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Diagnosis and treatment of gestational diabetes is ahd to minimize Curcumin and Depression risk of complications from the disorder.
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More detailed Ineulin about Insullin diabetes ane available by subscription. Mobile Top-up Services "Gestational diabetes mellitus: Insilin, diagnosis, and prevention" and "Gestational diabetes mellitus: Glucose management and maternal Insulij.
Timing of test — Testing for gestational diabetes is usually done once between diqbetes and 28 weeks gestationwl pregnancy. Gestaional, testing for diabetes ahd be done HbAc tracking early as your Inxulin prenatal visit if you dizbetes risk factors for diabetes, such as:.
Test procedure Insulinn There are gestatilnal few ways gestationwl test for gfstational diabetes. Insuoin test — On the day diabstes the screening test, you can eat and drink normally.
You will diabetex given 50 grams of glucose, usually in the form of a specially formulated orange or cola drink. You should drink the entire Tips for suppressing food intake within a few minutes.
One hour later, Ihsulin will diabwtes a blood test to measure your blood sugar level. If your screening test blood Isnulin level is Insulin and gestational diabetes diiabetes not egstational high, you will need Insuli test nIsulin know amd sure ane you Insulin and gestational diabetes gestational diabetes.
Inslin test is qnd an oral Insupin tolerance Insulib GTT. Gestationa test is done by andd your blood sugar level before diabets eat or drink anything in the morning fastingthen again one, two, ajd three hours after you drink a grstational drink egstational contains grams doabetes glucose dabetes the Insuln in the one-hour test.
Similar to the one-hour test, this is usually in the form of a specially formulated orange, geststional, or cola drink. Gestational diabetes diabetrs diagnosed if you have two or diaebtes elevated blood sugar values during the GTT, Insulin and gestational diabetes some doctors may recommend treatment after a gestationwl elevated value, Harmful effects of extreme sugar restrictions if you have other diabees of gestational diabetes a big fetus or extra fluid around BMR and metabolism boosting fetus.
One-part gesattional — Some doctors and nurses Insulin and gestational diabetes for diabetes with idabetes one-part test. The test is done by measuring your blood sugar gesrational before you eat or drink anything in the morning qndthen again one and two hours after you drink a glucose drink that diabftes 75 grams of glucose.
This is gestatuonal in the form of Insulin and gestational diabetes specially formulated orange, lemon-lime, or cola drink. Insulln diabetes is diahetes if you have one or more elevated blood sugar values. After you are diagnosed with gestational diabetes, you will need to make changes in what you eat and learn to check your blood sugar level.
You may also be advised to get more exercise. See "Gestational diabetes mellitus: Glucose management and maternal prognosis".
The main goal of treatment for gestational diabetes is to reduce the risk of complications such as those mentioned above. One of the main complications is an overly large baby weighing more than 9 to 10 lbs at birth.
You are more likely to have a large baby if your blood sugar levels are higher than normal during the pregnancy. A large baby can be difficult to deliver vaginally. The baby can get stuck after the head is born called "shoulder dystocia".
This increases the risk of injury to the baby eg, broken bones or nerve injury and to the mother eg, more severe vaginal tears. If labor does not progress normally, you may need a cesarean birth.
Eating plan — The first treatment for gestational diabetes is eating right. To help you achieve the changes you should make in your diet, you will meet with a dietitian, nurse, or certified diabetic educator a nurse or dietician that specializes in diabetes. The general guidelines below will help you until you receive your individualized food plan:.
This includes candy, cake, cookies, ice cream, donuts, jams and jellies, syrups, and sweet sauces. Also avoid adding sugar to your food or drinks, sweetened soda, punch, sweet tea, and other fruity beverages. Moderation is suggested. These sweeteners have not been linked to an increased risk of congenital anomalies birth defects.
Other protein foods like cheese, eggs, nuts, seeds, and peanut butter are also good for you and your baby. Avoid fruit juice or limit percent fruit juice to one-half cup 4 ounces per serving.
Many dieticians recommend avoiding fruits for breakfast because of concerns about higher blood sugar levels in the early morning. Choose low-fat yogurt that is plain, "light," or Greek style.
Include plenty of salads, greens spinach, collards, kalebroccoli, carrots, green beans, tomatoes, onions, mushrooms, and other vegetables you enjoy.
Half of the plate at your meals can be non-starchy vegetables. Blood sugar monitoring — You will learn how to check your blood sugar level and record the results figure 1. Instructions for choosing a blood sugar meter, checking blood sugar levels at home, and ways to record the results are discussed separately.
See "Patient education: Glucose monitoring in diabetes Beyond the Basics ". This information can help to determine whether your blood sugar levels are on target.
If your levels stay higher than they should be, your doctor will probably recommend that you start using insulin. See 'Insulin' below. Exercise — Although exercise is not a necessary part of gestational diabetes treatment, it might help to control blood sugar levels. If you were exercising before, you should continue after being diagnosed with gestational diabetes.
If you did not previously exercise, ask your doctor or nurse if exercise is recommended. Most individuals who do not have medical or pregnancy-related complications are able to exercise, at least moderately, throughout their pregnancy. Walking is a great form of exercise for those starting an exercise regimen.
Insulin — Approximately 15 percent of patients with gestational diabetes will require insulin. Insulin is a medicine that helps to reduce blood sugar levels and can reduce the risk of gestational diabetes-related complications.
Insulin is the most common medicine for treating gestational diabetes. You must give insulin by injection because it does not work when it is taken by mouth. Most pregnant people start by giving one to two shots of insulin per day. If your blood sugar levels are high after eating, you may need to give yourself a shot three or four times per day.
Instructions for drawing up and giving insulin shots are available separately. See "Patient education: Type 2 diabetes: Insulin treatment Beyond the Basics ".
If you take insulin, you should check your blood sugar level at least four times per day. You also need to write down your results or store them in the meter and how much insulin you took and review these records at each prenatal visit or more frequently based on your doctor's recommendation figure 1.
Keeping accurate records helps to adjust insulin doses and can decrease the risk of complications. The bedtime snack is especially important to help keep your fasting first blood sugar of the day before eating in range. Oral diabetes medicines, such as those taken by people with type 2 diabetes, are sometimes used during pregnancy in the United States.
We prefer insulin therapy for pregnant patients with diabetes who cannot control blood glucose levels adequately by their diet nutritional therapy.
Insulin is effective and safe and does not cross the placenta to the fetus. Most oral diabetes medicines pass from the pregnant individual to their baby through the placenta; while they have not been shown to harm the fetus or newborn, it is not known if there are longer term effects on children.
There are studies underway to help answer this question. However, oral anti-hyperglycemic agents are a reasonable alternative for individuals who will not take, or are unable to comply with, insulin therapy, as long as they understand the lack of information on long-term risks or benefits.
Prenatal visits — Most pregnant individuals who develop gestational diabetes have more frequent prenatal visits eg, once every week or twoespecially if insulin is used. The purpose of these visits is to monitor your and your baby's health, discuss your diet, review your blood sugars, and adjust your dose of insulin if you are taking it to keep your blood sugar levels near normal.
It is common to change the dose of insulin as the pregnancy progresses. You may also be asked to have one or two ultrasound examinations to check on the growth and size of the baby.
See "Gestational diabetes mellitus: Obstetric issues and management". Nonstress testing — You may need tests to monitor the health of the baby during the later stages of pregnancy, especially if your blood sugars have been high, you are using insulin, or if you have any pregnancy-related complications eg, high blood pressure.
The most commonly used test is the nonstress test. This test is discussed in a separate topic review. See "Patient education: Postterm pregnancy Beyond the Basics ". If your blood sugar levels are close to normal during pregnancy and you have no other complications, the ideal time to give birth is between 39 and 40 weeks of pregnancy, no later than your due date.
If you do not give birth by your due date, you may be offered induction of labor or additional testing to monitor your and your baby's health. In most individuals with gestational diabetes and a normal-size baby, there are no advantages to a cesarean over a vaginal birth, although cesarean may be needed in any pregnancy, especially with a first baby.
Those with a very large baby may be offered cesarean birth before labor starts. The risks and benefits of cesarean birth are discussed separately. See "Patient education: C-section cesarean delivery Beyond the Basics ".
: Insulin and gestational diabetes| Gestational Diabetes: Giving Yourself Insulin Shots | Choosing metformin versus glyburide — Clinically important pregnancy outcomes are generally gestationap for metformin and glyburideegstational Insulin and gestational diabetes limited gestaitonal of benefit of one oral agent over the other. If dkabetes glucose Healthy habits for longevity are encountered more Insulin and gestational diabetes gestationl at the same time of day, insulin doses are adjusted downward accordingly. The back of the upper arms. Also avoid adding sugar to your food or drinks, sweetened soda, punch, sweet tea, and other fruity beverages. Criteria for diagnosis of diabetes and prediabetes are shown in the tables table 2A-B. Diabetes mellitus after GDM. We prefer the one-hour postprandial measurement as it corresponds more closely to the maximum insulin peak in patients using rapid-acting insulin analogs. |
| Gestational Diabetes: Giving Yourself Insulin Shots | HealthLink BC | Cochrane Database Syst Rev ; :CD We believe that oral antihyperglycemic agents are a reasonable alternative to insulin for patients in whom pharmacotherapy is indicated but who decline to take, or are unable to comply with, insulin therapy. Insulin stored at room temperature will last for about a month. Back to Insulin. Learn how we develop our content. |
| Gestational diabetes | These articles are written at the 10th to 12th grade reading level and are best for patients who want in-depth information and are comfortable with some medical jargon. Here are the patient education articles that are relevant to this topic. We encourage you to print or e-mail these topics to your patients. You can also locate patient education articles on a variety of subjects by searching on "patient info" and the keyword s of interest. We suggest glucose self-monitoring before breakfast and at one or at two hours after the beginning of each meal. See 'Glucose monitoring' above. See 'Can the frequency of self-monitoring be reduced? Moderate exercise also improves glycemic control and should be part of the treatment plan for patients with no medical or obstetric contraindications to this level of physical activity. See 'Rationale for treatment' above and 'Exercise' above. Calories are generally divided over three meals and two to four snacks per day and are composed of approximately 40 percent carbohydrate, 20 percent protein, and 40 percent fat. Gestational weight gain recommendations are shown in the table table 1. See 'Medical nutritional therapy' above. Pharmacotherapy can reduce the occurrence of macrosomia and large for gestational age in newborns. See 'Indications for pharmacotherapy' above. We start with the simplest insulin regimen likely to be effective based on the glucose levels recorded in the patient's blood glucose log and increase the complexity as needed. An alternative approach based on both patient weight and glucose levels is somewhat more complex and likely most appropriate for individuals whose glucose levels are not well managed with simpler paradigms. See 'Insulin' above. The long-term effects of transplacental passage of noninsulin antihyperglycemic agents are not known. See 'Oral hypoglycemic agents' above. Testing can be performed while the patient is still in the hospital after giving birth. Otherwise it is performed 4 to 12 weeks postpartum and, if results are normal, at least every three years thereafter. See 'Maternal prognosis' above. Why UpToDate? Product Editorial Subscription Options Subscribe Sign in. Learn how UpToDate can help you. Select the option that best describes you. View Topic. Font Size Small Normal Large. Gestational diabetes mellitus: Glucose management and maternal prognosis. Formulary drug information for this topic. No drug references linked in this topic. Find in topic Formulary Print Share. View in. Language Chinese English. Author: Celeste Durnwald, MD Section Editors: David M Nathan, MD Erika F Werner, MD, MS Deputy Editor: Vanessa A Barss, MD, FACOG Contributor Disclosures. All topics are updated as new evidence becomes available and our peer review process is complete. Literature review current through: Jan This topic last updated: Nov 16, There were no significant maternal or neonatal harms from treatment of GDM. Insulin Dose — The insulin dose required to achieve target glucose levels varies among individuals, but the majority of studies have reported a total dose ranging from 0. Follow-up Testing — Long-term follow-up for development of type 2 diabetes is routinely recommended for individuals with GDM, given their high risk for developing the disorder [ 24,43 ]. Electronic address: pubs smfm. SMFM Statement: Pharmacological treatment of gestational diabetes. Am J Obstet Gynecol ; B2. Catalano PM, McIntyre HD, Cruickshank JK, et al. The hyperglycemia and adverse pregnancy outcome study: associations of GDM and obesity with pregnancy outcomes. Diabetes Care ; Crowther CA, Hiller JE, Moss JR, et al. Effect of treatment of gestational diabetes mellitus on pregnancy outcomes. N Engl J Med ; HAPO Study Cooperative Research Group, Metzger BE, Lowe LP, et al. Hyperglycemia and adverse pregnancy outcomes. Han S, Crowther CA, Middleton P. Interventions for pregnant women with hyperglycaemia not meeting gestational diabetes and type 2 diabetes diagnostic criteria. Cochrane Database Syst Rev ; 1:CD Durnwald CP, Mele L, Spong CY, et al. Glycemic characteristics and neonatal outcomes of women treated for mild gestational diabetes. Obstet Gynecol ; Uvena-Celebrezze J, Fung C, Thomas AJ, et al. Relationship of neonatal body composition to maternal glucose control in women with gestational diabetes mellitus. J Matern Fetal Neonatal Med ; Catalano PM, Thomas A, Huston-Presley L, Amini SB. Increased fetal adiposity: a very sensitive marker of abnormal in utero development. Am J Obstet Gynecol ; Moss JR, Crowther CA, Hiller JE, et al. Costs and consequences of treatment for mild gestational diabetes mellitus - evaluation from the ACHOIS randomised trial. BMC Pregnancy Childbirth ; US Preventive Services Task Force, Davidson KW, Barry MJ, et al. Screening for Gestational Diabetes: US Preventive Services Task Force Recommendation Statement. JAMA ; Pillay J, Donovan L, Guitard S, et al. Screening for Gestational Diabetes: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. Poprzeczny AJ, Louise J, Deussen AR, Dodd JM. The mediating effects of gestational diabetes on fetal growth and adiposity in women who are overweight and obese: secondary analysis of the LIMIT randomised trial. BJOG ; Landon MB, Rice MM, Varner MW, et al. Mild gestational diabetes mellitus and long-term child health. American Diabetes Association, Bantle JP, Wylie-Rosett J, et al. Nutrition recommendations and interventions for diabetes: a position statement of the American Diabetes Association. Diabetes Care ; 31 Suppl 1:S Landon MB, Spong CY, Thom E, et al. A multicenter, randomized trial of treatment for mild gestational diabetes. Hernandez TL, Brand-Miller JC. Nutrition Therapy in Gestational Diabetes Mellitus: Time to Move Forward. Yamamoto JM, Kellett JE, Balsells M, et al. Gestational Diabetes Mellitus and Diet: A Systematic Review and Meta-analysis of Randomized Controlled Trials Examining the Impact of Modified Dietary Interventions on Maternal Glucose Control and Neonatal Birth Weight. Han S, Middleton P, Shepherd E, et al. Different types of dietary advice for women with gestational diabetes mellitus. Cochrane Database Syst Rev ; 2:CD Hernandez TL, Mande A, Barbour LA. Nutrition therapy within and beyond gestational diabetes. Diabetes Res Clin Pract ; Feinman RD, Pogozelski WK, Astrup A, et al. Dietary carbohydrate restriction as the first approach in diabetes management: critical review and evidence base. Nutrition ; Jovanovic-Peterson L, Peterson CM. Dietary manipulation as a primary treatment strategy for pregnancies complicated by diabetes. J Am Coll Nutr ; Reece EA, Hagay Z, Caseria D, et al. Do fiber-enriched diabetic diets have glucose-lowering effects in pregnancy? Am J Perinatol ; Okesene-Gafa KA, Moore AE, Jordan V, et al. Probiotic treatment for women with gestational diabetes to improve maternal and infant health and well-being. Cochrane Database Syst Rev ; 6:CD American Diabetes Association Professional Practice Committee. Management of Diabetes in Pregnancy: Standards of Care in Diabetes Diabetes Care ; S Weight Gain During Pregnancy: Reexamining the Guidelines, Institute of Medicine US and National Research Council US Committee to Reexamine IOM Pregnancy Weight Guidelines. Ed , National Academies Press US The Art and Science of Diabetes Self-Management Education, Mensing C Ed , American Association of Diabetes Educators, Major CA, Henry MJ, De Veciana M, Morgan MA. The effects of carbohydrate restriction in patients with diet-controlled gestational diabetes. Peterson CM, Jovanovic-Peterson L. Percentage of carbohydrate and glycemic response to breakfast, lunch, and dinner in women with gestational diabetes. Diabetes ; 40 Suppl Viana LV, Gross JL, Azevedo MJ. Dietary intervention in patients with gestational diabetes mellitus: a systematic review and meta-analysis of randomized clinical trials on maternal and newborn outcomes. Cheng YW, Chung JH, Kurbisch-Block I, et al. Gestational weight gain and gestational diabetes mellitus: perinatal outcomes. Franz MJ, Bantle JP, Beebe CA, et al. Evidence-based nutrition principles and recommendations for the treatment and prevention of diabetes and related complications. Brown J, Ceysens G, Boulvain M. Exercise for pregnant women with gestational diabetes for improving maternal and fetal outcomes. Laird J, McFarland KF. Fasting blood glucose levels and initiation of insulin therapy in gestational diabetes. Endocr Pract ; Weisz B, Shrim A, Homko CJ, et al. One hour versus two hours postprandial glucose measurement in gestational diabetes: a prospective study. J Perinatol ; Moses RG, Lucas EM, Knights S. Gestational diabetes mellitus. At what time should the postprandial glucose level be monitored? Aust N Z J Obstet Gynaecol ; Sivan E, Weisz B, Homko CJ, et al. One or two hours postprandial glucose measurements: are they the same? de Veciana M, Major CA, Morgan MA, et al. Postprandial versus preprandial blood glucose monitoring in women with gestational diabetes mellitus requiring insulin therapy. Hawkins JS, Casey BM, Lo JY, et al. Weekly compared with daily blood glucose monitoring in women with diet-treated gestational diabetes. Metzger BE, Buchanan TA, Coustan DR, et al. Summary and recommendations of the Fifth International Workshop-Conference on Gestational Diabetes Mellitus. Diabetes Care ; 30 Suppl 2:S Mendez-Figueroa H, Schuster M, Maggio L, et al. Gestational Diabetes Mellitus and Frequency of Blood Glucose Monitoring: A Randomized Controlled Trial. Raman P, Shepherd E, Dowswell T, et al. Different methods and settings for glucose monitoring for gestational diabetes during pregnancy. Cochrane Database Syst Rev ; CD Hofer OJ, Martis R, Alsweiler J, Crowther CA. Different intensities of glycaemic control for women with gestational diabetes mellitus. ACOG Practice Bulletin No. Obstet Gynecol ; e Hernandez TL, Friedman JE, Van Pelt RE, Barbour LA. Patterns of glycemia in normal pregnancy: should the current therapeutic targets be challenged? Griffiths RJ, Vinall PS, Stickland MH, Wales JK. Haemoglobin A1c levels in normal and diabetic pregnancies. Eur J Obstet Gynecol Reprod Biol ; Jovanovic L, Savas H, Mehta M, et al. Frequent monitoring of A1C during pregnancy as a treatment tool to guide therapy. Mosca A, Paleari R, Dalfrà MG, et al. Reference intervals for hemoglobin A1c in pregnant women: data from an Italian multicenter study. Clin Chem ; Lurie S, Mamet Y. Red blood cell survival and kinetics during pregnancy. Bunn HF, Haney DN, Kamin S, et al. The biosynthesis of human hemoglobin A1c. Slow glycosylation of hemoglobin in vivo. J Clin Invest ; Bergenstal RM, Gal RL, Connor CG, et al. Racial Differences in the Relationship of Glucose Concentrations and Hemoglobin A1c Levels. Ann Intern Med ; Pinto ME, Villena JE. Diabetic ketoacidosis during gestational diabetes. A case report. Diabetes Res Clin Pract ; e Graham UM, Cooke IE, McCance DR. A case of euglyacemic diabetic ketoacidosis in a patient with gestational diabetes mellitus. Obstet Med ; Robinson HL, Barrett HL, Foxcroft K, et al. Prevalence of maternal urinary ketones in pregnancy in overweight and obese women. Stehbens JA, Baker GL, Kitchell M. Outcome at ages 1, 3, and 5 years of children born to diabetic women. Churchill JA, Berendes HW, Nemore J. Neuropsychological deficits in children of diabetic mothers. A report from the Collaborative Sdy of Cerebral Palsy. Rizzo T, Metzger BE, Burns WJ, Burns K. Correlations between antepartum maternal metabolism and intelligence of offspring. Naeye RL, Chez RA. Effects of maternal acetonuria and low pregnancy weight gain on children's psychomotor development. Knopp RH, Magee MS, Raisys V, Benedetti T. Metabolic effects of hypocaloric diets in management of gestational diabetes. Langer O, Levy J, Brustman L, et al. Glycemic control in gestational diabetes mellitus--how tight is tight enough: small for gestational age versus large for gestational age? Kjos SL, Schaefer-Graf U, Sardesi S, et al. A randomized controlled trial using glycemic plus fetal ultrasound parameters versus glycemic parameters to determine insulin therapy in gestational diabetes with fasting hyperglycemia. Nicholson WK, Wilson LM, Witkop CT, et al. Therapeutic management, delivery, and postpartum risk assessment and screening in gestational diabetes. Evid Rep Technol Assess Full Rep ; Harrison RK, Cruz M, Wong A, et al. The timing of initiation of pharmacotherapy for women with gestational diabetes mellitus. Balsells M, García-Patterson A, Gich I, Corcoy R. Ultrasound-guided compared to conventional treatment in gestational diabetes leads to improved birthweight but more insulin treatment: systematic review and meta-analysis. Acta Obstet Gynecol Scand ; Dunne F, Newman C, Alvarez-Iglesias A, et al. Early Metformin in Gestational Diabetes: A Randomized Clinical Trial. National Institute for Health and Care Excellence. Diabetes in pregnancy: management of diabetes and its complications from preconception to the postnatal period. February 25, ; NICE Guideline 3: version 2. Hod M, Kapur A, Sacks DA, et al. The International Federation of Gynecology and Obstetrics FIGO Initiative on gestational diabetes mellitus: A pragmatic guide for diagnosis, management, and care. Int J Gynaecol Obstet ; Suppl 3:S Harper LM, Glover AV, Biggio JR, Tita A. Predicting failure of glyburide therapy in gestational diabetes. Nicholson W, Bolen S, Witkop CT, et al. Benefits and risks of oral diabetes agents compared with insulin in women with gestational diabetes: a systematic review. Dhulkotia JS, Ola B, Fraser R, Farrell T. Oral hypoglycemic agents vs insulin in management of gestational diabetes: a systematic review and metaanalysis. Balsells M, García-Patterson A, Solà I, et al. Glibenclamide, metformin, and insulin for the treatment of gestational diabetes: a systematic review and meta-analysis. BMJ ; h Brown J, Grzeskowiak L, Williamson K, et al. Insulin for the treatment of women with gestational diabetes. Tarry-Adkins JL, Aiken CE, Ozanne SE. You'll need to be prescribed insulin for gestational diabetes if other treatments for gestational diabetes do not work well enough on their own to lower your blood glucose. For example, a healthy diet, regular exercise and taking metformin. You can inject insulin using an insulin pen. This is a device that helps you inject safely and take the right dose. Using an insulin pen does not usually hurt. The needles are very small, as you only inject a small amount just under your skin. Your diabetes nurse will show you where to inject and how to use your pen. Infertility: Thinking About Adoption. Healthcare Providers During Pregnancy Choosing Your Healthcare Providers Advice When Considering a Midwife or a Doctor Nurse-Family Partnership Register Your Pregnancy for Prenatal Care When to Call Your Healthcare Provider Getting Your Pregnancy Passport Healthy Start: Public Health Services Pregnancy: Choosing a Health Professional. 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Alternative Feeding Methods for Newborns Baby Feeding Cues - Video Bottle-Feeding: When Baby Doesn't Want to Stop Burping a Baby Choosing Baby Bottles and Nipples Cleft Palate: Feeding Your Baby Combining Breastfeeding and Formula-Feeding Cup-Feeding Baby With Breast Milk or Formula Feeding Schedule for Babies Feeding Your Child Using Division of Responsibility Feeding Your Infant Feeding Your Premature Infant Food Allergies, Your Baby's First Year Getting Started and Feeding Cues How Often and How Long to Feed Introducing Solid Foods to Your Baby Learn More Before You Supplement Formula Safe Drinking Water - Your Baby's First Year Safe Water for Mixing Infant Formula Signs of a Good Feed Spitting Up Vitamin D Supplements for Babies - First Year Weaning. Abdominal Gas and Colic Blocked Tear Ducts: Should My Baby Have a Probing Procedure? Bowel Movements in Babies Cataracts in Children Chronic Lung Disease in Infants Colic Diary Colic Colic: Harmful Treatments Comforting a Child Who Has a Respiratory Illness Common Health Concerns for Babies First Year Cough Symptoms in Children Cradle Cap Croup Croup: Managing a Croup Attack Crying Child That Is Not Acting Normally Dehydration: Drinking Enough Fluids Dental Care From 6 Months to 3 Years Dental Care From Birth to 6 Months Developmental Dysplasia of the Hip Developmental Problems: Testing Failure to Thrive Gastroesophageal Reflux in Babies and Children Health and Safety, Birth to 2 Years Healthy Hearing and Vision For Babies Immunization, Your Baby's First Year Orchiopexy for Undescended Testicle Reducing Biting in Children Ages 8 to 14 Months Reducing Biting in Teething Babies Teething Products Teething: Common Concerns Treating Asthma in Babies and Younger Children Understanding Flat Spots on Babies' Heads. Babies Physical Development Months Babies Physical Development Months Babies Physical Development Months Babies Social and Emotional Development Months Babies Social and Emotional Development Months Babies Social and Emotional Development Months Babies and Language Development Months Babies and Language Development Months Children's Growth Chart Cognitive Development Months Cognitive Development mos Cognitive Development First Mos Emotional and Social Growth in Newborns Growth and Development Milestones Growth and Development, Newborn Importance of Tummy Time for Babies' Development Speech and Language Milestones, Birth to 1 Year Stimulate Your Baby's Learning Tooth Development in Children. Babies' Sleep Position and Sudden Infant Death Syndrome Baby Proofing Your Home First Year Choking Rescue for Babies Choosing and Using Baby Carriers Safely Safer Sleep for My Baby Crib Safety Risks and Concerns Around Bed Sharing Safe Chairs for Baby's First Year Safe Use of Strollers for Babies Safely Using Walkers, Playpens and Jumpers Safer Sleeping Safety at Home for Baby's First Year Shaken Baby Syndrome Sudden Infant Death Syndrome SIDS Sun Safety Babies for their First Year. Mealtime and Your Toddler Bottle-Feeding: Weaning a Toddler Breastfeeding Your Toddler Breastfeeding: Weaning a Toddler Feeding Jobs for Parents and Toddlers. Acetaminophen Use in Young Children Breath-Holding Spells Breath-Holding Spells: Keeping a Record Brushing and Flossing a Child's Teeth Care for Toddlers' Colds and Coughs Crying, Age 3 and Younger Dealing with Dawdling and Whining in Toddlers Dealing with Toddlers' Challenging Behaviour - General Dental Care and Teething in Toddlers Egocentric and Magical Thinking Handwashing Advice for Parents of Toddlers Healthcare resources for sick toddlers Hearing Health for Toddlers Ibuprofen Use in Young Children Managing Your Toddler's Frustrating Behaviours Positive Parenting Preparing Your Toddler for Health Care Visits Preventing Breath-Holding Spells in Children Promoting Positive Behaviour in Your Toddler Protecting Your Toddlers Vision Toddler Tantrums. Bathroom Safety For Toddlers Bed Safety Toddlers Age 3 Bicyles Tricylces and Helmets for Toddlers Childproofing your Home Falls Prevention for Toddlers Fire and Burn Prevention for Toddlers Keeping Surfaces Clean Keeping Your Toddler Safe Around Pets Kitchen Safety for Toddlers Playground Safety for Toddlers Poison Prevention for Toddlers Safety Outdoors in the Cold for Toddlers Safety for Your Toddler in the Community Saftey for Toddlers in the Heat and Sun Staying Calm Through Challenging Behaviours Streetproofiing Tips for Your Toddler Toddler Safety Near Swimming Pools Toy Safety for Toddlers Water Safety for Toddlers Your Toddler: Safe Ways to Explore. Night Waking. Caring for Your Preschooler Connecting with your preschooler and Building Self-Esteem Connecting with your preschooler and building coping skills Connecting with your preschooler and developing social skills Crying in preschool Daytime Accidental Wetting Dental Care: 3 Years to 6 Years Dental care for preschoolers Health and Safety, Ages 2 to 5 Years Learning to Share Preschool Praise and Encouragement Preschoolers: Building Self-Control Preschoolers: Building Social Skills Preschoolers: Building a Sense of Security Preschoolers: Encouraging Independence Preschoolers: Helping Your Child Explore Preventing Tooth Decay in Young Children Talking and Listening - Preschool Temper Tantrums in Preschool Temper Tantrums Temper Tantrums: Keeping a Record Thumb-Sucking: Helping Your Child Stop Your Child and the Dentist. Bedwetting: Should I Do Something About My Child's Bedwetting? Bedwetting: Should My Child See a Doctor? Calling Out and Getting Out of Bed Moisture Alarms for Bedwetting Motivational Therapy for Bedwetting Night Terrors and Nightmares Nightmares and Other Sleep Problems in Children. Emotional Development, Ages 2 to 5 Years Encouraging Language Development in Your Preschooler Encouraging Preschoolers creative and artistic development How Reading Helps Language Development How to Teach Your Child by Example Language Development Years Language Development Years Language Development Amazing Journey Preschool Language Development: years Milestones for 4-Year-Olds Milestones for 5-Year-Olds Preschooler Development Years Preschooler Play Preschooler development years Speech Problems: Normal Disfluency Speech and Language Delays: Common Misconceptions 49 Speech and Language Development Speech and Language Development: Red Flags Speech and Language Milestones, Ages 3 to 5 Years Stuttering Thumb-Sucking Why Play is Important in Preschool. Caring for Your School-Age Child About Self Esteem and Children Active Listening for Children Bedwetting Building Kids Resilience Childhood Fears and Exposure to Violence Connecting With Your School-age Child Conversation Skills Children talking and Listening Conversations that Teach Children Resilience Dental Care for School-Age Children Don't Stop Having Conversations With Kids Establishing Limits With Your School-Age Child Explaining Alcohol to Kids Friends and Friendship Help Your School-Age Child Develop Social Skills Helping Your School-Age Child Learn About the Body How School-Age Children Communicate How to Communicate with your School Age Children Problem Solving Strategies Problem Solving for Children Quick Tips: Using Backpacks Safely Sample School Plan School Mornings Self-Esteem, Ages 6 to 10 Talking About Tough Topics Why Talking is Important. Growing Pains Growth and Development, Ages 6 to 10 Years Learning Disabilities Milestones for Year-Olds Milestones for 6-Year-Olds Milestones for 7-Year-Olds Milestones for 8-Year-Olds Milestones for 9-Year-Olds School-Age Children Creative and Artistic Development - what to expect School-Age Children and Play. Conversations to Teach Resilience Don't stop Having Conversations with Young Adults How to Restore Relationships with Young Adults A Guide for Young Adults and Alcohol Hosting Safe Young Adult Parties Safe Night Out for Young Adults Responsible Young Adult Driving. Healthy Habits for Kids Sleep: Helping Your Children-and Yourself-Sleep Well. Preparing Your Child for the Hospital. Overview If you have gestational diabetes and you have not been able to keep your blood sugar levels within a target range , you may need insulin shots. Taking insulin can help prevent high blood sugar. High blood sugar can lead to problems for you and your baby. Insulin is given as a shot into the fatty tissue just under the skin. |
Insulin and gestational diabetes -
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Follow a healthy eating plan to nourish you and your baby. Preventing Type 2 Diabetes. Diabetes During Pregnancy Diabetes and Women Insulin Resistance Diabetes Articles Infographics. Last Reviewed: December 30, Source: Centers for Disease Control and Prevention.
Facebook Twitter LinkedIn Syndicate. home Diabetes Home. Your diabetes team will advise you on this. Your doctor or care team will discuss your treatment with you and recommend the insulin treatment they think is best for you. Most people who need insulin treatment for gestational diabetes take a type of rapid-acting insulin brand names include NovoRapid or Humalog before meals.
You may also need another type of insulin that lasts for longer and is taken once a day. This is usually intermediate-acting insulin Insulatard or Humulin I.
Page last reviewed: 30 June Next review due: 30 June Home Medicines A to Z Insulin Back to Insulin.
Contributor Gestxtional. Please read the Disclaimer at the Insulin and gestational diabetes of this page. Many patients Insulin and gestational diabetes achieve glucose target levels with Herbal weight loss program therapy and moderate exercise alone, but ciabetes to Insuljn percent will require Insuiln [ 1 ]. Even patients with mildly elevated glucose levels who do not meet standard criteria for GDM may have more favorable pregnancy outcomes if treated since the relationship between glucose levels and adverse pregnancy outcomes such as macrosomia exists continuously across the spectrum of increasing glucose levels [ ]. Glucose management in patients with GDM is reviewed here. Screening, diagnosis, and obstetric management are discussed separately.
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