Just like the other kinds of diabetes, Gestational diabetes is such a state of body in which the human body becomes unable to produce sufficient amount of insulin for dealing with the pregnancy blood sugar augmentation. If diabetes is properly controlled then there is no danger for the mother and the fetus in any type of diabetes that starts before either pregnancy or conception. But if the sugar is circulated in a mother’s blood at an extreme rate and penetrates into the fetal circulation by the placenta, there might be some serious problem for both the mother and the baby.
Excess presence of sugar in urine might be the first sign, but there might be abnormal thirst, abundant and frequent urination and fatigue.
It is fortunately that all the possible threats related to gestational diabetes could be eradicated through attaining the conscientious control of the blood sugar level by proper medical and self care. Normal pregnancy and childbirth could be accomplished by a diabetic mother by following doctor’s instruction properly. It would be very important to follow the instructions mentioned below whenever you become pregnant for a safe pregnancy and healthy baby if you are already diabetic or developed gestational diabetes.
You may have to meet your obstetrician more frequently than usual and would be instructed more strictly to follow the rules.
Good Diet: A proper diet should be designed by your physician, an expert nurse in diabetes or a nutritionist according to your personal needs. Although tiredness may force you to be careless about your diet but pregnancy is not a time for being such negligent. Rather than being lax, it is time to be serious about your dietary act for both of you and your baby. Perfect diet during pregnancy or conception for a diabetic woman is so important that many consultants suggest in-hospital training before pregnancy. In few cases, for those women who develop diabetes as pregnancy evolutes, in-hospital training is recommended. For the nourishment of your baby and to keep your blood sugar stable do not allow morning sickness to hamper during the time of pregnancy. Do not skip meals or make it fast, maintaining regularity in eating is must.
Sensible weight gain: Reaching your ideal weight before conception is the best. But do not try to slim down in the gestational period even if you are overweight during the pregnancy. For your baby’s welfare it is very important to get sufficient calories, so weight gaining process according to the instructions of your physician should be followed and 25 to 30 pounds of weight gain during the nine months is standard.
Exercise: To regulate your blood sugar, to gain more energy and to get proper shape for delivery a moderated exercise program is necessary. If you are not facing any medical or pregnancy complexities and feel physically fit, some moderate exercise like swimming, brisk walking and light stationary biking will be good for you. However, if you were not in good condition prior to pregnancy or there are any signs of diabetes or any other problem with your pregnancy and your baby’s growth then only light exercise will be allowed. Exercise must be done with a combination of your diet plan and medication schedule or with the instruction of your medical team.
Rest: Don’t overtax your energies and take some time off at the middle of the day to put your feet up or nap. Sufficient rest is very much necessary, especially in the third trimester.
Medication Regulation: When diet and exercise alone fail to control blood sugar, you might be put on insulin injection. Insulin is comparatively less effective to affect your fetus and for this if you had been taking oral medicine for the diabetes before conception, you would be switched to insulin injection during your pregnancy. You should be taken into hospital care if you are taking insulin first time so that your blood sugar could be stabilized under deep supervision.
Blood Sugar Regulation: To be sure that your blood sugar is in safe level you should frequently test your blood sugar with a simple finger prick method at least four times a day possibly before and after meals. Adjust your diet and exercise as required, eat regularly and take medication if necessary for maintaining normal blood sugar.
Careful Monitoring: For monitoring your baby’s condition, your doctor may ask you to do many tests. Don’t panic and be frightened. This does not mean that something is wrong, these are just for monitoring that everything is right. These tests will help to evaluate the optimum delivery time and overall condition for both diabetic mother and her infant. You may also be asked to monitor your baby movements 3 times a day. If you do not feel any movement in any of the three tests suggested by your doctor, inform him or her immediately. Your baby may be kept into a neonatal intensive care unit just after the delivery; this is just a routine procedure at many hospitals to observe the respiratory condition and hypoglycemia which can happen at any time.
Elective Early Delivery: Most of the diabetic babies are often delivered before term, usually 38 to 39 weeks as they face so many problems in normal delivery because they are too large for normal delivery because of their early deteriorated placentas, acidosis, and some other problems. The tests mentioned above are very helpful to your physicians for deciding when to induce labor or perform cesarian section when the baby's lungs are mature are able to function outside the womb. Women with preexisting mild diabetes, gestational diabetes as well as those with well controlled moderate disease could often reach full term safely.
Pregnancy Week To Week 1- 40