Treatment FAQ

what is the treatment for gestational diabetes

by Lowell Vandervort Published 3 years ago Updated 2 years ago
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Medication

Treatment for gestational diabetes aims to keep blood glucose levels equal to those of pregnant women who don't have gestational diabetes. The treatment always includes special meal plans and scheduled physical activity, and it may also include daily …

Self-care

Go to all your prenatal appointments and follow your treatment plan, including: Checking your blood sugar to make sure your levels stay in a healthy range. Eating healthy food in the right amounts at the right times. Follow a healthy eating plan created by …

Nutrition

Therefore, the treatment of gestational diabetes is focused on maintaining normal blood glucose levels, which is determined by blood glucose testing before and after meals. Treatment must be individualized according to the characteristics of each patient.

What to eat to manage gestational diabetes?

How Is Gestational Diabetes Treated? Work on Your Diet. Your doctor might suggest you meet with a registered dietitian to help you make a diet plan you can... Get More Exercise. Your doctor may tell you to you add exercise to your weekly routine if …

What to do if you have gestational diabetes?

Jun 13, 2019 · Metformin or glibenclamide may be considered as initial pharmacological, glucose-lowering treatment in women with gestational diabetes. ADA, 2018 Insulin is the preferred medication or treating hyperglycemia in gestational diabetes mellitus as it does not cross the placenta to a measurable extent.

How often should I eat if I have gestational diabetes?

4 rows · Jun 26, 2021 · People who have gestational diabetes will also need lifelong screening for prediabetes and type ...

How to treat gestational diabetes naturally?

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What is the treatment for gestational diabetes?

Treatment for gestational diabetes aims to keep blood glucose levels equal to those of pregnant women who don't have gestational diabetes. The treatment always includes special meal plans and scheduled physical activity, and it may also include daily blood glucose testing and insulin injections. If you're testing your blood glucose, ...

What is the best glucose level for gestational diabetes?

More or less stringent glycemic goals may be appropriate for each individual. Before a meal (preprandial): 95 mg/dl or less. One hour after a meal (postprandial): 140 mg/dl or less.

How to prevent diabetes?

Follow simple daily guidelines like eating a variety of foods including fresh fruits and vegetables, limiting fat intake to 30% or less of daily calories and watching your portion sizes. Healthy eating habits can go a long way in preventing diabetes and other health problems.

How to get rid of insulin resistance?

Exercising. Regular exercise allows your body to use glucose without extra insulin. This helps combat insulin resistance and is what makes exercise helpful to people with diabetes. However, it is important to check with your doctor before starting an exercise program. More on losing weight.

Does gestational diabetes go away after pregnancy?

Gestational diabetes usually goes away after pregnancy. But once you've had gestational diabetes, your chances are two in three that it will return in future pregnancies. In a few women, however, pregnancy uncovers type 1 or type 2 diabetes.

Is gestational diabetes a concern?

While gestational diabetes is a cause for concern, the good news is that you and your health care team—your doctor, obstetrician, nurse educator and dietitian—work together to lower your high blood glucose levels.

How to treat gestational diabetes?

Treatment. Treatment for gestational diabetes includes: Lifestyle changes. Blood sugar monitoring. Medication, if necessary. Managing your blood sugar levels helps keep you and your baby healthy. Close management can also help you avoid complications during pregnancy and delivery.

How to help a baby with diabetes?

But the steps that will help control your blood sugar level — such as eating healthy foods and exercising regularly — can help relieve stress , nourish your baby and help prevent type 2 diabetes in the future.

How often should gestational diabetes be checked?

This test is similar to the initial test — except the sweet solution will have even more sugar and your blood sugar will be checked every hour for three hours. If at least two of the blood sugar readings are higher than expected, you'll be diagnosed with gestational diabetes.

How many women with gestational diabetes need insulin?

Between 10% and 20% of women with gestational diabetes need insulin to reach their blood sugar goals. Some doctors prescribe an oral medication to control blood sugar, while others believe more research is needed to confirm that oral drugs are as safe and as effective as injectable insulin to control gestational diabetes.

What is the best diet for diabetics?

A healthy diet focuses on fruits, vegetables, whole grains and lean protein — foods that are high in nutrition and fiber and low in fat and calories — and limits highly refined carbohydrates, including sweets.

How to keep blood sugar levels in a healthy range?

Lifestyle changes. Your lifestyle — how you eat and move — is an important part of keeping your blood sugar levels in a healthy range. Doctors don't advise losing weight during pregnancy — your body is working hard to support your growing baby.

How to get rid of back pain during pregnancy?

With your doctor's OK, aim for 30 minutes of moderate exercise on most days of the week.

How to manage gestational diabetes?

You can do a lot to manage your gestational diabetes. Go to all your prenatal appointments and follow your treatment plan, including: 1 Checking your blood sugar to make sure your levels stay in a healthy range. 2 Eating healthy food in the right amounts at the right times. Follow a healthy eating plan created by your doctor or dietitian. 3 Being active. Regular physical activity that’s moderately intense (such as brisk walking) lowers your blood sugar and makes you more sensitive to insulin so your body won’t need as much. Make sure to check with your doctor about what kind of physical activity you can do and if there are any kinds you should avoid. 4 Monitoring your baby. Your doctor will check your baby’s growth and development.

How many pregnant women have gestational diabetes?

Every year, 2% to 10% of pregnancies in the United States are affected by gestational diabetes. Managing gestational diabetes will help make sure you have a healthy pregnancy and a healthy baby.

What happens when you don't make enough insulin during pregnancy?

Gestational diabetes occurs when your body can’t make enough insulin during your pregnancy. Insulin is a hormone made by your pancreas that acts like a key to let blood sugar into the cells in your body for use as energy. During pregnancy, your body makes more hormones and goes through other changes, such as weight gain.

What happens if you are born early?

Being very large (9 pounds or more), which can make delivery more difficult. Being born early, which can cause breathing and other problems. Having low blood sugar. Developing type 2 diabetes later in life. Your blood sugar levels will usually return to normal after your baby is born.

How many women with gestational diabetes have type 2 diabetes?

About 50% of women with gestational diabetes go on to develop type 2 diabetes, but there are steps you can take to prevent it. Talk to your doctor about how to lower your risk and how often to have your blood sugar checked to make sure you’re on track.

Can gestational diabetes have any symptoms?

Gestational diabetes typically doesn’t have any symptoms. Your medical history and whether you have any risk factors may suggest to your doctor that you could have gestational diabetes, but you’ll need to be tested to know for sure.

How to get rid of diabetes?

Eating healthy food in the right amounts at the right times. Follow a healthy eating plan created by your doctor or dietitian. Being active. Regular physical activity that’s moderately intense (such as brisk walking) lowers your blood sugar and makes you more sensitive to insulin so your body won’t need as much.

How to help a baby with gestational diabetes?

Work on Your Diet. Get More Exercise . Test Your Blood Sugar. Take Medication. Chart Your Baby’s Growth. If you have gestational diabetes, you'll need to get your blood sugar under control, and keep it that way, to protect your health and your baby's. You’ll have to make some lifestyle changes for that to happen.

What to do if your blood sugar is high?

If your blood sugar remains high despite these changes, the doctor may prescribe diabetes pills to keep it in check and protect your baby. If they don’t do the job, the next step may be insulin injections.

How many calories should a woman eat a day?

Your dietitian will recommend the number of total daily calories a woman your height and weight should get. About 2,200 to 2,500 calories per day is the norm for women of average weight. If you’re overweight, you may need to lower that to about 1,800 calories per day.

How to check blood sugar at home?

Test Your Blood Sugar. Make sure the diet changes and added exercise get your blood sugar levels under control. Test your levels regularly, before meals and 1 or 2 hours after meals . If you don’t already have a blood glucose meter to use at home, your doctor will probably give you one and teach you how to use it.

What percentage of calories are from protein?

10% to 20% of your calories from protein sources like meats, cheeses, eggs, seafood, and legumes. Less than 30% of your calories from fats. Less than 10% of your fat calories from saturated fats. The remaining 40% or so of your calories from carbohydrates like breads, cereals, pasta, rice, fruits, and vegetables.

What is the next step in gestational diabetes testing?

The next step in testing for gestational diabetes is the oral glucose tolerance test ( OGTT). You will need to fast before the test, which involves having a drink that contains 100g of glucose.

What causes gestational diabetes?

Gestational diabetes is thought to be caused by a combination of genetic and environmental risk factors. A genetic predisposition has been suggested because the condition tends to run in families. 3

Why does the pancreas produce more insulin?

The pancreas will generally produce more insulin to compensate for hormonal insulin resistance, but some pregnant people’s bodies cannot keep up with insulin production . This leads to elevated blood sugar and a diagnosis of gestational diabetes.

Can gestational diabetes cause blurry vision?

Lose weight even though you have not changed your eating habits or activity levels. Some symptoms that could be caused by gestational diabetes are also common in pregnancy, such as needing to pee more often and feeling nauseated ( morning sickness ).

Can you get gestational diabetes while pregnant?

If you have a genetic predisposition to gestational diabetes, it does not mean that you will definitely get the condition while you are pregnant. Other factors, such as your age, weight, activity level, diet, previous pregnancies, and smoking, also contribute to your risk.

Is it important to manage blood sugar levels during pregnancy?

Managing your blood sugar levels will be a priority if you have gestational diabetes. Your ultimate goal will be to make sure that your blood sugar levels are equal to those of pregnant people who do not have gestational diabetes. 6

Can you take insulin before eating?

Needing to take insulin to treat gestational diabetes does not mean that you have “failed” at keeping your blood glucose levels controlled with diet and exercise.

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Diagnosis

Treatment

Clinical Trials

Coping and Support

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
It can be managed with nutritious diet and exercise. Medication is necessary only if sugar level is uncontrollable with diet and exercise.
Medication

Hormonal therapy: To regulate blood glucose levels. The most recommended is insulin injection.

Insulin


Antidiabetics: To control the amount of blood glucose level. During pregnancy, the first choice would be Insulin injection, however, the recent studies have shown that the oral medications may be safe. Follow your doctor's advice.

Metformin . Glyburide

Self-care

Always talk to your provider before starting anything.

  • Monitoring the level of blood sugar at regular intervals will help regulating and avoid complications.
  • Intake of Healthy diet- consult the doctor to recommend a healthy diet which suits.
  • Regular Exercise - Regular, simple exercise helps lowering blood sugar level and provide more energy. It also relives common symptoms during pregnancy like low back pain, constipation, swelling of legs, etc.
  • Close monitoring of the baby- a close monitoring on the developments of the baby is also essential and hence advised repeated ultrasound tests.

Nutrition

Foods to eat:

  • Make sure that there is protein with every meal
  • Have fresh fruits and vegetables

Foods to avoid:

  • Avoid processed and baked foods
  • Avoid spicy and sugary foods
  • Quit smoking and alcoholic beverages

Specialist to consult

Endocrinologist
Specializes in the function and disorders of the endocrine system of the body.
Gynecologist
Specializes in the health of the female reproductive systems and breasts.

Preparing For Your Appointment

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