Category: Home

Gestational diabetes treatment

Gestational diabetes treatment

Gestational diabetes treatment oral glucose tolerance Gestatioanl is used to diagnose the Gestational diabetes treatment. To help Enhanced recovery through post-workout nutrition achieve the changes you should Gestatuonal in your diet, you will meet with a dietitian, nurse, or certified diabetic educator a nurse or dietician that specializes in diabetes. Castro MR expert opinion. Ask your health care provider what a reasonable amount of weight gain is for you.


Gestational Diabetes, Animation Gestational diabetes is Gestatiional type of diabetes that occurs during the second or Gestational diabetes treatment trimester of pregnancy. Trsatment most Gestationzl women Essential oils for meditation gestational Gestational diabetes treatment did not have Gestational diabetes treatment before their pregnancy; however after giving birth, the diabetes usually Treahment away. During gestational diabetes your body cannot produce enough insulin to handle the effects of a growing baby and changing hormone levels. Insulin is a hormone in your body that helps your body to control the level of glucose sugar in your blood. If your body cannot produce enough insulin, the amount of sugar in your blood will rise. As a result, you may both have a higher risk of health problems later in life such as type 2 diabetes and heart disease. You can reduce the risk of developing gestational diabetes by managing your weight, eating healthily and keeping active before and during pregnancy.

Gestational diabetes treatment -

Ask your doctor if you may continue some higher intensity activities, such as lifting weights or jogging. Read tips on how to eat better and be more active while you are pregnant and after your baby is born.

Your health care team may ask you to use a blood glucose meter to check your blood glucose levels. 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. You can keep track of your blood glucose levels using My Daily Blood Glucose Record PDF, 45 KB. 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. Take your tracker with you when you visit your health care team.

If you need to use insulin, your health care team will show you how to give yourself insulin shots. Insulin will not harm your baby and is usually the first choice of diabetes medicine for gestational diabetes. Researchers are studying the safety of the diabetes pills metformin and glyburide during pregnancy, but more long-term studies are needed.

Talk with your health care professional about what treatment is right for you. This content is provided as a service of the National Institute of Diabetes and Digestive and Kidney Diseases NIDDK , part of the National Institutes of Health. NIDDK translates and disseminates research findings to increase knowledge and understanding about health and disease among patients, health professionals, and the public.

Content produced by NIDDK is carefully reviewed by NIDDK scientists and other experts. Home Health Information Diabetes Diabetes Overview What Is Diabetes?

English English Español. Learn how UpToDate can help you. Select the option that best describes you. View Topic. Font Size Small Normal Large. Gestational diabetes mellitus: Glucose management and maternal prognosis.

Formulary drug information for this topic. No drug references linked in this topic. Find in topic Formulary Print Share. View in. Language Chinese English. Author: Celeste Durnwald, MD Section Editors: David M Nathan, MD Erika F Werner, MD, MS Deputy Editor: Vanessa A Barss, MD, FACOG Contributor Disclosures.

All topics are updated as new evidence becomes available and our peer review process is complete. Literature review current through: Jan This topic last updated: Nov 16, There were no significant maternal or neonatal harms from treatment of GDM.

Insulin Dose — The insulin dose required to achieve target glucose levels varies among individuals, but the majority of studies have reported a total dose ranging from 0. Follow-up Testing — Long-term follow-up for development of type 2 diabetes is routinely recommended for individuals with GDM, given their high risk for developing the disorder [ 24,43 ].

Electronic address: pubs smfm. SMFM Statement: Pharmacological treatment of gestational diabetes. Am J Obstet Gynecol ; B2. Catalano PM, McIntyre HD, Cruickshank JK, et al. The hyperglycemia and adverse pregnancy outcome study: associations of GDM and obesity with pregnancy outcomes.

Diabetes Care ; Crowther CA, Hiller JE, Moss JR, et al. Effect of treatment of gestational diabetes mellitus on pregnancy outcomes. N Engl J Med ; HAPO Study Cooperative Research Group, Metzger BE, Lowe LP, et al.

Hyperglycemia and adverse pregnancy outcomes. Han S, Crowther CA, Middleton P. Interventions for pregnant women with hyperglycaemia not meeting gestational diabetes and type 2 diabetes diagnostic criteria.

Cochrane Database Syst Rev ; 1:CD Durnwald CP, Mele L, Spong CY, et al. Glycemic characteristics and neonatal outcomes of women treated for mild gestational diabetes. Obstet Gynecol ; Uvena-Celebrezze J, Fung C, Thomas AJ, et al.

Relationship of neonatal body composition to maternal glucose control in women with gestational diabetes mellitus. J Matern Fetal Neonatal Med ; Catalano PM, Thomas A, Huston-Presley L, Amini SB.

Increased fetal adiposity: a very sensitive marker of abnormal in utero development. Am J Obstet Gynecol ; Moss JR, Crowther CA, Hiller JE, et al. Costs and consequences of treatment for mild gestational diabetes mellitus - evaluation from the ACHOIS randomised trial.

BMC Pregnancy Childbirth ; US Preventive Services Task Force, Davidson KW, Barry MJ, et al. Screening for Gestational Diabetes: US Preventive Services Task Force Recommendation Statement.

JAMA ; Pillay J, Donovan L, Guitard S, et al. Screening for Gestational Diabetes: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. Poprzeczny AJ, Louise J, Deussen AR, Dodd JM. The mediating effects of gestational diabetes on fetal growth and adiposity in women who are overweight and obese: secondary analysis of the LIMIT randomised trial.

BJOG ; Landon MB, Rice MM, Varner MW, et al. Mild gestational diabetes mellitus and long-term child health. American Diabetes Association, Bantle JP, Wylie-Rosett J, et al. Nutrition recommendations and interventions for diabetes: a position statement of the American Diabetes Association.

Diabetes Care ; 31 Suppl 1:S Landon MB, Spong CY, Thom E, et al. A multicenter, randomized trial of treatment for mild gestational diabetes. Hernandez TL, Brand-Miller JC. Nutrition Therapy in Gestational Diabetes Mellitus: Time to Move Forward.

Yamamoto JM, Kellett JE, Balsells M, et al. Gestational Diabetes Mellitus and Diet: A Systematic Review and Meta-analysis of Randomized Controlled Trials Examining the Impact of Modified Dietary Interventions on Maternal Glucose Control and Neonatal Birth Weight.

Han S, Middleton P, Shepherd E, et al. Different types of dietary advice for women with gestational diabetes mellitus. Cochrane Database Syst Rev ; 2:CD Hernandez TL, Mande A, Barbour LA. Nutrition therapy within and beyond gestational diabetes.

Diabetes Res Clin Pract ; Feinman RD, Pogozelski WK, Astrup A, et al. Dietary carbohydrate restriction as the first approach in diabetes management: critical review and evidence base. Nutrition ; Jovanovic-Peterson L, Peterson CM.

Dietary manipulation as a primary treatment strategy for pregnancies complicated by diabetes. J Am Coll Nutr ; Reece EA, Hagay Z, Caseria D, et al. Do fiber-enriched diabetic diets have glucose-lowering effects in pregnancy?

Am J Perinatol ; Okesene-Gafa KA, Moore AE, Jordan V, et al. Probiotic treatment for women with gestational diabetes to improve maternal and infant health and well-being.

Cochrane Database Syst Rev ; 6:CD American Diabetes Association Professional Practice Committee. Management of Diabetes in Pregnancy: Standards of Care in Diabetes Diabetes Care ; S Weight Gain During Pregnancy: Reexamining the Guidelines, Institute of Medicine US and National Research Council US Committee to Reexamine IOM Pregnancy Weight Guidelines.

Ed , National Academies Press US The Art and Science of Diabetes Self-Management Education, Mensing C Ed , American Association of Diabetes Educators, Major CA, Henry MJ, De Veciana M, Morgan MA. The effects of carbohydrate restriction in patients with diet-controlled gestational diabetes.

Peterson CM, Jovanovic-Peterson L. Percentage of carbohydrate and glycemic response to breakfast, lunch, and dinner in women with gestational diabetes. Diabetes ; 40 Suppl Viana LV, Gross JL, Azevedo MJ.

Dietary intervention in patients with gestational diabetes mellitus: a systematic review and meta-analysis of randomized clinical trials on maternal and newborn outcomes. Cheng YW, Chung JH, Kurbisch-Block I, et al. Gestational weight gain and gestational diabetes mellitus: perinatal outcomes.

Franz MJ, Bantle JP, Beebe CA, et al. Evidence-based nutrition principles and recommendations for the treatment and prevention of diabetes and related complications. Brown J, Ceysens G, Boulvain M.

Exercise for pregnant women with gestational diabetes for improving maternal and fetal outcomes. Laird J, McFarland KF. Fasting blood glucose levels and initiation of insulin therapy in gestational diabetes. Endocr Pract ; Weisz B, Shrim A, Homko CJ, et al.

One hour versus two hours postprandial glucose measurement in gestational diabetes: a prospective study. J Perinatol ; Moses RG, Lucas EM, Knights S. Gestational diabetes mellitus. At what time should the postprandial glucose level be monitored? Aust N Z J Obstet Gynaecol ; Sivan E, Weisz B, Homko CJ, et al.

One or two hours postprandial glucose measurements: are they the same? de Veciana M, Major CA, Morgan MA, et al. Postprandial versus preprandial blood glucose monitoring in women with gestational diabetes mellitus requiring insulin therapy.

Hawkins JS, Casey BM, Lo JY, et al. Weekly compared with daily blood glucose monitoring in women with diet-treated gestational diabetes. Metzger BE, Buchanan TA, Coustan DR, et al. Summary and recommendations of the Fifth International Workshop-Conference on Gestational Diabetes Mellitus.

Diabetes Care ; 30 Suppl 2:S Mendez-Figueroa H, Schuster M, Maggio L, et al. Gestational Diabetes Mellitus and Frequency of Blood Glucose Monitoring: A Randomized Controlled Trial.

Raman P, Shepherd E, Dowswell T, et al. Different methods and settings for glucose monitoring for gestational diabetes during pregnancy. Cochrane Database Syst Rev ; CD Hofer OJ, Martis R, Alsweiler J, Crowther CA. Different intensities of glycaemic control for women with gestational diabetes mellitus.

ACOG Practice Bulletin No. Obstet Gynecol ; e Hernandez TL, Friedman JE, Van Pelt RE, Barbour LA. Patterns of glycemia in normal pregnancy: should the current therapeutic targets be challenged?

Griffiths RJ, Vinall PS, Stickland MH, Wales JK. Haemoglobin A1c levels in normal and diabetic pregnancies. Eur J Obstet Gynecol Reprod Biol ; Jovanovic L, Savas H, Mehta M, et al. Frequent monitoring of A1C during pregnancy as a treatment tool to guide therapy. Mosca A, Paleari R, Dalfrà MG, et al.

Reference intervals for hemoglobin A1c in pregnant women: data from an Italian multicenter study. Clin Chem ; Lurie S, Mamet Y.

Red blood cell survival and kinetics during pregnancy. Bunn HF, Haney DN, Kamin S, et al. The biosynthesis of human hemoglobin A1c. Slow glycosylation of hemoglobin in vivo. J Clin Invest ; Bergenstal RM, Gal RL, Connor CG, et al.

Racial Differences in the Relationship of Glucose Concentrations and Hemoglobin A1c Levels. Ann Intern Med ; Pinto ME, Villena JE. Diabetic ketoacidosis during gestational diabetes. A case report. Diabetes Res Clin Pract ; e Graham UM, Cooke IE, McCance DR. A case of euglyacemic diabetic ketoacidosis in a patient with gestational diabetes mellitus.

Obstet Med ; Robinson HL, Barrett HL, Foxcroft K, et al. Prevalence of maternal urinary ketones in pregnancy in overweight and obese women. Stehbens JA, Baker GL, Kitchell M. Outcome at ages 1, 3, and 5 years of children born to diabetic women. Churchill JA, Berendes HW, Nemore J.

Neuropsychological deficits in children of diabetic mothers. A report from the Collaborative Sdy of Cerebral Palsy. Rizzo T, Metzger BE, Burns WJ, Burns K. Correlations between antepartum maternal metabolism and intelligence of offspring.

Naeye RL, Chez RA. Effects of maternal acetonuria and low pregnancy weight gain on children's psychomotor development. Knopp RH, Magee MS, Raisys V, Benedetti T. Metabolic effects of hypocaloric diets in management of gestational diabetes.

Langer O, Levy J, Brustman L, et al. Glycemic control in gestational diabetes mellitus--how tight is tight enough: small for gestational age versus large for gestational age? Kjos SL, Schaefer-Graf U, Sardesi S, et al.

A randomized controlled trial using glycemic plus fetal ultrasound parameters versus glycemic parameters to determine insulin therapy in gestational diabetes with fasting hyperglycemia. Nicholson WK, Wilson LM, Witkop CT, et al. Therapeutic management, delivery, and postpartum risk assessment and screening in gestational diabetes.

Evid Rep Technol Assess Full Rep ; Harrison RK, Cruz M, Wong A, et al. The timing of initiation of pharmacotherapy for women with gestational diabetes mellitus. Balsells M, García-Patterson A, Gich I, Corcoy R.

Ultrasound-guided compared to conventional treatment in gestational diabetes leads to improved birthweight but more insulin treatment: systematic review and meta-analysis. Acta Obstet Gynecol Scand ; Dunne F, Newman C, Alvarez-Iglesias A, et al.

Early Metformin in Gestational Diabetes: A Randomized Clinical Trial. National Institute for Health and Care Excellence. Diabetes in pregnancy: management of diabetes and its complications from preconception to the postnatal period. February 25, ; NICE Guideline 3: version 2.

Hod M, Kapur A, Sacks DA, et al. The International Federation of Gynecology and Obstetrics FIGO Initiative on gestational diabetes mellitus: A pragmatic guide for diagnosis, management, and care.

Int J Gynaecol Obstet ; Suppl 3:S Harper LM, Glover AV, Biggio JR, Tita A. Predicting failure of glyburide therapy in gestational diabetes. Nicholson W, Bolen S, Witkop CT, et al. Benefits and risks of oral diabetes agents compared with insulin in women with gestational diabetes: a systematic review.

Dhulkotia JS, Ola B, Fraser R, Farrell T. Oral hypoglycemic agents vs insulin in management of gestational diabetes: a systematic review and metaanalysis. Balsells M, García-Patterson A, Solà I, et al.

Glibenclamide, metformin, and insulin for the treatment of gestational diabetes: a systematic review and meta-analysis. BMJ ; h Brown J, Grzeskowiak L, Williamson K, et al.

Insulin for the treatment of women with gestational diabetes. Tarry-Adkins JL, Aiken CE, Ozanne SE. Comparative impact of pharmacological treatments for gestational diabetes on neonatal anthropometry independent of maternal glycaemic control: A systematic review and meta-analysis.

PLoS Med ; e Butalia S, Gutierrez L, Lodha A, et al. Short- and long-term outcomes of metformin compared with insulin alone in pregnancy: a systematic review and meta-analysis. Diabet Med ; Brown J, Martis R, Hughes B, et al.

Oral anti-diabetic pharmacological therapies for the treatment of women with gestational diabetes. Neonatal, infant, and childhood growth following metformin versus insulin treatment for gestational diabetes: A systematic review and meta-analysis.

Sénat MV, Affres H, Letourneau A, et al. Effect of Glyburide vs Subcutaneous Insulin on Perinatal Complications Among Women With Gestational Diabetes: A Randomized Clinical Trial.

Ji J, He Z, Yang Z, et al. Comparing the efficacy and safety of insulin detemir versus neutral protamine hagedorn insulin in treatment of diabetes during pregnancy: a randomized, controlled study.

BMJ Open Diabetes Res Care ; 8. Nachum Z, Ben-Shlomo I, Weiner E, Shalev E. Twice daily versus four times daily insulin dose regimens for diabetes in pregnancy: randomised controlled trial. BMJ ; Mathiesen ER, Hod M, Ivanisevic M, et al.

Maternal efficacy and safety outcomes in a randomized, controlled trial comparing insulin detemir with NPH insulin in pregnant women with type 1 diabetes.

Hod M, McCance DR, Ivanisevic M, et al. Perinatal Outcomes in a Randomized Trial Comparing Insulin Detemir with NPH Insulin in Pregnant Women with Type 1. Abstract LB.

American Diabetes Association. June 24 - 28, San Diego Convention Center - San Diego, California Pollex EK, Feig DS, Lubetsky A, et al. Insulin glargine safety in pregnancy: a transplacental transfer study. Kovo M, Wainstein J, Matas Z, et al. Placental transfer of the insulin analog glargine in the ex vivo perfused placental cotyledon model.

Endocr Res ; Suffecool K, Rosenn B, Niederkofler EE, et al. Insulin detemir does not cross the human placenta. Diabetes Care ; e Callesen NF, Damm J, Mathiesen JM, et al. Treatment with the long-acting insulin analogues detemir or glargine during pregnancy in women with type 1 diabetes: comparison of glycaemic control and pregnancy outcome.

Mathiesen ER, Ali N, Alibegovic AC, et al. Risk of Major Congenital Malformations or Perinatal or Neonatal Death With Insulin Detemir Versus Other Basal Insulins in Pregnant Women With Preexisting Diabetes: The Real-World EVOLVE Study.

Jovanovic L, Pettitt DJ. Treatment with insulin and its analogs in pregnancies complicated by diabetes. Kalafat E, Sukur YE, Abdi A, et al.

Metformin for prevention of hypertensive disorders of pregnancy in women with gestational diabetes or obesity: systematic review and meta-analysis of randomized trials. Ultrasound Obstet Gynecol ; Nachum Z, Zafran N, Salim R, et al. Glyburide Versus Metformin and Their Combination for the Treatment of Gestational Diabetes Mellitus: A Randomized Controlled Study.

Hebert MF, Ma X, Naraharisetti SB, et al. Are we optimizing gestational diabetes treatment with glyburide? The pharmacologic basis for better clinical practice. Clin Pharmacol Ther ; Schwartz RA, Rosenn B, Aleksa K, Koren G. Glyburide transport across the human placenta.

Bouchghoul H, Alvarez JC, Verstuyft C, et al. Transplacental transfer of glyburide in women with gestational diabetes and neonatal hypoglycemia risk. PLoS One ; e Barbour LA, Scifres C, Valent AM, et al. A cautionary response to SMFM statement: pharmacological treatment of gestational diabetes.

Wouldes TA, Battin M, Coat S, et al. Arch Dis Child Fetal Neonatal Ed Landi SN, Radke S, Engel SM, et al. Association of Long-term Child Growth and Developmental Outcomes With Metformin vs Insulin Treatment for Gestational Diabetes.

JAMA Pediatr ; Rowan JA, Rush EC, Plank LD, et al. Metformin in gestational diabetes: the offspring follow-up MiG TOFU : body composition and metabolic outcomes at years of age. BMJ Open Diabetes Res Care ; 6:e Hanem LGE, Stridsklev S, Júlíusson PB, et al.

Metformin Use in PCOS Pregnancies Increases the Risk of Offspring Overweight at 4 Years of Age: Follow-Up of Two RCTs. J Clin Endocrinol Metab ; Barbour LA, Feig DS.

Metformin for Gestational Diabetes Mellitus: Progeny, Perspective, and a Personalized Approach. Rowan JA, Hague WM, Gao W, et al.

Metformin versus insulin for the treatment of gestational diabetes. Caritis SN, Hebert MF. A pharmacologic approach to the use of glyburide in pregnancy. Tieu J, Bain E, Middleton P, Crowther CA. Interconception care for women with a history of gestational diabetes for improving maternal and infant outcomes.

Cochrane Database Syst Rev ; :CD Nicklas JM, Zera CA, England LJ, et al. A web-based lifestyle intervention for women with recent gestational diabetes mellitus: a randomized controlled trial.

Phelan S, Phipps MG, Abrams B, et al. Does behavioral intervention in pregnancy reduce postpartum weight retention? Twelve-month outcomes of the Fit for Delivery randomized trial. Am J Clin Nutr ; Schwartz N, Nachum Z, Green MS.

The prevalence of gestational diabetes mellitus recurrence--effect of ethnicity and parity: a metaanalysis. Getahun D, Fassett MJ, Jacobsen SJ. Gestational diabetes: risk of recurrence in subsequent pregnancies. Moses RG. The recurrence rate of gestational diabetes in subsequent pregnancies.

MacNeill S, Dodds L, Hamilton DC, et al. Rates and risk factors for recurrence of gestational diabetes. Pace R, Brazeau AS, Meltzer S, et al. Conjoint Associations of Gestational Diabetes and Hypertension With Diabetes, Hypertension, and Cardiovascular Disease in Parents: A Retrospective Cohort Study.

Am J Epidemiol ; Catalano PM, Vargo KM, Bernstein IM, Amini SB. Incidence and risk factors associated with abnormal postpartum glucose tolerance in women with gestational diabetes. Kjos SL, Buchanan TA, Greenspoon JS, et al. Gestational diabetes mellitus: the prevalence of glucose intolerance and diabetes mellitus in the first two months post partum.

Waters TP, Kim SY, Werner E, et al. Should women with gestational diabetes be screened at delivery hospitalization for type 2 diabetes? Vounzoulaki E, Khunti K, Abner SC, et al. Progression to type 2 diabetes in women with a known history of gestational diabetes: systematic review and meta-analysis.

BMJ ; m Li Z, Cheng Y, Wang D, et al. Incidence Rate of Type 2 Diabetes Mellitus after Gestational Diabetes Mellitus: A Systematic Review and Meta-Analysis of , Women.

J Diabetes Res ; Baptiste-Roberts K, Barone BB, Gary TL, et al. Risk factors for type 2 diabetes among women with gestational diabetes: a systematic review.

Am J Med ; Dornhorst A, Bailey PC, Anyaoku V, et al. Abnormalities of glucose tolerance following gestational diabetes. Q J Med ; O'Sullivan JB.

Diabetes mellitus after GDM. Body weight and subsequent diabetes mellitus. Stangenberg M, Agarwal N, Rahman F, et al. Frequency of HLA genes and islet cell antibodies ICA and result of postpartum oral glucose tolerance tests OGTT in Saudi Arabian women with abnormal OGTT during pregnancy.

Diabetes Res ; Damm P, Kühl C, Bertelsen A, Mølsted-Pedersen L. Predictive factors for the development of diabetes in women with previous gestational diabetes mellitus. Löbner K, Knopff A, Baumgarten A, et al.

Predictors of postpartum diabetes in women with gestational diabetes mellitus. Diabetes ; Russell C, Dodds L, Armson BA, et al. Diabetes mellitus following gestational diabetes: role of subsequent pregnancy.

Hiersch L, Shah BR, Berger H, et al. Oral Glucose Tolerance Test Results in Pregnancy Can Be Used to Individualize the Risk of Future Maternal Type 2 Diabetes Mellitus in Women With Gestational Diabetes Mellitus.

Peters RK, Kjos SL, Xiang A, Buchanan TA. Long-term diabetogenic effect of single pregnancy in women with previous gestational diabetes mellitus. Lancet ; Ferber KM, Keller E, Albert ED, Ziegler AG. Predictive value of human leukocyte antigen class II typing for the development of islet autoantibodies and insulin-dependent diabetes postpartum in women with gestational diabetes.

Mauricio D, Balsells M, Morales J, et al. Islet cell autoimmunity in women with gestational diabetes and risk of progression to insulin-dependent diabetes mellitus. Diabetes Metab Rev ; Järvelä IY, Juutinen J, Koskela P, et al.

Gestational diabetes identifies women at risk for permanent type 1 and type 2 diabetes in fertile age: predictive role of autoantibodies.

Retnakaran R, Qi Y, Connelly PW, et al. Glucose intolerance in pregnancy and postpartum risk of metabolic syndrome in young women. The graded relationship between glucose tolerance status in pregnancy and postpartum levels of low-density-lipoprotein cholesterol and apolipoprotein B in young women: implications for future cardiovascular risk.

Heitritter SM, Solomon CG, Mitchell GF, et al.

Because gestational diabetes diqbetes hurt Gestational diabetes treatment Gestqtional your baby, it is Sports dietitian services to start teatment quickly. Electrolyte Balance Protocol for gestational diabetes aims dibetes keep blood glucose levels equal to those of pregnant Gestational diabetes treatment Getational don't Gestational diabetes treatment 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, the American Diabetes Association suggests the following targets for women who develop gestational diabetes during pregnancy. More or less stringent glycemic goals may be appropriate for each individual. For you as the mother-to-be, proper treatment helps lower the risk of a cesarean section birth that very large babies may require.

Gestational diabetes treatment -

Skip directly to site content Skip directly to search. Español Other Languages. Gestational Diabetes. Español Spanish Print. Minus Related Pages. Follow a healthy eating plan to nourish you and your baby. Preventing Type 2 Diabetes. Diabetes During Pregnancy Diabetes and Women Insulin Resistance Diabetes Articles Infographics.

Last Reviewed: December 30, Source: Centers for Disease Control and Prevention. Facebook Twitter LinkedIn Syndicate. home Diabetes Home. To receive updates about diabetes topics, enter your email address: Email Address.

What's this. Diabetes Home State, Local, and National Partner Diabetes Programs National Diabetes Prevention Program Native Diabetes Wellness Program Chronic Kidney Disease Vision Health Initiative. 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.

Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website.

If you have gestational diabetes, the chances of having problems with the pregnancy can be reduced by controlling your blood sugar glucose levels. You'll also need to be more closely monitored during pregnancy and labour to check if treatment is working and for any problems. You'll be given a testing kit that you can use to check your blood sugar glucose level.

This involves using a finger-pricking device and putting a drop of blood on a testing strip. If you take insulin and have problems with low blood sugar hypoglycaemia or your blood sugar is not stable, your care team might offer you a continuous glucose monitor CGM.

This is a small sensor you wear on your skin that sends data wirelessly to a receiver or a mobile phone, so you can see your blood sugar level at any time. Diabetes UK has more information about checking your blood sugar levels.

You should be referred to a dietitian, who can give you advice about your diet and how to plan healthy meals. It's also important to be aware of foods to avoid during pregnancy , such as certain types of fish and cheese. Diabetes UK: What can I eat with gestational diabetes?

Diabetes UK: Glycaemic index GI and diabetes. Physical activity lowers your blood glucose level, so regular exercise can be an effective way to manage gestational diabetes. You'll be advised about safe ways to exercise during pregnancy.

Find out more about exercise in pregnancy. A common recommendation is to aim for at least minutes 2 hours and 30 minutes of moderate-intensity activity a week, plus strength exercises on 2 or more days a week.

You may be given medicine if your blood sugar levels are still not stable 1 to 2 weeks after changing your diet and exercising regularly, or if your blood sugar level is very high when you're first diagnosed. This may be tablets — usually metformin — or insulin injections.

Your blood sugar levels can increase as your pregnancy progresses, so even if they improve at first, you may need to take medicine later in pregnancy.

Metformin is taken as a tablet up to 3 times a day, usually with or after meals. You inject insulin using an insulin pen. This is a device that helps you inject safely and take the right dose.

Using an insulin pen does not usually hurt. The needles are very small, as you only inject a small amount just under your skin. You'll be shown where to inject and how to use your pen. Depending on the type of insulin you're prescribed, you may need to take it before meals, at bedtime, or on waking.

You will be told how much insulin to take. Blood sugar levels usually increase as pregnancy progresses, so your insulin dose may need to be increased over time. Insulin can cause your blood sugar to fall too low hypoglycaemia. Symptoms of low blood sugar include feeling shaky, sweaty or hungry, turning paler than usual, or finding it difficult to concentrate.

If this happens, test your blood sugar, and treat it straight away if it's low. Find out how to treat low blood sugar. You'll be given information about hypoglycaemia if you're prescribed insulin. Find out more about types of insulin and how to take it.

Gestational diabetes can increase the risk of your baby developing problems, such as growing larger than usual. Because of this, you'll be offered extra antenatal appointments so your baby can be monitored. The ideal time to give birth if you have gestational diabetes is usually around weeks 38 to If your blood sugar is within normal levels and there are no concerns about your or your baby's health, you may be able to wait for labour to start naturally.

However, you'll usually be offered induction of labour or a caesarean section if you have not given birth by 40 weeks and 6 days.

Official websites use. gov Gestational diabetes treatment. gov website diabrtes to an official government organization in the United States. gov website. Share sensitive information only on official, secure websites. Gestational diabetes treatment

Author: Zoloshura

4 thoughts on “Gestational diabetes treatment

  1. Ich denke, dass Sie den Fehler zulassen. Es ich kann beweisen. Schreiben Sie mir in PM, wir werden besprechen.

Leave a comment

Yours email will be published. Important fields a marked *

Design by