Gestational diabetes, It is the high blood sugar level first seen during pregnancy, and it is a risk for the development of Type 2 diabetes. The patient has no diabetes before pregnancy. During pregnancy, some hormones are secreted more than normal for the baby to develop. This causes blood sugar to rise.
Diabetes increases after the 24th week of pregnancy. It is important to perform a screening test between the 24th and 28th weeks in expectant mothers at risk of disease.
Diabetes screening test One hour after taking 50 grams of sugar dissolved in water, the result is obtained by looking at the blood sugar value. If the blood glucose value is below 140 mg / dl, there is no diabetes. If it is on, a second sugar loading of 100 grams is made. It is decided according to the values.
The Importance of Diagnosing Gestational Diabetes
The baby in the mother's womb is fed with the nutrients it receives through the placenta. The high sugar level of the diabetic mother directly causes the baby's blood to rise. The baby resists this situation by increasing insulin secretion. Insulin is a hormone that also stimulates growth.
From the 24th and 28th weeks of pregnancy, the insulin secretion increases, the baby's growth accelerates and the birth weight can reach over 4.000 grams. Some measures should be taken in terms of healthy growth and development for the baby. A special diet plan is prepared for the mother with diabetes and her blood sugar is regularly monitored. When insulin therapy is started, an insulin measuring device is purchased for the mother. The mother, who measures the blood sugar as recommended by the doctor, records it daily.
Postpartum insulin resistance disappears. For the mother using insulin, sugar is monitored after birth and the decision is made according to the results. Even a little, diabetes disease can be permanent. In such cases, the mother should continue insulin therapy while she is giving milk. The doctor decides on the next treatment method.
Gestational Diabetes Nutrition
One of the health problems encountered during pregnancy is diabetes during pregnancy. Some of the pregnant women who did not have diabetes before may develop diabetes even at a low rate. Pregnancy 24-28. A diagnosis of diabetes can be made according to the results of sugar loading tests performed at weeks.
Gestational diabetes A personalized nutrition program is prepared by dieticians for the patient who is diagnosed, that will protect and develop the health of the mother and baby, and meet all the nutritional needs of both mother and baby.
With good nutrition of the mother and baby, the desired blood values are reached and the desired weight gain is achieved. The health of the baby in the womb is possible with a balanced and adequate nutrition of the mother. However, caution should be exercised and weight control should be done in case of a risk of gaining excess weight.
Gestational Diabetes Symptoms
Blood sugar must be kept in certain intervals in the human body. The hormone that provides this is the insulin hormone secreted from the pancreas. The insulin hormone sends blood sugar to the cells, ensuring that blood sugar is kept below a certain level.
If the insulin hormone is not secreted from the pancreas congenitally, this condition is called Type 1 diabetes, ie insulin-dependent diabetes. Gestational diabetes On the other hand, it is diabetes that occurs during pregnancy when a woman who was pregnant before pregnancy had no symptoms of diabetes before. If the gestational sugar is not kept at the limit during pregnancy, it can cause a lot of harm to the baby.
Factors such as drinking water above the habit, eating too much, experiencing weight loss, frequent toileting are the main symptoms of diabetes during pregnancy. It is possible to prevent the disease that will manifest itself later by performing a sugar test during pregnancy.
How Is Sugar Diagnosed?
Have high gestational sugar and gestational diabetes Diet is applied first in pregnant women diagnosed. With this diet, when the fasting blood sugar is between 60-95mg / dl, the postprandial blood sugar is below 140 mg / dl at the end of the first hour, and the second hour is below 120 mg / dl, the diet will be sufficient for the patient. If the patient's test results exceed these values, the second part is started and the patient is treated with insulin. Because the damages that diabetes can cause to mother and baby during pregnancy are very high. It must be treated exactly.
Sugar Loading During Pregnancy
Sugar overload during pregnancy causes patients to hesitate as a result of various discussions. For many years, patients have been loaded with sugar and it is very important to understand that mothers who did not have diabetes before were pregnant when they were pregnant. It is extremely important to determine this in advance and to take precautions in advance for the health of the mother and baby. It will have a very important place in the life of the mother and baby in the future.
It may be necessary to use insulin for expectant mothers whose fasting blood sugar is deteriorated or whose fasting blood sugar is high despite diet programs and controls. If these measures are not taken, insulin will rise and the baby may grow bigger. There may be problems with large birth results. After the baby is born, episodes of low blood sugar (hypoglycemia) may occur. These are dangerous. There may be a danger of increased fluid in the womb. There may be a risk of preterm birth.
Gestational Diabetes Treatment
Pancreatic cells, which can secrete sufficient insulin before pregnancy, cannot secrete sufficient insulin with the progression of pregnancy. Blood sugar may rise during pregnancy, although there are no previous symptoms of diabetes. It generally improves with the end of pregnancy. Generally, those who have a large number of diabetes patients in their family, those over the age of 30 and those who are overweight are at risk for diabetes.
Gestational diabetes, It is more common in elderly people with eye or organ disorders and in older mothers.
Fasting blood glucose level is 60-90 mg / dl, postprandial blood glucose level is 120-130 mg / dl. During pregnancy, blood glucose measurements should be made at certain times. During pregnancy, sugar can be seen in the urine without increasing blood sugar. Therefore, urine glucose and acetone are monitored daily. If acetone is detected in the urine for two consecutive days, a doctor should be consulted.
Gestational diabetes Treatment of patients is continued, if control can be achieved with diet. Insulin treatment is started immediately in patients who have poor metabolic control and whose blood glucose values are slightly above normal values. Pregnant mothers cannot definitely use antidiabetic drugs. Total weight gain during pregnancy should not exceed 10-13 kilograms.