Gestational Diabetes, The third type of diabetes

By Dr Faisal Al Mahroos consultant diabetes

Must differentiate between a good gestational diabetes and pregnancy for diabetic women before pregnancy and gestational diabetes means the discovery of sugar for the first time during pregnancy, meaning that the pregnant woman were not suffering from diabetes before pregnancy

Advised to analyze the work of the curve of sugar in the blood in the period from 24-28 week of pregnancy for all pregnant women, especially in the following cases, which increases the probability of injury, pregnancy and sugar are: * Obesity * Infection sugar pregnancy in a previous pregnancy * Age older than 30 years * The existence of sugar in the urine * The existence of a family history of diabetes

Diagnosis of gestational diabetes Diagnosis is made by analyzing the curve of blood sugar. Fasting before analysis for 8 hours, then taken a blood sample to measure blood sugar fasting. Then to deal with Ms. 100 gm glucose by mouth and a blood sample taken after an hour and then another two hours and then three hours

Diagnose the injury and sugar pregnancy if there are two interpretations of the blood sugar level as follows
 Fasting 95 mg / d.’s. Or more
 An hour after eating glucose 180 mg / d.’s. Or more
 After two hours of eating glucose 155 mg / d.’s. Or more
 After 3 hours of eating glucose 140 mg / d.’s. Or more

The seriousness of gestational diabetes for the mother and fetus Mother-infected sugar pregnancy are more likely to hit the second type of sugar after the completion of pregnancy, either immediately after birth or after several years. And in some sugar disappear completely after birth and appears again in the new pregnancy and of course, there are some risks to mother and fetus during pregnancy and infection with the sugar, which can be avoided completely in control of blood sugar levels, neighborhood pregnancy by maintaining appropriate insulin doses, and organize food and exercising appropriate. And these risks are as follows:

 Increase the rate of caesarean sections
 High blood pressure
 Developing diabetes type II after birth
 Increasing the size of the fetus
 Premature birth
 A temporary drop in blood sugar level of the fetus after birth, so you must work an analysis of the blood sugar for the baby after 6 weeks of birth to make sure the return of blood sugar levels back to normal
 Increase the proportion of yellow blood when the baby
 The child is born more susceptible to obesity and diabetes in youth

Avoid the risk of gestational diabetes Because sugar pregnancy put the mother and fetus of many of the risks during pregnancy and after birth, so a pregnant woman infected with the sugar load the following tips to maintain the health and health of the fetus

First: during pregnancy

Insulin is used in appropriate dosages as prescribed under the skin before breakfast and before dinner Analysis of blood sugar at home daily fasting and after meals. Must be maintained at the level of fasting blood sugar 95 mg / d. For. Or less, two hours after breakfast and 120 mg / d. For. Or less An analysis of acetone in the urine twice a week. And advised the work of the analysis of acetone, if there was a rise in blood sugar level Is divided into three meals and three main meals interspersed with snacks. Divide any food to the breakfast and lunch and dinner, Ttakllahm snack between breakfast and food, and again between lunch and dinner, after dinner, and a third Avoid foods and drinks that contain high amounts of sugar Reduce the proportion of fat in food Drinking too much water Place of birth in the 38 weeks to avoid the problems of increasing the size of the fetus Second: after birth Not only avoid the risk of gestational diabetes on pregnancy only, but includes post-natal period to avoid type II diabetes later. We recommend that you Palate

Tkhvsd avoid obesity and weight back to normal Avoid the increase of eating carbohydrates and sugars Reduce the percentage of sugar in drinks Eating more materials which contain fiber such as vegetables and brown bread Regular exercise such as walking, running, swimming Work analysis of blood sugar annually