Thursday 9 June 2016

Gestational diabetes(GDM) - causes - Prevention -Treatment - Complications

Gestational diabetes(GDM)
During pregnancy – usually around the 24th week – many women develop gestational diabetes. A diagnosis of gestational diabetes doesn't mean that you had diabetes before you conceived, or that you will have diabetes after giving birth. But it's important to follow your doctor's advice regarding blood glucose (blood sugar) levels while you're planning your pregnancy, so you and your baby both remain healthy. Gestational diabetes is caused by
 


improper insulin responses
Gestational diabetes generally has few symptoms and it is most commonly diagnosed by screening during pregnancy. Gestational diabetes affects 3–10% of pregnancies, depending on the population studied.Typically gestational diabetes will disappear after the baby is born
babies born to mothers with untreated gestational diabetes are typically at increased risk of problems such as being large for gestational age (which may lead to delivery complications), low blood sugar, and jaundice.

causes
Gestational diabetes happens when your body can't make enough insulin during pregnancy.
During pregnancy, your body makes more hormones and goes through other changes, such as weight gain. These changes cause your body's cells to use insulin less effectively, a condition called insulin resistance. Insulin resistance increases your body's need for insulin. If your pancreas can't make enough insulin, you will have gestational diabetes.

Prevention
moderate physical exercise is effective for the prevention of gestational diabetes Theoretically, smoking cessation may decrease the risk of gestational diabetes among smokers

Treatment
Check your blood sugar levels four or more times a day.
Do urine tests that check for ketones
,Eat a healthy diet that’s in line with your doctor’s recommendations
Make exercise a habit
Complications
The two main risks GDM imposes on the baby are growth abnormalities and chemical imbalances after birth, which may require admission to a neonatal intensive care unit.

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