This is also known as gestational glucose intolerance
and is caused by hormonal and metabolic changes during
pregnancy. It is a serious issue and therefore has
to be managed properly; it occurs in about 2-10% of
pregnancies. Some doctors routinely test all pregnant
women while other doctors only do so in the presence
of risk factor in pregnant women who:
• Are 25 or older
• Belong to an ethnic group where diabetes is
prevalent
• Had gestational diabetes in their previous
pregnancy
• Are obese
• Have a family history of diabetes
• Have previously given birth to a very large
baby (over 9 pounds) or whose baby was stillborn
Such tests are therefore a choice of your doctor's
to give; some do it as a routine practice for all
their pregnant patients and others target specifically
to those who qualify for such a test.
How is gestational
diabetes managed during pregnancy?
Typically you will have to change your diet in terms
of caloric intake from 2200 to 2400 calories per day,
of which 45% is carbohydrates, 25% protein, and 30%
fat. You will have to go for frequent blood tests
to monitor your blood sugar levels. Some require insulin
shots. Your doctor may also perform nonstress test
to monitor your baby's health during the last weeks
of pregnancy; ultrasound may also be done to check
on fetal growth.
How does gestational
diabetes screening test work?
The glucose screening test typically performed between
week 24 and 28 involves drinking a glucose solution.
You are not required to fast overnight or skip any
meals. After an hour, a blood sample is taken and
your glucose level is measured. The result will determine
if you face an above-average risk of having this complication.
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More on Gestational Diabetes During Pregnancy
