Question:
From Colorado:
My friend who is in her last trimester of pregnancy has been told that signs indicate Gestational Diabetes accompanying this pregnancy. She also was informed that with proper monitoring of her diet, she could possible avoid this happening. She has been referred to an internist for more closer prognosis. Meanwhile, she needs more information on this topic.
Answer:
Gestational diabetes mellitus (GDM) is a fairly common condition in pregnancies (occurring in about 4% of all pregnancies). Treatment is with meal planning, as much activity as can be tolerated, and very frequent blood sugar monitoring (before and after meals, and at bedtime) by the woman herself. If her blood sugars remain elevated despite her best efforts, injections of insulin are recommended to be given several times a day to get and keep the sugar levels normal.
The whole idea is to keep the developing baby's blood sugar normal, so that the child may grow and develop normally while in the uterus. (Unfortunately, high blood sugar levels in the mom will cross the placenta to the developing baby, which wreaks havoc with normal development).
Most cases of GDM return to normal blood sugar levels after delivery, even if the situation was so abnormal that insulin shots have to be used during the pregnancy.
WWQ
Original posting 15 May 96