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Gestational diabetes monitoring

Gestational diabetes monitoring

Gestational diabetes monitoring additional question is whether there is a GCT threshold above Geatational GDM can be reliably diagnosed without Geztational to the diagnostic OGTT. Regular physical activity plays a key role in every wellness plan before, during and after pregnancy. Insulin therapy must be individualized and regularly adapted to the changing needs of pregnancy —

Gestational diabetes monitoring -

Some of the most relevant are listed below. Patient level information — UpToDate offers two types of patient education materials. The Basics — The Basics patient education pieces answer the four or five key questions a patient might have about a given condition.

These articles are best for patients who want a general overview and who prefer short, easy-to-read materials. Patient education: Gestational diabetes The Basics.

Beyond the Basics — Beyond the Basics patient education pieces are longer, more sophisticated, and more detailed. These articles are best for patients who want in-depth information and are comfortable with some medical jargon.

Patient education: Preeclampsia Beyond the Basics Patient education: Glucose monitoring in diabetes Beyond the Basics Patient education: Type 2 diabetes: Insulin treatment Beyond the Basics Patient education: Postterm pregnancy Beyond the Basics Patient education: C-section cesarean delivery Beyond the Basics Patient education: Deciding to breastfeed Beyond the Basics Patient education: Birth control; which method is right for me?

Beyond the Basics. Professional level information — Professional level articles are designed to keep doctors and other health professionals up-to-date on the latest medical findings. These articles are thorough, long, and complex, and they contain multiple references to the research on which they are based.

Professional level articles are best for people who are comfortable with a lot of medical terminology and who want to read the same materials their doctors are reading. Clinical presentation, diagnosis, and initial evaluation of diabetes mellitus in adults Effects of advanced maternal age on pregnancy Infants of mothers with diabetes IMD Pregestational preexisting diabetes mellitus: Obstetric issues and management Gestational diabetes mellitus: Screening, diagnosis, and prevention Gestational diabetes mellitus: Glucose management and maternal prognosis Gestational diabetes mellitus: Obstetric issues and management Pregestational preexisting and gestational diabetes: Intrapartum and postpartum glucose management.

htm , available in Spanish. The editorial staff at UpToDate would like to acknowledge Donald R Coustan, MD, and Michael F Greene, MD, who contributed to earlier versions of this topic review. Contributor disclosures are reviewed for conflicts of interest by the editorial group. When found, these are addressed by vetting through a multi-level review process, and through requirements for references to be provided to support the content.

Appropriately referenced content is required of all authors and must conform to UpToDate standards of evidence. Conflict of interest policy.

Why UpToDate? Product Editorial Subscription Options Subscribe Sign in. View Topic Loading Font Size Small Normal Large. Patient education: Gestational diabetes Beyond the Basics. Formulary drug information for this topic. No drug references linked in this topic. Find in topic Formulary Print Share.

Official reprint from UpToDate ® www. com © UpToDate, Inc. All Rights Reserved. Author: Celeste Durnwald, MD Section Editors: David M Nathan, MD Erika F Werner, MD, MS Deputy Editor: Vanessa A Barss, MD, FACOG.

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, If your blood sugar level is normal, no other tests are done.

AFTER-DELIVERY CARE After giving birth, most individuals with gestational diabetes have normal blood sugar levels and do not require further treatment with insulin. Patient education: Gestational diabetes The Basics Beyond the Basics — Beyond the Basics patient education pieces are longer, more sophisticated, and more detailed.

Beyond the Basics Professional level information — Professional level articles are designed to keep doctors and other health professionals up-to-date on the latest medical findings.

Clinical presentation, diagnosis, and initial evaluation of diabetes mellitus in adults Effects of advanced maternal age on pregnancy Infants of mothers with diabetes IMD Pregestational preexisting diabetes mellitus: Obstetric issues and management Gestational diabetes mellitus: Screening, diagnosis, and prevention Gestational diabetes mellitus: Glucose management and maternal prognosis Gestational diabetes mellitus: Obstetric issues and management Pregestational preexisting and gestational diabetes: Intrapartum and postpartum glucose management The following organizations also provide reliable health information.

Effect of treatment of gestational diabetes mellitus on pregnancy outcomes. N Engl J Med ; Dodd JM, Crowther CA, Antoniou G, et al. Screening for gestational diabetes: the effect of varying blood glucose definitions in the prediction of adverse maternal and infant health outcomes.

Aust N Z J Obstet Gynaecol ; American Diabetes Association. Gestational diabetes mellitus. Diabetes Care ; 27 Suppl 1:S Löbner K, Knopff A, Baumgarten A, et al. Predictors of postpartum diabetes in women with gestational diabetes mellitus. Diabetes ; Jovanovic, L Ed. Diabetes and Pregnancy: What to Expect, American Diabetes Association, Alexandria, VA, revised ACOG Practice Bulletin No.

Obstet Gynecol ; e United States Centers for Disease Control and Prevention. Gestational diabetes. html Accessed on July 31, It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a specific patient.

It is not intended to be medical advice or a substitute for the medical advice, diagnosis, or treatment of a health care provider based on the health care provider's examination and assessment of a patient's specific and unique circumstances. Patients must speak with a health care provider for complete information about their health, medical questions, and treatment options, including any risks or benefits regarding use of medications.

This information does not endorse any treatments or medications as safe, effective, or approved for treating a specific patient.

UpToDate, Inc. and its affiliates disclaim any warranty or liability relating to this information or the use thereof. All rights reserved. GRAPHICS Blood glucose record. All of the relevant financial relationships listed have been mitigated. David M Nathan, MD No relevant financial relationship s with ineligible companies to disclose.

Erika F Werner, MD, MS No relevant financial relationship s with ineligible companies to disclose. Follow-up after delivery Your health care provider will check your blood sugar level after delivery and again in 6 to 12 weeks to make sure that your level has returned to within the standard range.

Request an appointment. Labor induction. Clinical trials. What you can do Before your appointment: Be aware of pre-appointment restrictions. When you make your appointment, ask if you need to fast for lab tests or do anything else to prepare for diagnostic tests.

Make a list of symptoms you're having, including those that may seem unrelated to gestational diabetes. You may not have noticeable symptoms, but it's good to keep a log of anything unusual you notice.

Make a list of key personal information, including major stresses or recent life changes. Make a list of all medications, including over-the-counter drugs and vitamins or supplements you're taking.

Make a list of questions to help make the most of your time with your health care provider. Some basic questions to ask your health care provider include: What can I do to help control my condition?

Can you recommend a registered dietitian or certified diabetes care and education specialist who can help me plan meals, an exercise program and coping strategies?

Will I need medication to control my blood sugar? What symptoms should prompt me to seek medical attention? Are there brochures or other printed materials I can take?

What websites do you recommend? What to expect from your doctor Your health care provider is also likely to have questions for you, especially if it's your first visit. Questions may include: Have you experienced increased thirst or excessive urination?

If so, when did these symptoms start? How often do you have them? Have you noticed other unusual symptoms? Do you have a parent or sibling who's ever been diagnosed with diabetes?

Have you been pregnant before? Did you have gestational diabetes during your previous pregnancies? Did you have other problems in previous pregnancies? If you have other children, how much did each weigh at birth?

By Mayo Clinic Staff. Apr 09, Show References. American College of Obstetricians and Gynecologists. Practice Bulletin No.

Diabetes and Pregnancy: Gestational diabetes. Centers for Disease Control and Prevention. Accessed Dec. Gestational diabetes. National Institute of Diabetes and Digestive and Kidney Diseases. Gestational diabetes mellitus. Mayo Clinic; Durnwald C. Gestational diabetes mellitus: Screening, diagnosis, and prevention.

Accessed Nov. American Diabetes Association. Standards of medical care in diabetes — Diabetes Care.

Mack LR, et al. Gestational diabetes — Diagnosis, classification, and clinical care. Obstetrics and Gynecology Clinics of North America.

Tsirou E, et al. Guidelines for medical nutrition therapy in gestational diabetes mellitus: Systematic review and critical appraisal. Journal of the Academy of Nutrition and Dietetics.

Gestational diabetes may occur during pregnancy if your level of blood glucose becomes too high. This may cause problems for you and your baby. Controlling blood sugar levels with treatment and a healthy lifestyle will minimize the risks.

For further information on the prevention, management and diagnosis of diabetes, speak to your health care provider. You may also call to speak to a registered dietitian, registered nurse or pharmacist.

Our dietitians are available Monday to Friday a.

Gestational dkabetes is diabetrs type Ciabetes diabetes that occurs during the second diabetfs third trimester of pregnancy. In Body cleanse for overall wellness cases women with gestational diabetes Website performance analysis not have diabetes before their Gestational diabetes monitoring montioring after giving birth, the diabetes usually goes away. During gestational diabetes your body cannot produce enough insulin to handle the effects of a growing baby and changing hormone levels. Insulin is a hormone in your body that helps your body to control the level of glucose sugar in your blood. If your body cannot produce enough insulin, the amount of sugar in your blood will rise. Gestational diabetes Gestational diabetes monitoring higher-than-normal blood Hydration for staying hydrated. Gestational diabetes monitoring with Gestatioonal diabetes have higher-than-normal dabetes sugar because their bodies become resistant to Gestationaal. The hormone insulin regulates blood sugar. Gestational diabetes can happen at almost any time during pregnancy, but it typically occurs between 24 to 28 weeks. This is also when testing typically takes place. Getting tested for gestational diabetes is an important part of prenatal care.

Gestational diabetes monitoring -

Treatment includes medication and lifestyle changes to your diet and exercise routine. To learn more about how healthy eating can help you manage your blood sugar, see our Healthy Eating Diabetes and Hypoglycemia web page. For more information about diabetes, visit the Diabetes Canada Living with Type 2 Diabetes web page.

Gestational diabetes may occur during pregnancy if your level of blood glucose becomes too high. This may cause problems for you and your baby. Controlling blood sugar levels with treatment and a healthy lifestyle will minimize the risks.

For further information on the prevention, management and diagnosis of diabetes, speak to your health care provider.

You may also call to speak to a registered dietitian, registered nurse or pharmacist. Our dietitians are available Monday to Friday a. to p. Exercise helps reduce blood glucose levels.

There are plenty of pregnancy-safe activities you can try to help you get fit and strong for the birth and when carrying around that newborn. Monitoring your blood glucose levels is an essential part of managing gestational diabetes. Generally following a diagnosis of gestational diabetes, you will be referred to the local diabetes service.

The diabetes educator may provide you with a blood glucose meter or support you in obtaining one. The diabetes educator will then show you how to use the meter and perform a blood glucose check. They will recommend when to monitor your blood glucose levels and the recommended target ranges for gestational diabetes.

Routinely, you will be recommended to monitor first thing in the morning fasting and then 2 hours after the start of your main meals.

Blood glucose monitoring shows you the amount of glucose in your blood at that exact point in time. It is normal for your blood glucose levels to fluctuate and many things will impact them. Things that will impact your blood glucose levels are food, exercise, stress, illness, medication or insulin if required.

The levels can help you and your health care team decide if changes are needed — changes to carbohydrate intake, more regularly exercise, practising stress management techniques or commencing medication or insulin.

This is to make sure your levels are where they need to be so that your risk of any complications can be minimised. Taking tablets and insulin as directed is safe for both you and your baby. Research to date shows that these medications are safe during pregnancy. Like any medication, there are risks and side effects.

Your healthcare team can explain the risks and benefits of taking medication in your situation. There are many health professionals who can help you. This includes specialist doctors, diabetes educators and dietitians.

They can help you understand how to manage your glucose levels and help you to make healthy changes that work for you. You can also call our helpline if you have a question about gestational diabetes.

Pregnancy is stressful enough without a diagnosis of gestational diabetes too. Being diagnosed with gestational diabetes can come as an unpleasant shock. You may experience a range of emotions such as anger, sadness, denial or fear. As well as wondering will it hurt the baby?

Or will everything be okay? This is all perfectly normal. Everyone experiences this to some degree. Getting the appropriate support and education, will help keep you and your baby healthy.

Or you can talk to your own diabetes educator, GP or your local community health centre. The pressure of monitoring and managing gestational diabetes can be stressful. Stress can cause changes in your blood glucose levels and impact on your overall mental health too.

This will put additional stress on you and your baby. Here are some ways to help keep your emotional wellbeing and mental health on track:.

Contributor Disclosures. Please read Gestational diabetes monitoring Disclaimer Gestationall the end of this page. Many Gestational diabetes monitoring can achieve glucose target levels with diabbetes therapy monitorig moderate ,onitoring alone, but Geshational to Arthritis medications guide percent will require Gestational diabetes monitoring [ 1 ]. Even patients Gestationxl 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. See "Gestational diabetes mellitus: Screening, diagnosis, and prevention" and "Gestational diabetes mellitus: Obstetric issues and management". Gestational diabetes monitoring

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