Pregnancy and Diabetes

Gestational diabetes is a form of diabetes is divided into two types: Type 1 diabetes and Type 2 diabetes gestational diabetes appears during pregnancy and usually ends after baby born.

What is diabetes?

Diabetes is when the pancreas hormone insulin is missing or reduced impact the human body, or the body is not good insulin metabolism. Glucose is essential nutrient has a role in providing energy for the activity of cells in the body. However, glucose cannot move alone from the bloodstream into cells that need insulin to aid in the transport process. We diabetes is caused by too much sugar in the blood vessels and the complications which arise.

During pregnancy, hormonal together created specifically to help fetal growth and development. But this hormone also causes some risks to the useful features of the mother’s insulin. This can be considered as “insulin resistance.” Would be a good thing when your blood sugar and insulin levels and standards to maintain blood glucose levels safely. But in cases of gestational diabetes, the blood sugar is no longer controlled insulin, therefore, need to either reduce or increase the amount of glucose or insulin is made that both movements.

Who are at risk?

  • Women were aged over 30.
  • Ethnic minority women including Australian Aborigines, people in the Pacific Islands, Asian, Philippines, India, China, and the Middle East.
  • Have a family history of type 2 diabetes.
  • Women with overweight, obesity before and during pregnancy.
  • Had gestational diabetes in a previous pregnancy.
  • When pregnancy diabetes is discovered?

How is diagnosed?

Screening process required under the guidance of a doctor in 26-28 weeks gestation.

The diagnostic tool usually tests blood sugar, GCT, or test method glucose tolerance, OGTT. Blood tests to check glucose, and after an hour, the next will test the blood sample after drinking sugar water.

Based on the results of the first test, to confirm the diagnosis of gestational diabetes may need further testing glucose tolerance (OGTT) within 2 hours. Basic blood tests after blood samples 1 or 2 standard hours after the patient drink a glucose solution. The method can more simply by checking glucose from the urine. One of the tests in each prenatal visit is checked by sugar test strips.

Blood glucose is measured in millimoles per liter of blood. Blood sugar levels (BSL) is normal at 4-6mmol / L. Two hours after eating, the average will be measured 4-7mmol / L. Ideally, blood sugar levels are maintained at normal levels if possible, but each has the “acceptable” in particular.

Symptoms of gestational diabetes

You cannot know until you test and urine sugar levels. Some women have symptoms similar to diabetes Type 1 or Type 2:

  • Often thirsty. Waking during the night to drink plenty of water.
  • Urinate a lot of water and need more time than the needs of pregnant women normal.
  • Vaginal yeast infection and cannot be cleaned by the drug / anti-bacterial cream ordinary anointing.
  • The wounds, abrasions or sores to heal.
  • Weight loss and fatigue, lack of energy and exhaustion.

Gestational diabetes is dangerous?

If gestational diabetes is controlled and monitored by the patient and the doctor, the risk will be greatly reduced. The main aim in treating diabetes is to reduce blood sugar levels in the blood to normal levels and consistent production of insulin compared to needs of each. It takes the time to estimate the amount of insulin needed balance of the day.

Pregnant women who suffered from gestational diabetes should be monitored during pregnancy and childbirth. Complications occur when prolonged labor pain and mothers are not suitable sugar.

How disease affects the baby?

If not controlled, excess glucose in the blood will make the fetus grow quite large. Due to compatibility with increased glucose across the placenta to the blood supply, the fetus will be in the secretion of insulin to glucose consumption and energy reserves beneath the fat of the fetus. Babies of mothers with diabetes can weigh up to 4kg at birth. That’s why when the new baby that is too heavy weight, your doctor should suspect gestational diabetes even after being diagnosed with the disease before birth no.

To prevent health problems can happen to a child, the doctor must monitor and treat diabetes to control blood sugar. Usually, the mother’s blood sugar will rise higher before birth.

Children of mothers with diabetes do not have diabetes. Typically, they are “feeding” the blood sugar balance and are not adversely affected. The biggest concern is the 4-6 hours after the birth of baby toys vulnerable witness hypoglycemia (hypoglycemia phenomenon). Therefore, he should regularly be tested after birth until your blood sugar (BSL) was stable and continued steadily throughout the first 24 hours.