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Gestational diabetes mellitus (GDM), or impaired glucose intolerance first diagnosed during pregnancy (1), affects ∼14% of pregnancies, or 135,000 women a year in the U.S., and is a risk factor for type 2 diabetes in the mother (2).
If you’ve had gestational diabetes, you have up to a 1 in 2 chance of developing type 2 diabetes in the next 5-10 years. You are also at higher risk of developing type 2 diabetes for the rest of your life.
You may be more likely than other women to develop gestational diabetes if:
The study, published online in the American Journal of Obstetrics & Gynecology, also shows the risk increases with each pregnancy that is complicated by gestational diabetes.
In general, waiting at least until 38 completed weeks’ gestation improves fetal outcome, especially in diabetic patients [13]. However, if an indication for early delivery exists, GDM should not be considered as a contraindication to proceed with interventions for early delivery.
Gestational diabetes also increases your risk of high blood pressure during pregnancy. In most cases, gestational diabetes disappears after your baby is born. However, for some people, high blood sugar may persist after pregnancy.
Warning Signs of Gestational Diabetes
As water contains no carbohydrate or calories, it is the perfect drink for pregnant women. Studies have also shown that drinking water could help control glucose levels. Drink a large glass of water with every meal and another glass in between meals. “Water was key to keeping my glucose levels stable.
High blood glucose, also called blood sugar, can harm your baby during the first weeks of pregnancy, even before you know you are pregnant. If you have diabetes and are already pregnant, see your doctor as soon as possible to make a plan to manage your diabetes.
We hypothesize that some offspring of women with GDM may be intrinsically more active in utero, and those that are active may be able to compensate for the hyperglycemia and thus minimize their risk of macrosomia.
Babies of mothers who have gestational diabetes have a higher risk of developing obesity and type 2 diabetes later in life. Stillbirth. Untreated gestational diabetes can result in a baby’s death either before or shortly after birth.
An early term or term delivery (38–39 weeks + 6 days gestation) is suggested if vascular complications are present in women with pregestational diabetes. In practice, however, these gestational ages may be difficult to attain.
If you are healthy and your diabetes is well controlled when you become pregnant, you have a good chance of having a normal pregnancy and birth. Diabetes that is not well controlled during pregnancy can affect your health long-term and can also be risky for your baby.
Among the defects in children born to women with diabetes are heart problems, brain and spinal defects, oral clefts, kidney and gastrointestinal tract defects, and limb deficiencies.
Remember that the normal range of blood glucose in newborn infants is 2.5 mmol/l to 7.0 mmol/l. Between 1.4 mmol/l and 2.5 mmol/l. This is mild hypoglycaemia. These infants’ blood glucose concentration is abnormally low and they are at high risk of developing severe hypoglycaemia.
Target Blood Sugar Levels for Women During Pregnancy The American Diabetes Association recommends these targets for pregnant women who test their blood sugar: Before a meal: 95 mg/dL or less. An hour after a meal: 140 mg/dL or less. Two hours after a meal: 120 mg/dL or less.