Gestational Diabetes - Advice

Posted by admin in Prescription Diabetes Drugs on September 18th, 2010

Gestational Diabetes is a form of diabetes that can only be diagnosed in pregnant women. Please refer to the previous chapter that concentrates on risk factors and the methods used to diagnose gestational diabetes.

In this article we are giving advice to women with gestational diabetes:

If you are pregnant, you have had your Glucose Tolerance Test (GTT) and the result was abnormal, you were diagnosed with gestational diabetes. The next step is referral to a specialist (Consultant specialising in pregnancy diabetes) and Dietician for further care and regular visits.

And what can you expect during your visits to a specialist

At the first visit - the woman is usually shown how to test her blood sugar at home and is provided with a blood glucose monitoring kit (normal blood glucose ranges are 3.5 to 7mmol/L).

Dietetic advice will be given on how to control your diabetes through your diet.

Additional blood tests would be taken during visits to check that the long-term glucose is also within limits.

Extra ultrasound test might be needed to make sure the baby is growing fine.

The woman should be able to meet with a diabetic midwife and discuss her birth plan.

The baby of the woman with the gestational diabetes should be delivered before 41 weeks.

6 weeks after the baby is born - a GTT should be carried out and reviewed by the Gestational Diabetes Consultant.

It is important to mention, that the primary aim of gestational diabetes control is always to maintain a normal blood sugar through diet control and life-style changes, and/or administering insulin if necessary.

The changes that you can make to your diet and life-style include:

Eat regularly, 3 meals per day.

Cut down on sugar, sugary foods and sugary drinks.

Choose foods low in saturated fat.

Choose food with complex carbohydrates (pasta, rice, wholemeal bread).

Eat more fruit and vegetables.

Use less salt.

Keep active during your pregnancy (always check with your midwife on safe exercise).

In some cases, if the control of your pregnancy diabetes is not adequate through diet control and life-style changes, you might need to start administering insulin. Insulin should be only started by the diabetes specialist and closely supervised by the diabetes midwife or the diabetes nurse specialist, who will explain all about insulin and the injecting technique.

If at any stage of your pregnancy, you experience increased thirst, increased frequency to urinate, raised blood sugar levels, or fatigue, always contact your Doctor.

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