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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.

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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 ].

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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.

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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.

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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.

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

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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.

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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.

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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.

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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 -

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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

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