Gestational
Diabetes is a condition that is initially recognized during pregnancy
(gestation). It is found in almost all women to some degree due to
glucose intolerance and the resultant hormone changes that take place
during pregnancy. This indicates that their blood sugar is a little
higher than normal, but not so high as to cause diabetes. The reason
for Gestational Diabetes is the improper functioning of insulin
receptors. This is probably due to factors related to pregnancy like
the presence of human placental lactogen, which interfere with the
functions of susceptible insulin receptors. The hormones made in the
placenta, the organ that connects the fetus with the umbilical cord
and then to the uterus, help in the shifting of nutrients from the
mother to the fetus. This happens mostly in the third trimester,
causing improperly elevated blood sugar levels.
At
the same time, other hormones are also produced by the placentas to
prevent the development of low blood sugar by resisting the actions
of insulin. During pregnancy, these hormones can lead to higher blood sugar levels or impaired glucose intolerance. This again tries to
decrease blood sugar levels by making more insulin to gather glucose
into cells. However, the mother’s pancreas has the ability to
produce more insulin to control the effect of pregnancy hormones on
blood sugar levels. If the pancreas fails to produce more insulin,
blood sugar levels would increase, resulting in gestational diabetes.
Complications
of Gestational Diabetes
Usually
Gestational Diabetes produces very few symptoms and most of them are
diagnosed by screening during pregnancy. As per studies 3 – 10
percentage of pregnancies are affected by Gestational Diabetes. In
general, children born to mothers with untreated gestational diabetes
are at increased risk of harm such as jaundice, low blood sugar or
being too large for the gestation age which leads to complications in
delivery. If left untreated, it might result in stillbirth or
miscarriage.
Gestational
diabetes can affect the growing fetus, at any stage of pregnancy. If
it is in the early stages, mother’s diabetes may result in
complications and a high risk of miscarriage. In the later stages,
diabetes can develop a situation of over-nutrition, causing excess
growth of the baby as also risks in delivery. When high blood sugar
from mother creates excessive levels of insulin in the baby, the
baby’s blood sugar levels can become very low after birth, as it
will not be receiving high blood sugar.
Treatment
Researchers
are unable to find why some women develop gestational diabetes.
However, other factors like age, family or personal health history,
excess weight etc. can be the reasons for gestational diabetes. It is
very important to have thorough check ups during pregnancy to know
and control diabetes.
Gestational
diabetes is treatable and women with adequate glucose levels can
reduce these risks. The first step is the right diet plan. Monitoring
blood sugar is very important in controlling gestational diabetes.
Anyway, frequent check-ups will help keep track of blood sugar levels
and resort to proper medication to have a healthy baby.
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