Gestational Diabetes - Prediabetes
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| Gestational Diabetes - Prediabetes |
Gestational diabetes develops during pregnancy . Like other types of diabetes, gestational diabetes affects how your cells use sugar .
Gestational diabetes causes high blood sugar that can affect your pregnancy and your baby's health.
Any pregnancy complication is concerning, but there's good news. Expectant moms can help control gestational diabetes by eating healthy foods, exercising and, if necessary, taking medication. Controlling blood sugar can prevent a difficult birth and keep you and your baby healthy.
In gestational diabetes, blood sugar usually returns to normal soon after delivery. But if you've had gestational diabetes, you're at risk for
type 2 diabetes. You'll continue working with your health care team to monitor and manage your blood sugar.
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 berkembang selama kehamilan (kehamilan). Seperti jenis lain dari diabetes, gestational diabetes mempengaruhi bagaimana sel-sel Anda menggunakan gula (glukosa). Gestational diabetes menyebabkan gula darah tinggi yang dapat mempengaruhi kehamilan Anda dan kesehatan bayi Anda. Komplikasi kehamilan apapun adalah tentang, tapi ada kabar baik. Ibu hamil dapat membantu kontrol diabetes gestational dengan makan makanan sehat, berolahraga dan, jika perlu, mengambil obat. Mengendalikan gula darah dapat mencegah kelahiran yang sulit dan menjaga Anda dan bayi Anda sehat. Pada gestational diabetes, gula darah biasanya kembali normal segera setelah pengiriman. Tapi jika Anda memiliki gestational diabetes, Anda berada pada risiko untuk diabetes tipe 2. Anda akan terus bekerja dengan tim perawatan kesehatan Anda untuk memantau dan mengelola gula darah Anda
Prediabetes
Prediabetes is "pre-existing diagnosis" diabetes — you can think of it as a warning sign. It is when your blood glucose levels (blood sugar level) higher than normal, but it was not high enough to be considered diabetes.
If you have prediabetes, you are at high risk of developing type 2 diabetes and also are at increased risk of developing heart disease. Prediabetes is a condition in which blood glucose levels are higher than normal, but not high enough to be classified as full-blown diabetes.
First, let's define what "prediabetes" and no. Diabetes is defined as having a blood plasma fasting glucose levels 126 mg/dl or higher on two separate occasions. If there are symptoms of diabetes and you have casual blood glucose is taken at a time that is equal to or greater than 200 mg/dl, and a second test showed high blood glucose levels are the same, then you have diabetes.
Prediabetes, type 2 diabetes and heart disease can be prevented by making lifestyle changes,Weight loss: helps the insulin your body makes to work better and lower your blood glucose levels.
Physical activity: it is important to do regular moderate physical activity to help manage your weight, and reduce your blood glucose, blood pressure and cholesterol levels. Exercise also makes your insulin work better.
A healthy diet: this involves less fat, especially saturated fats, and more fruit, vegetables and high-fibre wholegrain foods.
Stopping smoking: smoking causes insulin resistance and increases the risk of blood vessel disease.
Blood pressure and cholesterol control – these should be kept under control and checked regularly.
Gestational Prediabetes
Women with gestational diabetes mellitus (GDM) have higher rates of foetal macrosomia, shoulder dystocia and pregnancy-induced hypertension, and are at higher risk of developing type 2 diabetes. Herein, we introduce a new conceptual term, "gestational prediabetes", which requires the absence of diabetes before pregnancy, and the presence of blood glucose levels (or a related marker) in early pregnancy that are higher than normal, but not yet high enough to meet the diagnostic criteria for GDM. Identifying women with gestational prediabetes might be done in early pregnancy (e.g., 12 weeks' gestation) using conventional glycaemic testing, assessment of visceral abdominal adiposity or hepatic fat by ultrasonography, or measuring serum sex hormone-binding globulin or adiponectin. However, none of these approaches has been systematically compared to conventional predictors, such as maternal body mass index or waist circumference. Any early-pregnancy predictor of gestational prediabetes risk needs to have low cost, ease of administration, and a short turnaround time. The theoretical advantage of identifying women with gestational prediabetes would be to "prevent" the onset of GDM (and its inherent risks to the pregnancy) in a timelier manner. One sensible starting point would be an intervention to prevent early excessive weight gain in pregnancy, which is currently being evaluated by two randomized clinical trials. In addition, early intervention could offset the need for resource-intense GDM management or insulin therapy.
if you have prediabetes and you are Gestational, you are at risk for gestational diabetes. Gestational diabetes is diabetes that is first diagnosed during pregnancy.
Pregnancy is a stressful time for your body. In
gestational diabetes, hormones from the placenta contributed to insulin resistance, which reduces the ability of insulin to regulate blood sugar levels. Your pancreas makes insulin, which does not produce enough insulin to overcome this resistance, so the glucose can't get into the cells for energy supplies and build for abnormal levels in the blood.
Gestational diabetes can affect you and your baby. This increases your risk of developing type 2 diabetes after delivery of your baby, and can affect the size of your baby, so it's more likely you'll have a baby that is too large for the labor. Having gestational diabetes also can put your baby at risk for low blood sugar levels at birth. However, there are things you can do to help prevent or delay the onset of diabetes or prediabetes, even after gestational diabetes. Diabetes Prevention Program (DPP) study found that moderate exercise and weight loss diet with low fat, low calorie diet helps delay or prevent the onset of type 2 diabetes even in patients at high risk, including people with a history of gestational diabetes. Prediabetes: what does it mean for you? Just because you have been diagnosed with prediabetes doesn't mean that you'll get gestational diabetes or type 2 diabetes progression. People with prediabetes can reduce their blood sugar levels to normal values and reduces the risk for developing diabetes. If you have prediabetes, here are some things you can do to help achieve a healthy blood glucose levels and decrease your risk of developing gestational diabetes.
Gestational Diabetes- Prediabetes
Just because you have been diagnosed with prediabetes does not mean that you will get gestational diabetes or progress to type 2 diabetes. People with prediabetes can reduce their blood glucose levels to normal values and reduce their risk for developing diabetes.
If you have prediabetes, here are some things you can do to help achieve a healthy blood glucose level and lower your risk of developing gestational diabetes.
- Plan your pregnancy. It's important to talk with your doctor if you are planning a family — and follow your doctor’s recommendations for getting healthier before the pregnancy.
- Lifestyle modification. Lifestyle modification involves changing things you do in your everyday life to help improve your health. In the DPP study, lifestyle changes that included a low-fat diet and moderate exercise lowered the risk of developing diabetes by 58 percent over three years. Of course, smoking cessation and refraining from drinking alcohol are also critical to your health and the health of your baby.
- Get some support. There is no need to go it alone. There are dietitians, nutritionists, and exercise counselors who can design a healthy diet and exercise regimen to help you reduce your risk of diabetes before, during, and after your pregnancy.
The medical community isn’t sure why some women develop gestational diabetes, although there are several risk factors that make it more likely that you will develop it:
- Age: Women over the age of 25 are more likely to get gestational diabetes.
- Weight: Women who are overweight (have a body mass index—or BMI—that’s above 25) are more at risk for gestational diabetes.
- Race/ethnicity: Gestational diabetes is more common within certain ethnic groups. African-Americans, Native Americans, Asian Americans, Hispanic people, and Pacific Islanders are more likely to have gestational diabetes.
- Family history: If someone else in your family has or had diabetes (type 1, type 2, or gestational diabetes), you’re at higher risk.
- Pre-diabetes: This is a “pre-diagnosis” of diabetes. It means that your blood glucose levels are elevated, but they aren’t high enough to be considered diabetes yet. If you’ve been told that you have pre-diabetes, you’re more likely to develop gestational diabetes.
- Previous pregnancies with gestational diabetes: If you developed gestational diabetes during another pregnancy, you’re more at risk for developing it again.
