Category: Family

Gestational diabetes and babys growth

Gestational diabetes and babys growth

Very dlabetes babies — Martial arts calorie counting who weigh 9 pounds Gestational diabetes and babys growth more — diabeges more likely to Gestational diabetes and babys growth wedged Gestatiknal the birth canal, Gestatilnal birth injuries or need a C-section growtj. Emerging evidence suggests that fetuses whose mothers go on to be diagnosed with GDM may already show accelerated growth before this diagnosis is made. Patient education: Gestational diabetes The Basics Beyond the Basics — Beyond the Basics patient education pieces are longer, more sophisticated, and more detailed. Try to get 30 minutes of moderate-intensity activity at least 5 days each week.

Gestational diabetes and babys growth -

Most pregnant people start by giving one to two shots of insulin per day. If your blood sugar levels are high after eating, you may need to give yourself a shot three or four times per day. Instructions for drawing up and giving insulin shots are available separately. See "Patient education: Type 2 diabetes: Insulin treatment Beyond the Basics ".

If you take insulin, you should check your blood sugar level at least four times per day. You also need to write down your results or store them in the meter and how much insulin you took and review these records at each prenatal visit or more frequently based on your doctor's recommendation figure 1.

Keeping accurate records helps to adjust insulin doses and can decrease the risk of complications. The bedtime snack is especially important to help keep your fasting first blood sugar of the day before eating in range. Oral diabetes medicines, such as those taken by people with type 2 diabetes, are sometimes used during pregnancy in the United States.

We prefer insulin therapy for pregnant patients with diabetes who cannot control blood glucose levels adequately by their diet nutritional therapy. Insulin is effective and safe and does not cross the placenta to the fetus. Most oral diabetes medicines pass from the pregnant individual to their baby through the placenta; while they have not been shown to harm the fetus or newborn, it is not known if there are longer term effects on children.

There are studies underway to help answer this question. However, oral anti-hyperglycemic agents are a reasonable alternative for individuals who will not take, or are unable to comply with, insulin therapy, as long as they understand the lack of information on long-term risks or benefits.

Prenatal visits — Most pregnant individuals who develop gestational diabetes have more frequent prenatal visits eg, once every week or two , especially if insulin is used. The purpose of these visits is to monitor your and your baby's health, discuss your diet, review your blood sugars, and adjust your dose of insulin if you are taking it to keep your blood sugar levels near normal.

It is common to change the dose of insulin as the pregnancy progresses. You may also be asked to have one or two ultrasound examinations to check on the growth and size of the baby. See "Gestational diabetes mellitus: Obstetric issues and management".

Nonstress testing — You may need tests to monitor the health of the baby during the later stages of pregnancy, especially if your blood sugars have been high, you are using insulin, or if you have any pregnancy-related complications eg, high blood pressure.

The most commonly used test is the nonstress test. This test is discussed in a separate topic review. See "Patient education: Postterm pregnancy Beyond the Basics ".

If your blood sugar levels are close to normal during pregnancy and you have no other complications, the ideal time to give birth is between 39 and 40 weeks of pregnancy, no later than your due date. If you do not give birth by your due date, you may be offered induction of labor or additional testing to monitor your and your baby's health.

In most individuals with gestational diabetes and a normal-size baby, there are no advantages to a cesarean over a vaginal birth, although cesarean may be needed in any pregnancy, especially with a first baby.

Those with a very large baby may be offered cesarean birth before labor starts. The risks and benefits of cesarean birth are discussed separately.

See "Patient education: C-section cesarean delivery Beyond the Basics ". Your blood sugar levels will be monitored during labor.

Most individuals have normal blood sugar levels during labor and do not need any insulin. Insulin is given if your blood sugar level becomes high. High blood sugar levels during labor can cause problems in the baby, both before and after delivery.

See "Pregestational preexisting and gestational diabetes: Intrapartum and postpartum glucose management". After giving birth, most individuals with gestational diabetes have normal blood sugar levels and do not require further treatment with insulin.

You can return to your prepregnancy diet, and you are encouraged to breastfeed. See "Patient education: Deciding to breastfeed Beyond the Basics ". However, your doctor may check your blood sugar level the day after delivery to be sure that it is normal or near normal. Pregnancy itself does not increase the risk of developing type 2 diabetes.

However, having gestational diabetes does increase your risk of developing type 2 diabetes later in life. After you deliver, you should have testing for type 2 diabetes.

Typically, this is done between 4 and 12 weeks postpartum, ideally prior to your postpartum check-up. But it may be done in the hospital before you are discharged. Testing usually includes a two-hour glucose tolerance test GTT so that you are tested for both pre-diabetes and diabetes.

Risk of recurrent gestational diabetes — One-third to two-thirds of individuals who have gestational diabetes in one pregnancy will have it again in a later pregnancy. If you are overweight or obese, weight reduction through diet and exercise can reduce this risk.

Risk of developing type 2 diabetes — Individuals with gestational diabetes have an increased risk of developing type 2 diabetes later in life, especially if they have other risk factors eg, family history of type 2 diabetes.

The risk of developing type 2 diabetes is greatly affected by body weight. Individuals with obesity have a 50 to 75 percent risk of developing type 2 diabetes, while this risk is less-than percent in those who are a normal weight. If you are overweight or obese, you can reduce your risk of type 2 diabetes by losing weight and exercising regularly.

The American Diabetes Association ADA recommends that all persons with a history of gestational diabetes have testing for type 2 diabetes every one to three years after their initial post-pregnancy test for diabetes.

If you have elevations in your blood sugars in the pre-diabetes range at the time of your postpartum screening, the ADA recommends testing yearly testing. It is also recommended that you work with your primary care provider to eat a healthy diet, lose any excess weight, and exercise regularly to help decrease your risk of developing type 2 diabetes.

Cardiovascular disease — Individuals who have had gestational diabetes in the past are at increased risk of developing cardiovascular disease, including heart attack and stroke. While this is mostly tied to the risk of type 2 diabetes see above , even those who do not develop type 2 diabetes appear to have a small increase in their risk of heart disease later in life.

Continuing to make healthy lifestyle choices such as eating a balanced diet, exercising regularly, and avoiding smoking can help minimize this risk.

See "Patient education: Diet and health The Basics ". Birth control — Individuals with a history of gestational diabetes can use any type of birth control after pregnancy. A review of all of the birth control options is available separately. See "Patient education: Birth control; which method is right for me?

Beyond the Basics ". Your health care provider is the best source of information for questions and concerns related to your medical problem. This article will be updated as needed on our web site www.

Related topics for patients, as well as selected articles written for health care professionals, are also available.

Some of the most relevant are listed below. Patient level information — UpToDate offers two types of patient education materials. The Basics — The Basics patient education pieces answer the four or five key questions a patient might have about a given condition.

These articles are best for patients who want a general overview and who prefer short, easy-to-read materials. Women who had gestational diabetes or who develop prediabetes can also learn more about the National Diabetes Prevention Program National DPP , CDC-recognized lifestyle change programs.

To find a CDC-recognized lifestyle change class near you, or join one of the online programs. Gestational Diabetes and Pregnancy [PDF — 1 MB] View, download, and print this brochure about gestational diabetes and pregnancy.

Skip directly to site content Skip directly to search. Español Other Languages. Gestational Diabetes and Pregnancy. Español Spanish.

Minus Related Pages. Last Reviewed: July 14, Source: Centers for Disease Control and Prevention. Facebook Twitter LinkedIn Syndicate. home Pregnancy Homepage. Links with this icon indicate that you are leaving the CDC website.

The Centers for Disease Control and Prevention CDC cannot attest to the accuracy of a non-federal website. However, untreated or poorly controlled gestational diabetes can hurt your baby. When you have gestational diabetes, your pancreas works overtime to produce insulin, but the insulin does not lower your blood glucose levels.

Although insulin does not cross the placenta, glucose and other nutrients do. So extra blood glucose goes through the placenta, giving the baby high blood glucose levels.

This causes the baby's pancreas to make extra insulin to get rid of the blood glucose. Since the baby is getting more energy than it needs to grow and develop, the extra energy is stored as fat. This can lead to macrosomia, or a "fat" baby. Babies with macrosomia face health problems of their own, including damage to their shoulders during birth.

Because of the extra insulin made by the baby's pancreas, newborns may have very low blood glucose levels at birth and are also at higher risk for breathing problems.

Anv don't know what causes Gestationa diabetes, but we Game fuel replenishment some clues. The placenta abd the Gestational diabetes and babys growth as it grows. Hormones from the placenta help the baby develop. But these hormones also block the action of the mother's insulin in her body. This problem is called insulin resistance. Insulin resistance makes it hard for the mother's body to use insulin.

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Effects of Gestational Diabetes on baby when in womb and after birth - Dr. Shashi Agrawal When you eat, your Gestational diabetes and babys growth breaks idabetes sugar and Natural ways to manage diabetes from food into viabetes to use Gestational diabetes and babys growth energy. Your pancreas makes a hormone babts insulin that helps ggowth body keep duabetes right amount of glucose in your blood. This can cause serious health problems, such as heart disease, kidney failure and blindness. Pregnant people are usually tested for gestational diabetes between 24 and 28 weeks of pregnancy. Most of the time it can be controlled and treated during pregnancy. In the United States, 6 out of every pregnant people develop gestational diabetes. Gestational diabetes and babys growth

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