Sugar increased during pregnancy – as a serious problem?
Pregnancy – is a wonderful event, completely change the life of every woman. Adjusting to the beat of a small heart, the mother tries to do everything to make your child feel comfortable during all nine months. Unfortunately, for many weeks, forty expectant mother has to experience not only the joy of emergency meetings with the baby, but also a lot of unpleasant sensations that accompany pregnancy. Some of the inevitable companions of pregnancy do not carry any hazard to the fetus, while others require constant medical supervision. One of the most serious complications in the waiting period is a child gestational diabetes – a condition in which increased levels of glucose in the peripheral blood.
What does the rise in blood sugar during pregnancy?
At the first summons to the antenatal clinic expectant mother receives from the direction of the doctor for tests to assess the general condition of the pregnant woman. One of the most important figures in this huge list is the determination of glucose in the b
Increase in the concentration of glucose in the blood is not as harmless as it may seem at first glance. Changes in blood sugar triggers a whole range of pathological mechanisms that lead to a significant deterioration of the pregnant woman. The processes occurring in the body of the future mother will inevitably impact on the development of the fetus, increasing the risk of having a child with signs of diabetic fetopathy.
How do you know that sugar is elevated in pregnancy?
Blood test to detect glucose woman delivers twice the turnout at the first antenatal care and at time of 22-24 weeks. This expectant mother should not limit yourself to food or something to change eating habits for three days prior to the scheduled examination. Blood is drawn from a vein in the morning on an empty stomach. Exceeding the permissible values in most cases indicates the development of gestational diabetes.
Why rising glucose levels?
Under normal circumstances, the sugar content is regulated by the hormone insulin, which is continuously produced by the pancreas. Under his influence the glucose that came along with the food, is gradually transformed into the cells of the body, performing its function there. Blood sugar level is lowered. What happens during pregnancy and why this streamlined mechanism fails?
Hormones that allow bear a child, are antagonists of insulin. Elevated blood sugar during pregnancy is linked to the fact that the pancreas simply can not cope with their work in such conditions. Pregnancy hormones activate the output of glucose in the blood, and insulin is able to bind excess sugar, not enough. As a result of developing the so-called gestational diabetes, dangerous for its unpredictable consequences.
It would seem that in this situation, any woman in an interesting position to suffer from an excess of glucose in the body. However, the increased sugar during pregnancy is not every expectant mother. What increases the risk of disease?
• heredity (diabetes in close relatives);
• the development of a similar situation in a previous pregnancy;
• polycystic ovary syndrome;
• age over 25 years.
Symptoms of gestational diabetes
In many cases, a pregnant woman does not even know that she had elevated levels of glucose in the blood. It did not feel me baby actively moves and makes itself felt quite active jerks. Risk of gestational diabetes is that the amount of sugar in the blood will gradually increase, leading to serious complications.
With increasing gestational glucose will rise, and insulin levels inevitably decline. Manifestation of diabetes is characterized by the following symptoms:
• constant feeling of thirst;
For accurate diagnosis alone complaints about the deterioration of health is not enough. The feeling of hunger and frequent urination are typical of many pregnant women with perfectly normal blood sugar levels. Expectant mother will have to pass a special examination, which allows to confirm or deny gestational diabetes.
In order to ascertain whether the sugar is elevated in pregnancy, a woman offered to donate blood the determination of glucose. The analysis shall fasting.
Interpretation of results:
• from 3.3 to 5.5 mmol / l – the norm;
• 5.5 to 7 mmol / L – impaired glucose tolerance;
• more than 7.1 momol / L – diabetes.
When glucose levels over 7.1 mmol / l of the expectant mother is sent for consultation to the endocrinologist to confirm the diagnosis and to develop treatment strategies.
Increased sugar in the urine during pregnancy also talks about the development of gestational diabetes. The most common glucose detected in the later stages, when the disease has gone too far. Sugar in the urine indicates that the kidneys are no longer cope with its function, and hence increases the risk of complications of all organs and systems of the female body.
How dangerous is gestational diabetes?
Many pregnant women do not seek professional help, hoping that postpartum glucose level will decrease by itself. They do not realize what is really dangerous pinch of sugar during pregnancy. The effects of gestational diabetes can be very sad. Women with high blood sugar increases the risk of joining preeclampsia (a condition characterized by swelling and high blood pressure in late pregnancy).In addition, it increases the likelihood of complications from kidney and urinary system. Do not forget that birth in women with diabetes often occur early.
How does diabetes affect the fetus?
Increased level of sugar in the blood of the mother affects the baby’s condition. The complex of symptoms that develop when a pregnancy is called diabetic fetopathy. When a child is born of this pathology is very large, more than 4.5 kg. But a lot of weight does not mean that the baby will be healthy. In contrast, for diabetic fetopathy characterized by stunted physical development. Due to lack of surfactant (a substance makes it easy to open at birth) in the newborn observed various respiratory disorders. Very often develop pathological jaundice, and a variety of neurological disorders.
Treatment of Gestational Diabetes Mellitus
Most expectant mothers are afraid to find an increased sugar during pregnancy. What to do if you happen to such trouble? First of all, a woman should consult a specialist. The endocrinologist will evaluate the future mother and, depending on the severity of the disease prescribe the necessary treatment.
In most cases, the tactics of pregnant women with diabetes is reduced to a change in diet. Normalizing insulin levels in the blood allows you to dispense with heavy artillery in the form of hormones. At elevated sugar diet during pregnancy involves the following principles: •
Daily ration is divided between proteins, carbohydrates and fats in a ratio of 20-25%, 35-40% and 35% respectively.
• During the whole period of pregnancy there is a gradual decrease in caloric intake to 25-30 kcal per 1 kg of body weight.
• From daily use excludes any carbohydrate (especially sweets).
What is a high blood sugar level in pregnancy
Diabetes is a condition that causes high levels of sugar in the blood. Some women have diabetes before they become pregnant. Others develop it only during pregnancy, a form called gestational diabetes. About 2-3% of pregnant women have problems with their blood sugar.
Hormones cause a normal rise in blood sugar in all pregnant women. You may develop diabetes in pregnancy if your body has trouble with this increase in blood sugar. You may need to start a special diet or even take insulin shots.
If you had diabetes before you became pregnant, it may be harder for you to control your sugar levels during pregnancy. You may need to change your insulin dosage.
If diabetes is not treated before and during pregnancy, these problems might occur:
- The high sugar levels in your blood might cause the baby to get too big before birth. Very large babies tend to have more problems before and after birth.
- The baby might have birth defects, such as problems with his or her heart, kidney, or spine.
- You might have high blood pressure during the pregnancy (preeclampsia), which can cause problems for both you and the baby.
- You might go into preterm labor (before 37 weeks of pregnancy), or the baby might need to be delivered early.
- After delivery the baby may have low blood sugar problems (hypoglycemia).
- After delivery the baby may have trouble breathing because the lungs are not fully developed.
- The baby could die in the uterus before delivery.
If you have proper treatment before and during your pregnancy, there is a good chance you will deliver a healthy baby.
Insulin is a hormone produced by the pancreas. It helps your body change sugar to energy. Pregnancy hormones can change the way insulin works, so during pregnancy the pancreas needs to release more insulin than normal. Sometimes the pancreas cannot make enough insulin to control the sugar level and you become diabetic. After delivery the sugar level usually returns to normal and you are no longer diabetic.
No one knows why some people develop diabetes and others do not. It may be a problem you can inherit from your parents.
Many pregnant women do not notice any symptoms of diabetes. However, urine and blood tests may show that they have diabetes. Symptoms of diabetes include:
- Excessive thirst
- Weight loss
- Eating too much
- Urinating a lot
- Unexplained fatigue.
A woman who already has diabetes and becomes pregnant will notice that her diabetes is harder to control.
Many health care providers recommend that all pregnant women should be tested for diabetes. Women with the following histories or conditions are particularly at risk for developing diabetes during pregnancy and need to be tested:
- A family history of diabetes
- Overweight, especially over 200 pounds
- A previous baby that weighed more than 9 pounds (4000 grams) at birth
- A previous baby born dead
- A previous baby with birth defects
- Previous miscarriages
- Age over 35 years.
If you are at risk for developing diabetes, you will probably be screened for diabetes at your first prenatal visit and again later in the pregnancy. If you are not known to be at risk, you may be screened around the 24th to 28th week of pregnancy. The screening is done by having you drink a sugar drink. A sample of your blood is then taken 1 hour later.
If the result of the first test is not normal, your health care provider may order a 3-hour glucose tolerance test. For this test, a sample of your blood is taken soon after you get up in the morning, when you have not eaten anything since the night before. Then you drink a sugar drink, and your blood and urine are tested every hour for 3 hours.
If you develop diabetes during pregnancy, you may be able to control your blood sugar level by:
- Checking your blood sugar level at home (your health care provider will tell you how often you need to check it)
- Following a special diet
- Getting regular, moderate exercise, as recommended by your provider.
If you have gestational diabetes, you may also need to take anti-diabetes shots to control your sugar level In some situations, oral medications can be used to control diabetes in pregnancy. Ask your doctor which method is most appropriate for you.
If you are a diabetic planning to become pregnant, you should discuss preparing for pregnancy with your health care provider. It is very important to have good control of your blood sugar before you become pregnant. While you are pregnant you may need extra care such as:
- More frequent checks of your blood sugar at home
- A change in your diet
- Frequent changes in your insulin dosage
- More frequent visits with your health care provider.
More ultrasound scans, electronic fetal monitoring, blood tests, and other tests such as amniocentesis may be done to check the health of your baby. With ultrasound, your health care provider can see if the baby is getting too big to deliver vaginally. He or she will also check for normal development of the baby. Electronic fetal monitoring checks the heartbeat and activity of your baby and contractions of your uterus.
Sometimes, patients with diabetes need to have their labor induced at or before the due date. If you have diabetes, ask your doctor whether he or she plans to induce your labor.
When you are in labor, your provider will watch your blood sugar closely and test it often. During labor you may need to have sugar water and insulin given IV (into your veins) to control your blood sugar level.
Most women who develop diabetes during pregnancy are not diabetic after the baby is born. The body’s need for insulin usually decreases after delivery because the balance of hormones returns to normal. However, you have a good chance of becoming diabetic later in your life. In fact, 15% to 20% of women who were diabetic during pregnancy become diabetic again within the first year after delivery. To decrease this risk of becoming diabetic, you may need to lose weight after the pregnancy. Also make sure your diet is healthy. Your health care provider will test your blood sugar level often.
If you were diabetic before pregnancy, you will probably return to your previous condition and treatment. However, complications of diabetes may worsen during pregnancy. If you did not have good control of your blood sugar before pregnancy, your baby has a higher risk of birth defects. Ask your health care provider about these risks.
If you became diabetic in one pregnancy, you are more likely to be diabetic in future pregnancies. You should be tested early for diabetes the next time you are pregnant.
- Follow the diet, medication, and exercise program recommended by your health care provider.
- Keep your blood sugar level under control. You may need to check your blood sugar level one or more times a day.
- Always follow your prescribed treatment.
- Keep all of your appointments with your health care provider.
Stay at a healthy weight. Beginning a pregnancy at a healthy weight puts less strain on your body. This takes long-range planning. "Crash diets" are always unwise, and any weight loss can be dangerous during pregnancy.
If you have diabetes not caused by pregnancy, you should keep your blood sugar in the normal range for 3 months before you become pregnant and continue this good control throughout the pregnancy. The critical time to prevent birth defects is the first 8 to 10 weeks of pregnancy. Many women do not even know they are pregnant at this early stage. If you have diabetes, you need to plan the pregnancy and discuss your health with your health care provider at every step along the way.
Developed by iMcKesson Clinical Reference Products.
Published by iMcKesson Clinical Reference Products.
Copyright © 1991-2000 iMcKesson LLC. All rights reserved.
Adapted from content provided by iMcKesson, LLC
How to reduce fasting blood sugar level during pregnancy?
Lately, I have been receiving a lot of queries and comments from my readers. They all want to know How to reduce fasting blood sugar level during pregnancy? So here is a post on How to reduce fasting blood sugar level during pregnancy. Read on..
What is fasting sugar?
Fasting Blood Sugar is the level of sugar found in blood early in the morning, before consumption of any food. Where post prandial sugar levels depend on the food that you consume, fasting blood sugars depend on various factors.
- Over all hepatic output of glucose over night. ( The liver produces glucose to carry involuntary body process at night when we are inactive. )
- The amount of glucose produced indirectly depends on Your Evening snack and dinner (hence desserts are better avoided in the later half of the day) , Stress levels (which are usually high in pregnancy ), and your Over all blood sugar control.
So now that we know the reasons that attribute to fasting sugar, we can control the fasting blood sugar by keeping a watch on these causative factors. let us see in details about how to reduce fasting blood sugar level during pregnancy.
How to reduce fasting blood sugar level during pregnancy?
- Evening / Post Dinner Walks
- Check your evening meal’s / Dinner’s nutritional content
- Drink plenty of water
- Bed time snack
- Apple cider vinegar
Here are some tips that will help you in decreasing fasting blood sugar levels during pregnancy.
Evening / Post Dinner Walks
Waling helps great deal in controlling blood sugar levels. The timing of walking plays a specific role in lowering a blood sugar levels. For fasting blood sugars, It is advisable to walk in the evening or late nights. Walking at this time regulates insulin that works for longer and hence can control the mid night rise in blood sugars.
Walking for 20 mins in regular to slow speed is helpful in bringing down fasting blood sugar levels in pregnancy.
Check your evening meal’s / Dinner’s nutritional content
It is best to avoid simple carbs, sweet drinks, fruit juices, sugar, refined carbs like maida, bread, pasta in the later part of the day. Eating healthy carbs for dinner is a must. You can include
You can add Green leafy vegetables like spinach, methi or bottle gourd, ridge gourd, bhindi etc to go with it. add proteins in the form of chicken, fish, eggs, Mung dals, paneer or Curd (if it suits you). You can check a detailed diet plan – Indian diet plan for gestational diabetes.
Drink plenty of water
Hydration is very important when it comes to diabetes and specially during gestational diabetes. pregnant women have very concentrated urine, and hence the urine is dark yellow in colour. Diluted urine decreases the risk on vaginal infections during pregnancy. It is very important that i mention to you that dehydration can also trigger contractions and cause pre term labour.
Bed time snack
Here are some snacks that can be consumed as a healthy bed time snack ;
A bed time snack is very very important in all category of diabetics. It not only decreases your fasting blood sugar level but also decreases the risk of developing hypoglycemia at night. Hypoglycemia can be fatal.
Apple cider vinegar
This is practically tried and tested. a lot of my clients with gestational diabetes have benefited from drinking 1-2 tsp of apple cider vinegar at bed time. But i must warn you, take it for 2-4 days and check if it suits your stomach. if at all you feel acidity at night please discontinue this.
Hope you have found the answer to how to reduce fasting blood sugar level during pregnancy? here are some more articles that could be of help to you.
Now that i have mentioned all tips about how to reduce fasting blood sugar level during pregnancy. I hope these tips help you. Do mention your query in t he comments so that we can help you further.
Payal is a Registered Dietician; a Professional Blogger, and a human who believes in healthy living. Here at Dietburrp, you will find her talking about health, weight loss, fitness, parenting, healthy cooking and how to keep yourself motivated to be healthy.
We are glad you have chosen to leave a comment. We wish to inform you that the comments are moderated to avoid obscenity. Sometimes, we might take around 3 to 4 days to get back to you with the reply
Connecting Science to You
You are here
Weight and High Blood Sugar During Pregnancy May Cause Risks for Baby
Image courtesy of ESTHARNIV/Wikimedia Commons
Pregnant women who are even marginally overweight or with high blood sugar levels could face risks not only for themselves, but for their unborn babies.
Northwestern University’s Dr. Boyd Metzger talks about the effect of a mother’s blood sugar levels on pregnancy and what women can do to help prevent problems.
Dr. Boyd Metzger focuses on health and nutrition in pregnant women and unborn babies
Obstetricians routinely monitor a mother-to-be’s weight and blood sugar during pregnancy. Women may develop gestational diabetes, which is any form of glucose intolerance or high blood sugar that begins during pregnancy. The American Diabetes Association estimates that 18 percent of pregnant women develop this condition.
Metzger is a professor of metabolism and nutrition in the Division of Endocrinology, Metabolism & Molecular Medicine at Northwestern University’s Feinberg School of Medicine. He was the lead researcher of a large-scale international study focusing on weight gain and blood sugar levels during pregnancy.
What are your areas of interest and expertise?
Http://endocrinology-online. com/Content/For%20Patients/diabetes_in_pregnancy. htm
Http://www. dietburrp. com/how-to-reduce-fasting-blood-sugar-level-during-pregnancy/
Http://helix. northwestern. edu/article/weight-and-high-blood-sugar-during-pregnancy-may-cause-risks-baby