Tag: Gestational Diabetes

Gestational Diabetes

You are twenty eight weeks pregnant! Congratulations, you have made it to your third trimester with a picture perfect pregnancy. You go in to see your obgyn for your appointment and the bomb drops. You have gestational diabetes.

Gestational diabetes is one of the most common pregnancy complications that women face. It is when pregnant women have high blood sugar levels during their pregnancy. It is not really known what can cause gestational diabetes. Some experts say that overweight women have a higher risk of developing gestational diabetes, but there is not much evidence to support this.

What is known about gestational diabetes is that one of the only cures is to deliver the baby. After delivery your blood sugar level will go back down to normal. The common treatment for gestational diabetes has been insulin shots. Just as if you had diabetes when you were not pregnant, you would have to take shots each day. Some women find though that by changing their diet, they are able to manage their gestational diabetes without having to give themselves a shot of insulin.

If you are looking to make dietary changes your doctor will probably refer you to a nutritionist. They will look at several factors when designing a meal plan for you. First they will look at your weight before you got pregnant and how much you have gained since them. Next they will look at your activity level and your blood level. Then they will work with you to design an eating plan that has just the right amount of carbohydrates.

Some of the guidelines you should follow are to spread your carbs out through out the day by eating three small meals and two to four snacks. Breakfast might be a meal where you will want to eat less carbs since they can cause your blood sugar to rise quickly. Instead eat a protein filled breakfast with eggs, or even meat. Giving up sweets is one of the best things you can do if you have been diagnosed with gestational diabetes and will make your meal plan easier to follow.

It is also important to that you do not skip meals or try going on a low carb diet. This is going to cause your blood levels to fall to low levels and can leave you exhausted and legatheric. Chances are you will have to test your blood sugar levels regularly to make sure you are at a safe level. Some women are so sensitive that they can tell when their levels are low and know what steps to take to correct it.

Not taking the steps to keep your gestational diabetes under control not only puts you at a risk of developing type 2 diabetes’s later in life, but you are also putting the life of your baby at risk. Babies born from moms who were diagnosed with gestational diabetes tend to be larger than those who aren’t. Most doctors will not let a women go past her due date if she has gestational diabetes and a few will not even let them go as far as their due date before inducting them. Larger babies could mean more delivery complications and increase your chance of a c- section.

Gestational diabetes is so common these days that no one bats an eye if you say you have it. By eating a healthy diet and watching your sugar level, you will be able to control your blood sugar level and continue with your perfect pregnancy.

Plus Size and Pregnant

A majority of plus sized women who are pregnant will experience a healthy pregnancy, but they are at a risk of having a more bumpy ride than someone who is not overweight.

Women who are overweight, or have a body mass index (BMI) of 25 or more are at a greater risk of certain pregnancy complications like gestational diabetes and preeclampsia. No knows for sure why weight matters so much, as far as most doctors are concerned it is just one piece of the puzzle. The truth is most plus size women go on to have completely uneventful pregnancies and deliver perfect healthy babies as long as they eat well, exercise and watch their weight throughout pregnancy. The biggest problem with being plus sized and pregnant is that you are at a greater for some of the following.

Studies have shown that overweight women have a higher rate of neural tube defects which are problems with how your baby’s brain and spinal cord develop. These studies are unable to pin point exactly why overweight women are at a higher risk and have a higher rate. Some studies have shown that overweight women have lower blood folate levels than a woman who is of normal weight. Folate is needed especially in the early stages of pregnancy to help avoid neaural tube defects. Because of this, if you are overweight your doctor may prescribe you a prenatal vitamin with 1000 micrograms of folic acid. In fact, if you are overweight and planning on becoming pregnant, you may want to start taking folic acid before you even conceive.

Gestational diabetes is another complication that overweight women are at a greater risk of developing. Gestational diabetes is elevated blood-sugar level during pregnancy. The National Institute of Child Health and Human Development estimate that women with normal BMI which is between 19 and 24 have a 2% chance of developing gestational diabetes. Overweight women have a 6% chance of developing this condition and obese women or women who have a BMI of 30 or more have a 9% chance of being diagnosed with gestational diabetes. Remember though that if you are diagnosed with this, you can still go on and have a healthy pregnancy with a modified eating plan.

Almost 10% of obese and overweight women develop a condition called gestational hypertension. This is when your blood pressure becomes high with a reading of 140 over 90 or higher after your 20th week of pregnancy but you do not have any protein in your urine.

Gestational hypertension is usually a small concern but can put you at a higher risk for preeclampsia (which is indicated by high blood pressure AND protein in your urine), intrauterine growth restriction, preterm birth, placental abruption and still birth. If you do go on to develop preeclampsia, your weight is probably not that big of a factor. In fact if you are under 35 and overweight you have LESS of a chance of developing preeclampsia that a woman over 35 and a healthy weight.

Perhaps the most common complication for overweight women is longer labors and the possible risk of a cesarean section. Nearly 26-35% of deliveries are cesarean delivery. You are at a bigger risk if you have been diagnosed with preeclampsia or gestational hypertension or have a large baby.
Eating healthy throughout your pregnancy and working with your doctor to manage your weight will help reduce these risks and increase your already high chances of having a healthy pregnancy and a healthy baby.