However, you can still have a healthy baby if you focus on good habits. To ensure stable blood sugar levels:. For most women, blood sugar levels return to normal after delivery, but your doctor will likely check them during the postpartum period. If a woman has gestational diabetes, she also has a higher chance of developing type 2 diabetes later in life. About half of women with gestational diabetes will have type 2 diabetes in 10 years, so it is important for your primary care physician to closely monitor your blood sugars.
Gestational diabetes provides a warning for many women that they may on the way to developing type 2 diabetes, and it gives them a chance to make changes in their diet, weight if they need to lose , and exercise to help prevent them from getting this disease. Find out more about how to avoid gestational diabetes. Learn more about vaccine availability. Advertising Policy. You have successfully subscribed to our newsletter. Have a complete checkup before you get pregnant or as soon as you know you are pregnant.
Your doctor should check for. Pregnancy can make some diabetes health problems worse. To help prevent this, your health care team may recommend adjusting your treatment before you get pregnant.
Smoking can increase your chance of having a stillborn baby or a baby born too early. Smoking can increase diabetes-related health problems such as eye disease, heart disease, and kidney disease. If you smoke or use other tobacco products, stop. For tips on quitting, go to Smokefree. Your dietitian can help you learn what to eat, how much to eat, and when to eat to reach or stay at a healthy weight before you get pregnant. Together, you and your dietitian will create a meal plan to fit your needs, schedule, food preferences, medical conditions, medicines, and physical activity routine.
During pregnancy, some women need to make changes in their meal plan, such as adding extra calories, protein, and other nutrients. You will need to see your dietitian every few months during pregnancy as your dietary needs change. Physical activity can help you reach your target blood glucose numbers. Being physically active can also help keep your blood pressure and cholesterol levels in a healthy range, relieve stress, strengthen your heart and bones, improve muscle strength, and keep your joints flexible.
Before getting pregnant, make physical activity a regular part of your life. Aim for 30 minutes of activity 5 days of the week. Read tips on how to eat better and be more active while you are pregnant and after your baby is born.
When you drink, the alcohol also affects your baby. Alcohol can lead to serious, lifelong health problems for your baby. Some medicines are not safe during pregnancy and you should stop taking them before you get pregnant.
Tell your doctor about all the medicines you take, such as those for high cholesterol and high blood pressure. Your doctor can tell you which medicines to stop taking, and may prescribe a different medicine that is safe to use during pregnancy. Doctors most often prescribe insulin for both type 1 and type 2 diabetes during pregnancy.
You may need less insulin during your first trimester but probably will need more as you go through pregnancy. Your insulin needs may double or even triple as you get closer to your due date. Your health care team will work with you to create an insulin routine to meet your changing needs. You should take a multivitamin or supplement that contains at least micrograms mcg of folic acid.
Once you become pregnant, you should take mcg daily. How often you check your blood glucose levels may change during pregnancy. You may need to check them more often than you do now. Ask your health care team how often and at what times you should check your blood glucose levels. Your blood glucose targets will change during pregnancy. Your health care team also may want you to check your ketone levels if your blood glucose is too high. It involves having a blood test in the morning, when you have not had any food or drink for 8 to 10 hours though you can usually drink water, but check with the hospital if you're unsure.
You're then given a glucose drink. After resting for 2 hours, another blood sample is taken to see how your body is dealing with the glucose. The OGTT is done when you're between 24 and 28 weeks pregnant. If you've had gestational diabetes before, you'll be offered an OGTT earlier in your pregnancy, soon after your booking appointment, then another OGTT at 24 to 28 weeks if the first test is normal.
If you have gestational diabetes, the chances of having problems with your pregnancy can be reduced by controlling your blood sugar levels. Blood sugar levels may be reduced by changing your diet and exercise routine. However, if these changes don't lower your blood sugar levels enough, you will need to take medicine as well.
This may be tablets or insulin injections. You'll also be more closely monitored during your pregnancy and birth to check for any potential problems. If you have gestational diabetes, it's best to give birth before 41 weeks. Induction of labour or a caesarean section may be recommended if labour does not start naturally by this time. Earlier delivery may be recommended if there are concerns about your or your baby's health or if your blood sugar levels have not been well controlled.
Find out more about how gestational diabetes is treated. Gestational diabetes normally goes away after birth. But women who've had it are more likely to develop:.
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