Treatment FAQ

what is the treatment for gestational diabetes?

by Mrs. Freida Green PhD Published 2 years ago Updated 2 years ago
image

Treatment for gestational diabetes aims to keep blood glucose levels
blood glucose levels
It's important for blood sugar levels to stay in a healthy range. If glucose levels get too low, we can lose the ability to think and function normally. If they get too high and stay high, it can cause damage or complications to the body over the course of many years. The logging of your results is vital.
https://www.diabetes.org › checking-your-blood-sugar
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.

Medication

Women with gestational diabetes should try to eat nutritious, protein-rich foods, such as:

  • fish, chicken, and turkey
  • eggs
  • tofu
  • beans
  • nuts
  • seeds
  • quinoa
  • legumes

Self-care

“As OB-GYNs, we have long known that women with gestational diabetes have a significant risk ... as soon as you can,” she said. Should you be diagnosed, Lubetkin said, ask your OB-GYN to do follow-up testing and give you guidance.

Nutrition

  • Exercise regularly. Aim for at least 30 minutes of exercise 5 days a week. ...
  • Don’t skip meals. To regulate your blood sugar levels, aim to eat a healthy snack or meal every 3 hours or so. ...
  • Take your prenatal vitamins, including any probiotics, if they’re recommended by your doctor.
  • See your doctor as often as they recommend — they want you healthy.

What to eat to manage gestational diabetes?

Tips On How To Treat Gestational Diabetes Naturally – 7 Best Treatments:

  1. Scheduling Your Diet: Eating irregularly schedule is the main cause of all forms of diabetes. ...
  2. Eating Simple Breakfast: You should have simple breakfast with a few variations. The blood sugar naturally grows up in the morning.
  3. Doing Exercise: To prevent an inactive life and unhealthy weight gain, pregnant women should do soft regular exercise.

More items...

What to do if you have gestational diabetes?

How often should I eat if I have gestational diabetes?

How to treat gestational diabetes naturally?

See more

image

What is the best treatment for gestational diabetes?

Insulin injections are the standard medication for gestational diabetes. Your doctor may prescribe a fast-acting insulin that you take before a meal, or an intermediate- or long-acting (basal) insulin that you take at bedtime or upon waking.

What is first line treatment for gestational diabetes?

Insulin is the first-line pharmacologic therapy for gestational diabetes. Most insulin regimens include intermediate-acting insulins, such as isophane (NPH), and short-acting insulins, such as regular recombinant (Humulin R) and the insulin analogues aspart (Novolog) and lispro (Humalog).

Can you get rid of gestational diabetes while pregnant?

If you're a pregnant woman who never had any sort of diabetes before you became pregnant, and developed high blood sugar only after becoming pregnant (gestational diabetes), you can safely eliminate it all by yourself within two to three weeks. You might have the remedy at home already!

What does gestational diabetes do to the baby?

If untreated, gestational diabetes can cause problems for your baby, such as premature birth and stillbirth. Gestational diabetes usually goes away after the baby's born; but if you have it, you're more likely to develop diabetes later in life.

How quickly does gestational diabetes go away?

If insulin is ordered by your doctor, take it as directed in order to help keep blood sugar under control. Get tested for diabetes 6 to 12 weeks after your baby is born, and then every 1 to 3 years. For most women with gestational diabetes, the diabetes goes away soon after delivery.

When do they start insulin with gestational diabetes?

Therefore, insulin therapy traditionally has been started when capillary blood glucose levels exceed 105 mg per dL (5.8 mmol per L) in the fasting state and 120 mg per dL (6.7 mmol per L) two hours after meals.

How many ultrasounds do you get with gestational diabetes?

Appointments you should be offered include: an ultrasound scan at around week 18 to 20 of your pregnancy to check your baby for abnormalities. ultrasound scans at week 28, 32 and 36 – to monitor your baby's growth and the amount of amniotic fluid, plus regular checks from week 38 onwards.

What are the warning signs of gestational diabetes?

Warning Signs of Gestational DiabetesSugar in the urine.Unusual thirst.Frequent urination.Fatigue.Nausea.Blurred vision.Vaginal, bladder and skin infections.

What should I avoid eating with gestational diabetes?

Gestational diabetes dietPlenty of whole fruits and vegetables.Moderate amounts of lean proteins and healthy fats.Moderate amounts of whole grains, such as bread, cereal, pasta, and rice, plus starchy vegetables, such as corn and peas.Fewer foods that have a lot of sugar, such as soft drinks, fruit juices, and pastries.

Is gestational diabetes considered high risk pregnancy?

Women who develop diabetes during pregnancy, known as gestational diabetes mellitus (GDM), may need high-risk pregnancy care due to complications that can arise during pregnancy and childbirth. Women with GDM have an increased risk of preeclampsia, a condition that leads to pregnancy-induced high blood pressure.

Is gestational diabetes a big deal?

Gestational diabetes (GD) can have a big impact on mothers' and babies' health, but it doesn't always have to be a big deal that requires all the tools in the medical toolbox—or a major diversion from the patient's hoped-for birth plan. GD babies are at somewhat higher risk to come earlier than their due date.

Is gestational diabetes serious?

Gestational diabetes raises your risk of high blood pressure, as well as preeclampsia — a serious complication of pregnancy that causes high blood pressure and other symptoms that can threaten both your life and your baby's life.

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.

What to do when you have a gestational diabetes appointment?

What you can do. Be aware of pre-appointment restrictions. When you make your appointment, ask if you need to fast for lab tests or do anything else to prepare for diagnostic tests. Write down symptoms you're having, including those that may seem unrelated to gestational diabetes.

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 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 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 help a pregnant woman with back pain?

Regular physical activity plays a key role in every woman's wellness plan before, during and after pregnancy. Exercise lowers your blood sugar, and as an added bonus, regular exercise can help relieve some common discomforts of pregnancy, including back pain, muscle cramps, swelling, constipation and trouble sleeping.

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 manage gestational diabetes?

How can I manage my gestational diabetes? Many women with gestational diabetes can manage their blood glucose levels by following a healthy eating plan and being physically active. Some women also may need diabetes medicine.

How to keep blood glucose levels in target range?

The plan will help you know which foods to eat, how much to eat, and when to eat. Food choices, amounts, and timing are all important in keeping your blood glucose levels in your target range.

How does a glucose meter work?

This device uses a small drop of blood from your finger to measure your blood glucose level. Your health care team can show you how to use your meter. Recommended daily target blood glucose levels for most women with gestational diabetes are.

How to get blood glucose levels up?

Be physically active. Physical activity can help you reach your target blood glucose levels. If your blood pressure or cholesterol levels are too high, being physically active can help you reach healthy levels. Physical activity can also relieve stress, strengthen your heart and bones, improve muscle strength, and keep your joints flexible.

Can you use a glucose tracker on a computer?

You can also use an electronic blood glucose tracking system on your computer or mobile device. Record the results every time you check your blood glucose. Your blood glucose records can help you and your health care team decide whether your diabetes care plan is working.

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.

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.

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.

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.

When does blood sugar go back to normal after birth?

Your blood sugar levels will usually return to normal after your baby is born. However, about 50% of women with gestational diabetes go on to develop type 2 diabetes. You can lower your risk by reaching a healthy body weight after delivery. Visit your doctor to have your blood sugar tested 6 to 12 weeks after your baby is born ...

What to do if your baby is not eating enough?

If healthy eating and being active aren’t enough to manage your blood sugar, your doctor may prescribe insulin, metformin, or other medication.

What happens if you have gestational diabetes?

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 baby's sugar is high?

Take Medication. 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. Continued. Chart Your Baby’s Growth.

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.

Can gestational diabetes cause a vaginal delivery?

While most women with gestational diabetes are able to have a normal labor and vaginal delivery, some doctors prefer to deliver the baby earlier than the due date. Yours may suggest a cesarean section if the baby grows too large.

How to determine gestational diabetes?

Specific treatment for gestational diabetes will be determined by your doctor based on: 1 Your age, overall health, and medical history 2 Extent of the disease 3 Your tolerance for specific medications, procedures, or therapies 4 Expectations for the course of the disease 5 Your opinion or preference

What are the problems with gestational diabetes?

Infants of mothers with gestational diabetes are vulnerable to several chemical imbalances, such as low serum calcium and low serum magnesium levels, but, in general, there are two major problems of gestational diabetes: macrosomia and hypoglycemia: Macrosomia. Macrosomia refers to a baby who is considerably larger than normal.

Why does GDM occur?

Although the cause of GDM is not known, there are some theories as to why the condition occurs. The placenta supplies a growing fetus with nutrients and water, and also produces a variety of hormones to maintain the pregnancy.

What happens when the placenta grows?

As the placenta grows, more of these hormones are produced, and the risk of insulin resistance becomes greater. Normally, the pancreas is able to make additional insulin to overcome insulin resistance, but when the production of insulin is not enough to overcome the effect of the placental hormones, gestational diabetes results.

What is the name of the condition where the placenta prevents the body from using insulin?

Gestational diabetes mellitus (GDM) is a condition in which a hormone made by the placenta prevents the body from using insulin effectively. Glucose builds up in the blood instead of being absorbed by the cells.

What hormones block insulin?

Some of these hormones (estrogen, cortisol, and human placental lactogen) can have a blocking effect on insulin. This is called contra-insulin effect, which usually begins about 20 to 24 weeks into the pregnancy. As the placenta grows, more of these hormones are produced, and the risk of insulin resistance becomes greater.

What is the term for low blood sugar in a baby?

Hypoglycemia. Hypoglycemia refers to low blood sugar in the baby immediately after delivery. This problem occurs if the mother's blood sugar levels have been consistently high, causing the fetus to have a high level of insulin in its circulation.

What is the purpose of gestational diabetes meal plan?

An effective gestational diabetes meal plan lets you enjoy the pleasure of eating, nourishes your body, and helps keep your blood sugar levels in a healthy range. It’s important that each plan is individualized, but there are certain key concepts that apply to most situations.

Why does gestational diabetes occur?

Causes. Gestational diabetes occurs when a pregnant person’s blood sugar (glucose) levels get too high (hyperglycemia). Multiple factors, including genetics and changes in the body that are unique to pregnancy, contribute to the development of the condition. What Your Blood Sugar Levels Mean.

What is it called when your glucose levels increase during pregnancy?

While there are some risk factors that make gestational diabetes more likely, it can also occur in pregnant people with no risk factors.

How long does it take for insulin to be produced during pregnancy?

Insulin resistance usually happens around 20 to 24 weeks of pregnancy, which is why screenings for gestational diabetes occur at this time. 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.

How many times do you take a 100g glucose test?

You will need to fast before the test, which involves having a drink that contains 100g of glucose. Your blood will be taken three times—at one, two, and three hours after you finish the drink.

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

How many times is blood taken for gestational diabetes?

Your blood will be taken three times—at one, two, and three hours after you finish the drink. If two or more of your results meet or exceed the thresholds in the reference range (see the table below), you will be diagnosed with gestational diabetes. 5.

image

Diagnosis

Treatment

Clinical Trials

Coping and Support

Medically reviewed by
Dr. Khutaija Bano
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

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9