Could A 15 Year Old Boy Get A Girl Pregnant Diabetes for Two – Diabetes in Pregnancy

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Diabetes for Two – Diabetes in Pregnancy

There are several types of ‘gestational diabetes’. Diabetes can sometimes appear for the first time during pregnancy, and this type, usually detected by a routine test about halfway through pregnancy, is called “gestational diabetes.” This type may disappear after pregnancy. Additionally, a woman may have pre-pregnancy diabetes – either type 1 or type 2 – and should carefully plan her pregnancy with this pre-existing condition (stay tuned for part 2 of my next article!).

Gestational diabetes

Gestational diabetes affects about 5% of pregnancies and is detected by a routine test that all women should receive at around 24-28 weeks of pregnancy. If a doctor or midwife suspects diabetes, they will test earlier. The screening test is a sugar drink on an empty stomach, followed by a blood test 1 hour later. If it’s elevated, she’ll usually have another test, which is also a sugary drink, and a fasting blood test, and another blood test 1 and 2 hours after the drink. If her results are elevated, she is usually referred to the diabetes education team for a gestational diabetes meal plan and blood sugar testing. If a woman can’t control her blood sugar with diet, she will start using insulin. Insulin is a safe, simple and effective method of controlling blood sugar levels during pregnancy. A woman develops diabetes during pregnancy because pregnancy is a state of increased demand for insulin due to increased insulin resistance as pregnancy progresses under the influence of pregnancy hormones.

Risk factors for gestational diabetes

These are similar to risk factors for developing diabetes without pregnancy, such as having a relative with diabetes, belonging to an ethnic group where diabetes is more common, such as Native Canadians, Latinos, Indo-Canadians, being overweight or obese, being older, having a previous pregnancy during pregnancy or have given birth to a large baby (over 9 pounds).

Complications of gestational diabetes

If gestational diabetes goes undiagnosed or untreated, higher blood sugar levels in the mother can affect the baby. This can result in a larger baby that causes difficulty at birth and a higher C-section or forceps rate. The child is more likely to spend time in the intensive care unit due to difficulty breathing or low blood sugar. However, gestational diabetes can be treated fairly easily with a combination of a diabetes meal plan and sometimes insulin, and these complications can be avoided. Birth defects are not a concern because higher blood sugar levels usually don’t occur until after 20 weeks of pregnancy, after the baby has developed its own organs.

Follow up after delivery

If a woman has had gestational diabetes, she should be screened for diabetes before her next pregnancy to make sure she did not develop diabetes before this pregnancy. Therefore, it is very important that women who have had gestational diabetes follow up after the baby is born to see if the diabetes has gone away. This usually involves a 2-hour sugary drink test 6 weeks to 6 months after delivery. She should continue to be tested regularly (every 1-3 years) to see if she has developed diabetes due to her own health, and certainly before her next pregnancy to protect her future child from high blood sugar if she has had diabetes before this pregnancy. If a woman has had diabetes during pregnancy, this will help her reduce her risk of developing diabetes to reach her ideal weight before her next pregnancy.

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