Diabetes in Pregnancy

Go Back   The Diabetes Forum Support Community For Diabetics Online > Diabetes Forum Community > Gestational Diabetes

Gestational Diabetes Gestational Diabetes can effect from 3-10% of all pregnancies. If you are pregnant and concerned about gestational Diabetes then please feel free to use this section of the forum to discuss Diabetes during your pregnancy. If you have any experience of Diabetes during pregnancy then please feel free to share your knowledge with other members here.


Like Tree4Likes

Diabetes in Pregnancy


Closed Thread
 
Shared Thread Thread Tools
Old 11-07-2008, 06:16   #1
 
Join Date: Nov 2008
Posts: 7


Default Diabetes in Pregnancy

Diabetes in pregnancy is classified into two types- Overt Diabetes which is seen in women who are diabetic even before the onset of pregnancy and Gestational Diabetes in which diabetes is detected in the course of pregnancy.

The insulin requirements during pregnancy increases alot because of very large increase in insulin antagonising hormones like Human placental lactogen, progesterone and cortisol. It is also increased because of the production enzymes like placental insulinase by the placenta which increases the degradation of insulin. The patient should be watched carefully otherwise it may lead to ketosis. Good medical and obstetric care throughout pregnancy results in favourable outcome. However the following complications may occur.

There is an increased risk of abortion among patients with uncontrollable diabetes. Fetal malformations and preterm delivery is a risk factor among overt diabetics. Moreover diabetic women may develop pregnancy induced hypertension and urinary tract infection. There is a chance of developing Hydramnios among uncontrollable diabetic women which may be due to large placenta, fetal malformation, etc.

Gestational diabetes can be diognised by undergoing screening test for diabetes which should be performed between 24 and 28 weeks of pregnancy. If the test is found to be positive then they should undergo Glucose Tolerance Test. Risk factors for screening for gestational diabetes include- Maternal obesity (120% increase in the body weight when compared to ideal weight), previous large baby (above 4kh), previous unexplained still births, previous abnormal glucose tolerance test, Hydramnios or macrosomia in the present pregnancy.

Because of the risk of sudden intra-uterine death in the third trimester, diabetic women have traditionally been delivered at 36-38 weeks either by caesarian section or by vaginal delivery following induction. Today improved metabolic control makes later delivery possible and most are now delivered between 38 and 39 weeks gestation.

NOTE- Good antenatal care and intervetion at the appropriate time will improve the outcome.

Prenatal counselling and proper guidance will decrease the incidence of fetal malformations and fetal loss.

brettruben is offline  
Old 04-21-2009, 04:10   #2
 
Join Date: Apr 2009
Posts: 5


Default

Quote:
Originally Posted by brettruben View Post
Diabetes in pregnancy is classified into two types- Overt Diabetes which is seen in women who are diabetic even before the onset of pregnancy and Gestational Diabetes in which diabetes is detected in the course of pregnancy.

The insulin requirements during pregnancy increases alot because of very large increase in insulin antagonising hormones like Human placental lactogen, progesterone and cortisol. It is also increased because of the production enzymes like placental insulinase by the placenta which increases the degradation of insulin. The patient should be watched carefully otherwise it may lead to ketosis. Good medical and obstetric care throughout pregnancy results in favourable outcome. However the following complications may occur.

There is an increased risk of abortion among patients with uncontrollable diabetes. Fetal malformations and preterm delivery is a risk factor among overt diabetics. Moreover diabetic women may develop pregnancy induced hypertension and urinary tract infection. There is a chance of developing Hydramnios among uncontrollable diabetic women which may be due to large placenta, fetal malformation, etc.

Gestational diabetes can be diognised by undergoing screening test for diabetes which should be performed between 24 and 28 weeks of pregnancy. If the test is found to be positive then they should undergo Glucose Tolerance Test. Risk factors for screening for gestational diabetes include- Maternal obesity (120% increase in the body weight when compared to ideal weight), previous large baby (above 4kh), previous unexplained still births, previous abnormal glucose tolerance test, Hydramnios or macrosomia in the present pregnancy.

Because of the risk of sudden intra-uterine death in the third trimester, diabetic women have traditionally been delivered at 36-38 weeks either by caesarian section or by vaginal delivery following induction. Today improved metabolic control makes later delivery possible and most are now delivered between 38 and 39 weeks gestation.

NOTE- Good antenatal care and intervetion at the appropriate time will improve the outcome.

Prenatal counselling and proper guidance will decrease the incidence of fetal malformations and fetal loss.


Thanks for your knowledge on Brett. Im on first date of my pregnancy and I'm to regular dosage of insulin. I found your article very resourceful.

herzelgarcia72 is offline  
Old 06-03-2009, 18:55   #3
 
Join Date: Jun 2009
Posts: 4


Default

my wife is pregnant and we whent to a doctor with the test result and the doctor
said that we should make another one sow we can be sure of the test results
glicose-6.3
and it's in the average but we are scared what we should do?
please advice as sow we can proceed
my wife is pregnant in the 24 week of pregnancy
thanks man
regards

sasko petrov is offline  
 
Old 06-04-2009, 11:16   #4
Senior Member
 
Join Date: Sep 2007
Location: Ontario Canada
Posts: 1,077

Diagnosed in 1961-now 50+ years with Diabetes

23 likes received
Default

Hello:

I'm Happy that you are in a Dr's Good care. If another test is required as he suggests, then it would be a Good idea to repeat it.
Congratulations!

__________________
***Life Is A Highway.......T.C.
Terrie is offline  
Old 06-04-2009, 12:21   #5
 
Join Date: Jun 2009
Posts: 4


Default glicose level 10

Quote:
Originally Posted by Terrie View Post
Hello:

I'm Happy that you are in a Dr's Good care. If another test is required as he suggests, then it would be a Good idea to repeat it.
Congratulations!
we made another test with glicose and the level is 10 sow we are a bit scared about my wife and baby
the reason is that it could make some trouble or ?
and suggestion will be welcomed
10x regards

sasko petrov is offline  
Old 06-04-2009, 14:39   #6
Senior Member
 
Join Date: Sep 2007
Location: Ontario Canada
Posts: 1,077

Diagnosed in 1961-now 50+ years with Diabetes

23 likes received
Default

Hello Sasko:

Please try not to panic. I realize that it is not easy but Your Wife needs to feel as calm as possible. Feeling stressed raises most Diabetics blood sugar. Hopefully she feels comfortable with her Dr.

Did your Wife's Dr. suggest that she start taking Insulin? That is what most Drs. here prescribe to help lower the Woman's blood sugar.

She should eat a balanced diet but with less starchy foods and preferrably no sugary foods. Exchanging some of the starchy foods with vegetables will help to lower her blood sugar. She could eat a fruit with a protein like a piece of cheese. Protein such as meat, eggs, cottage cheese, other cheeses, a tablespoon of peanutbutter, etc. does not raise the blood sugar much. Olive oil is a Good oil to use. Having about 45 grams of carbs per meal is Good and 15 grams of carbs per snack if she counts carbs.

Taking a daily walk or another easy exercise is healthy for Mom and Baby. She should have Folic Acid and other vitamins suggested by her Dr. Her daily intake of 6-8 glasses of water is important for a Diabetic.

__________________
***Life Is A Highway.......T.C.

Last edited by Terrie; 06-04-2009 at 14:45.
Terrie is offline  
Old 06-04-2009, 15:11   #7
 
Join Date: Jun 2009
Posts: 4


Default

we whent again to the doctor and we should have a 10 gramms glicosa test sow the doctor can make a better diagnose
sow we hope it will be better for bouth of them
thanks for you'r reply
chat with you on monday when we see the results
regards and have a nice weekend

sasko petrov is offline  
Old 06-04-2009, 23:59   #8
 
Join Date: Jun 2009
Posts: 4


Unhappy

does if everuthing goes well "can the wife become a diabetic" or?
we are worry sow please tell us sow we can proceed with some tretmant in time
thanks

sasko petrov is offline  
Old 06-05-2009, 20:01   #9
Senior Member
 
Join Date: Sep 2007
Location: Ontario Canada
Posts: 1,077

Diagnosed in 1961-now 50+ years with Diabetes

23 likes received
Default

No one can say for sure since various risk factors may be involved with different Families and pregnancies. If she has Gestational Diabetes(becoming Diabetic while pregnant)she will most likely not be a Diabetic after she gives birth.

If she becomes pregnant with a second Child then the Diabetes may not disappear after the second Baby is born. Also within 10 years, the Woman will probably become a Diabetic again and this time it will not leave. This happens in most cases but not all cases.

The Best thing to do is to eat healthy and get some exercise daily. We cannot tell you what treatment that she should take since we are not her Dr. or medical professionals.

Thank you. Please enjoy your week-end.

__________________
***Life Is A Highway.......T.C.
Terrie is offline  
Old 08-03-2009, 20:45   #10
 
Join Date: Jul 2009
Posts: 1


Default

hello,
Can someone tell me something about pregnancy and diabet complications.I know that the pregnancy has to be planned.

Sevdeto is offline  
Closed Thread

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
*A Few Thoughts Concerning Pregnancy* Terrie Gestational Diabetes 6 07-07-2012 03:30

LEGAL NOTICE
By using this Website, you agree to abide by our Terms and Conditions (the "Terms"). This notice does not replace our Terms, which you must read in full as they contain important information. You must not post any defamatory, unlawful or undesirable content, or any content copied from a third party, on the Website. You must not copy material from the Website except in accordance with the Terms. This Website gives users an opportunity to share information only and is not intended to contain any advice which you should rely upon. It does not replace the need to take professional or other advice. We have no liability to you or any other person in respect of any content on this Website.


All times are GMT +1. The time now is 22:57.




Powered by vBulletin®
Copyright ©2000 - 2019, vBulletin Solutions, Inc.
Search Engine Optimization by vBSEO
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2019 DragonByte Technologies Ltd.
User Alert System provided by Advanced User Tagging v3.1.0 (Pro) - vBulletin Mods & Addons Copyright © 2019 DragonByte Technologies Ltd.