I always get questions from you guys about Gestational Diabetes, so I wanted to make an updated blog post about it since it’s a topic that isn’t always talked about! This is such an important topic to discuss, as we are starting to see this become more common in younger women. I am going to give an overview of what Gestational Diabetes is, what it means if you are diagnosed, and steps to take if you are diagnosed. Let’s get started and if you have any specific questions that I don’t cover below, please feel free to ask them in the comments.
What is Gestational Diabetes?
Gestational diabetes mellitus (GDM) is one of the most common medical complications of pregnancy. It is a condition where carbohydrate intolerance develops during pregnancy, this can lead to complications with the mother AND baby. This is a condition only seen in pregnancy and just because you developed gestational diabetes does NOT mean you will have it after delivery. BUT– you are at increased risk of developing diabetes after pregnancy. It is estimated that up to 70% of women with GDM will develop diabetes within 22–28 years after pregnancy.
Can I lower my risk?
Lowering your blood sugar before pregnancy, having a healthy diet throughout, and having a regular workout routine can definitely help lower the risks of Gestational Diabetes.
How can it affect your pregnancy?
Women with GDM have a higher risk of developing preeclampsia (high blood pressure in pregnancy that is a serious complication!) and higher risk for having a c-section.
How can it affect the baby?
The baby also has increased risks! Some are macrosomia (very large baby!), neonatal hypoglycemia (low blood sugars in baby), shoulder dystocia, Jaundice, birth trauma, and stillbirth. *It’s extremely important to take care of yourself if you are diagnosed!*
How can we test for it?
Don’t worry, we test ALL pregnant women with a one hour glucose tolerance test. You will drink an orange flavored drink and after one hour we will check to see what your blood glucose level is. Typically we like to see a number LESS than 130-140. If you “failed” the test–meaning you had a blood sugar higher than 130-140, then you move to part two of the test: a 3 hour glucose tolerance test.
Okay, so you were just diagnosed with Gestational Diabetes. What should you expect?
The number one thing we do is evaluate your current diet and exercise routine. What do you typically eat? Are you regularly working out or walking? All of these are really important in keeping you and the baby healthy! Expect to sit with your doctor or a nutritionist about what to eat. Also, this is when you’ll begin regularly checking your blood sugars. Four times a day. Once in the morning when you wake up (fasting) and then after every meal (breakfast, lunch and dinner). This is something that can definitely be managed if you are able to keep you blood sugar low and exercise regularly.
Important questions to ask your provider
- Do I need to start medication? Not everyone needs to start medications (like insulin), but it’s important to ask these personal questions to your provider!
- Will there be extra tests to check on how my baby is doing? Some women may require closer monitoring of their baby. Make sure to ask!
- Will I deliver early? Some women have GDM that is difficult to control. This can lead to serious complications and might require earlier delivery!
Knowledge is power and this is really why I like to do blog posts like this! You can definitely keep Gestational Diabetes under control and your providers can help monitor you and help reduce any worry you have. Don’t be afraid to ask questions!
