Sweet pregnacy without sugar! Gestational Diabetes
Find out what gestational diabetes is and how it will not stress you out during your pregnancy.
Pregnancy is one of the sweetest days of a woman’s life. Unfortunately, for some women, about 4 in 100, this period is a little stressful, since they face the problem of high blood sugar, (gestational diabetes) usually only temporarily. Although, according to experts, blood sugar levels are affected to some degree in all pregnant women, only 2-4% meet the criteria to be considered a major problem.
Before you get stressed, learn how to diagnose and, if necessary, regulate gestational diabetes. Although it is a serious condition that you should not overlook, when treated properly and under the guidance of experts, it can not create serious problems, neither for you nor for your baby!
What is gestational diabetes?
It is a condition that usually occurs around the beginning of the third trimester and usually disappears after childbirth, as blood sugar levels return to normal.
This is because, as the placenta develops, insulin resistance increases. In most women, the body deals with the problem by producing more insulin. In others, however, the pancreas fails to respond and so the sugar rises more than normal and develops gestational diabetes.
The necessary examination
All women, regardless of whether they are at risk, have a history, etc., should have a test called a glucose tolerance test between the 23rd and 26th week of pregnancy. For this examination they must fast the previous night and for at least 12 hours. 3 days before the “fast”, they must consume at least 200 gr. carbohydrates per day, corresponding to 1 serving of cereal at breakfast, 1 serving of pasta at lunch, 3 fruits and 2 slices of bread.
They also have to stay in the microbiological laboratory for 3 hours in order to take 4 blood samples:
When there is a problem
In order to assume that there is gestational diabetes, the test must show at least two measurements greater than the following normal:
If we find at least two measurements below 65mg / dl, it is a prediabetic condition (due to excessive insulin secretion). You need to consult a diabetologist to give you instructions (for instance smaller and more frequent meals).
Attention!
Some gynecologists recommend the mini- blood sugar curve (test with less glucose and less blood draws), but this is a wrong practice. All women should make the blood sugar curve with 100 gr. glucose and 4 blood samples.
How it is treated
If you are diagnosed with diabetes, you should consult a diabetologist and dietitian and according to their instructions you can treat it:
Women who are at higher risk are:
The diet that will keep diabetes away from you
Can there be complications?
If the doctors diagnoses gestational diabetes early, regulate and monitor it, the pregnancy can continue normally. Otherwise, problems may arise:
Normal delivery or Caesarean section?
Usually, gynecologists choose the scheduled cesarean section in the 38th week of pregnancy, in case the mother has gestational diabetes.
We thank Dr. Rania Zacharopoulou, physician specialized in diabetes, and Mr. Harry Demosthenopoulos, clinical dietitian-nutritionist.