential for complications. It depends greatly on their expertise with this condition and their comfort level. However, some obs do treat gestational diabetes and it would be up to you and your OB to decide what is the best care for and your unborn child.
See an MFM doctor! 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).

Related Questions

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...

3hr glucose test. Hour 1 and 2 were high. Do I have gestational diabetes?

Yes. Gestational diabetes is defined by 2 of the test values being high on the 3 hour gtt. Your doctor will help you come up with a regimen for checking your blood sugar and modifying your diet. Read more...

Can gestational diabetes cause my child to have diabetes?

No. Your pregnancy associated diabetes can cause transient problems with your newborn but has no influence on their risk of childhood diabetes newborns may have low blood sugar in the hours right after birth.The baby may need IV sugar untill their own system figures it out . This is caused by baby making extra Insulin to handle what your body sends across. Good pregnancy control limits babies problems. Read more...
Yes. There have been some association that maternal gestational diabetes will increase the risk of developing diabetes later in life because the genetics and also the diabetic enviroment in which the baby developed. Read more...
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...

Can gestational diabetes untreated cause false positive for any drugs or drug at delivery?

Pregnancy. Nope. Not at all. This is a bizarre question. Diabetes or gestational diabetes is a medical condition of sugar troubles. It in no way causes one to test positive for alcohol or other drugs in any way. Read more...
No. Untreated gdm increases glucose levels. Glucose should not cause a false positive drug test. Read more...

Can gestational diabetes cause learning disabilities in the baby?

A study in British. Medical journal cited tests implying that adhd and perhaps learning disabilities may be more common among children born to mothers with gestational diabetes. However, the differences in the results of these tests tended to disappear in the older index group children. The significance is uncertain and further study is necessary. Seek evaluation for any concerns. Best regards. Read more...

With gestational diabetes when do I have baby docs said they won't let go full term do u have any idea what week docs normally want us to have baby?

Baby. I don't quite understand your doctor's plan. 6 years after my mother was diagnosed with diabetes - not many ways to take control of diabetes in those days - she gave birth to my youngest brother now aged 64. The clinical world has moved forward dramatically since then and I don't understand the reason for your doctor's concern. Let me know the reasons please. Read more...