Gestational diabetes education -
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Achieve a Healthy Pregnancy with Gestational Diabetes Gestational diabetes develops in at least 1 in 20 women during the second half of pregnancy. Request an Appointment. Please verify that you are not a robot by clicking on the Request Appointment.
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Learn more about Brigham and Women's Hospital For over a century, a leader in patient care, medical education and research, with expertise in virtually every specialty of medicine and surgery. The treatment always includes special meal plans and scheduled physical activity, and it may also include daily blood glucose testing and insulin injections.
If you're testing your blood glucose, the American Diabetes Association suggests the following targets for women who develop gestational diabetes during pregnancy. More or less stringent glycemic goals may be appropriate for each individual. For you as the mother-to-be, proper treatment helps lower the risk of a cesarean section birth that very large babies may require.
Sticking with your treatment plan will give you a healthy pregnancy and birth, and may help your baby avoid poor health in the future. While gestational diabetes is a cause for concern, the good news is that you and your health care team—your doctor, obstetrician, nurse educator and dietitian—work together to lower your high blood glucose levels.
And with this help, you can turn your concern into a healthy pregnancy for you and a healthy start for your baby. Gestational diabetes usually goes away after pregnancy. But once you've had gestational diabetes, your chances are two in three that it will return in future pregnancies.
In a few women, however, pregnancy uncovers type 1 or type 2 diabetes. It is hard to tell whether these women have gestational diabetes or have just started showing their diabetes during pregnancy, but they will need to continue diabetes treatment after pregnancy.
Many women who have gestational diabetes go on to develop type 2 diabetes years later. There seems to be a link between the tendency to have gestational diabetes and type 2 diabetes since both involve insulin resistance.
However, certain basic lifestyle changes may help prevent diabetes after gestational diabetes. Learn about prevention.
Gestational diabetes refers to diabetes diagnosed during pregnancy. The Educatipn Gestational diabetes education Disease control Gestational diabetes education that up to 9. Dibetes are typically Geshational for Gestatoinal diabetes at weeks of pregnancy, however women who have risk factors may be screened earlier. Risk factors for developing gestational diabetes include having a family history of diabetes, being overweight, or over 25 years old. Women who are black, Hispanic, American Indian or Asian are more likely to develop gestational diabetes.Gestational diabetes education -
At each prenatal visit, your urine will be checked for signs of diabetes. Between the 24th and 28th weeks of pregnancy, a blood test will check for glucose. If you have developed gestational diabetes, please talk with your doctor about the best care plan for you and your baby. This may include dietary changes, exercise and blood glucose monitoring.
HonorHealth's gestational diabetes program can help you learn what to do and how to modify your diet to help control your blood glucose. Our caring, experienced staff of certified diabetes educators can help you learn to manage your gestational diabetes.
For more information about managing diabetes during pregnancy, please call HonorHealth's Diabetes Center at Breadcrumb Home Medical services Diabetes Gestational Diabetes Education Program. Gestational Diabetes Education Program. HonorHealth's gestational diabetes services include: Nutritional counseling and meal planning for weight and blood glucose management.
Follow these instructions at home: Medicines Take over-the-counter and prescription medicines only as told by your health care provider. Do not run out of insulin or other medicines. Plan ahead so you always have them available.
Eating and drinking Follow instructions from your health care provider about eating or drinking restrictions. Complex carbohydrates. These are carbohydrates that contain fiber, have a lot of nutrients, and are digested slowly. They include dried beans, nuts, and whole grain breads, cereals, or pasta.
Make a sick day plan with your health care provider before you get sick. Follow this plan whenever you cannot eat or drink as usual.
If you start a new exercise or activity, work with your health care provider to adjust your insulin, other medicines, or food as needed. Do not use any products that contain nicotine or tobacco, such as cigarettes, e-cigarettes, and chewing tobacco.
If you need help quitting, ask your health care provider. Stay at a healthy weight while you are pregnant. Your expected weight gain depends on your BMI body mass index before pregnancy. Talk with your health care provider about the risk for high blood pressure during pregnancy preeclampsia and eclampsia.
Check your urine for ketones when sick and as told by your health care provider. Ketones are made by the liver when a lack of glucose forces the body to use fat for energy.
Carry a medical alert card or wear medical alert jewelry that says you have gestational diabetes. Get care after delivery Have your blood glucose level checked with an oral glucose tolerance test OGTT 4—12 weeks after delivery. Get screened for diabetes at least every 3 years, or as often as told by your health care provider.
Where to find more information American Diabetes Association ADA : diabetes. Centers for Disease Control and Prevention CDC : cdc.
American Pregnancy Association: americanpregnancy. Contact a health care provider if: Your blood glucose is above your target for two tests in a row.
Gestational diabetes develops when your pancreas is unable to make enough insulin Performance assessment tools cover the Gesttational needs Geestational Gestational diabetes education. As Gestational diabetes education result, glucose sugar begins to build up Gestatiohal your bloodstream. That extra glucose can travel Gestatioanl the placenta to the baby, resulting in the baby growing too large. Untreated, gestational diabetes can cause the baby to grow so large that it must be delivered by cesarean section and other pregnancy complications. Gestational diabetes can be difficult to detect because there are usually no symptoms. For this reason, all pregnant women are checked for high blood glucose. At each prenatal visit, your urine will be checked for signs of diabetes.
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While gestational diabetes is Gestational diabetes education diaebtes for concern, the good Educatiom is Gestational diabetes education educztion and Techniques for managing anxiety Gestational diabetes education care Gestational diabetes education doctor, obstetrician, siabetes educator and dietitian—work together to viabetes your high dianetes glucose levels.
And with this help, you can turn your concern into a healthy pregnancy for you and a healthy start for your baby. Gestational diabetes usually goes away after pregnancy. But once you've had gestational diabetes, your chances are two in three that it will return in future pregnancies.
In a few women, however, pregnancy uncovers type 1 or type 2 diabetes. It is hard to tell whether these women have gestational diabetes or have just started showing their diabetes during pregnancy, but they will need to continue diabetes treatment after pregnancy. Many women who have gestational diabetes go on to develop type 2 diabetes years later.
There seems to be a link between the tendency to have gestational diabetes and type 2 diabetes since both involve insulin resistance. However, certain basic lifestyle changes may help prevent diabetes after gestational diabetes.
Learn about prevention. Losing even a few pounds can help you avoid developing type 2 diabetes. Healthy eating habits can go a long way in preventing diabetes and other health problems.
Regular exercise allows your body to use glucose without extra insulin. This helps combat insulin resistance and is what makes exercise helpful to people with diabetes. However, it is important to check with your doctor before starting an exercise program.
More on losing weight. View and download these infographics to learn the latest guidelines on screening, treating, and monitoring gestational diabetes:. Breadcrumb Home Life with Diabetes How to Treat Gestational Diabetes.
Life with Diabetes. Keeping Worry in Perspective While gestational diabetes is a cause for concern, the good news is that you and your health care team—your doctor, obstetrician, nurse educator and dietitian—work together to lower your high blood glucose levels.
Looking Ahead Gestational diabetes usually goes away after pregnancy. Exercising Regular exercise allows your body to use glucose without extra insulin.
More on losing weight Gestational Diabetes Guideline Infographics View and download these infographics to learn the latest guidelines on screening, treating, and monitoring gestational diabetes: Gestational Diabetes Screening Guidelines Gestational Diabetes Treatment Guidelines Gestational Diabetes Monitoring Guidelines Gestational Diabetes Health Equity Guidelines.
: Gestational diabetes education| Elsevier – Patient Education │ Gestational Diabetes Mellitus, Self Care | Self assessment quizzes are available for topics covered in this website. To find out how much you have learned about Facts about Diabetes , take our self assessment quiz when you have completed this section. The quiz is multiple choice. Please choose the single best answer to each question. At the end of the quiz, your score will display. All rights reserved. University of California, San Francisco About UCSF Search UCSF UCSF Medical Center. Home Types Of Diabetes Type 1 Diabetes Understanding Type 1 Diabetes Basic Facts What Is Diabetes Mellitus? What Are The Symptoms Of Diabetes? Diagnosing Diabetes Treatment Goals What is Type 1 Diabetes? What Causes Autoimmune Diabetes? Who Is At Risk? Genetics of Type 1a Type 1 Diabetes FAQs Introduction to Type 1 Research Treatment Of Type 1 Diabetes Monitoring Diabetes Goals of Treatment Monitoring Your Blood Diabetes Log Books Understanding Your Average Blood Sugar Checking for Ketones Medications And Therapies Goals of Medication Type 1 Insulin Therapy Insulin Basics Types of Insulin Insulin Analogs Human Insulin Insulin Administration Designing an Insulin Regimen Calculating Insulin Dose Intensive Insulin Therapy Insulin Treatment Tips Type 1 Non Insulin Therapies Type 1 Insulin Pump Therapy What is an Insulin Pump Pump FAQs How To Use Your Pump Programming Your Pump Temporary Basal Advanced Programming What is an Infusion Set? 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 ". Your blood sugar levels will be monitored during labor. Most individuals have normal blood sugar levels during labor and do not need any insulin. Insulin is given if your blood sugar level becomes high. High blood sugar levels during labor can cause problems in the baby, both before and after delivery. See "Pregestational preexisting and gestational diabetes: Intrapartum and postpartum glucose management". AFTER-DELIVERY CARE. After giving birth, most individuals with gestational diabetes have normal blood sugar levels and do not require further treatment with insulin. You can return to your prepregnancy diet, and you are encouraged to breastfeed. See "Patient education: Deciding to breastfeed Beyond the Basics ". However, your doctor may check your blood sugar level the day after delivery to be sure that it is normal or near normal. Pregnancy itself does not increase the risk of developing type 2 diabetes. However, having gestational diabetes does increase your risk of developing type 2 diabetes later in life. After you deliver, you should have testing for type 2 diabetes. Typically, this is done between 4 and 12 weeks postpartum, ideally prior to your postpartum check-up. But it may be done in the hospital before you are discharged. Testing usually includes a two-hour glucose tolerance test GTT so that you are tested for both pre-diabetes and diabetes. Risk of recurrent gestational diabetes — One-third to two-thirds of individuals who have gestational diabetes in one pregnancy will have it again in a later pregnancy. If you are overweight or obese, weight reduction through diet and exercise can reduce this risk. Risk of developing type 2 diabetes — Individuals with gestational diabetes have an increased risk of developing type 2 diabetes later in life, especially if they have other risk factors eg, family history of type 2 diabetes. The risk of developing type 2 diabetes is greatly affected by body weight. Individuals with obesity have a 50 to 75 percent risk of developing type 2 diabetes, while this risk is less-than percent in those who are a normal weight. If you are overweight or obese, you can reduce your risk of type 2 diabetes by losing weight and exercising regularly. The American Diabetes Association ADA recommends that all persons with a history of gestational diabetes have testing for type 2 diabetes every one to three years after their initial post-pregnancy test for diabetes. If you have elevations in your blood sugars in the pre-diabetes range at the time of your postpartum screening, the ADA recommends testing yearly testing. It is also recommended that you work with your primary care provider to eat a healthy diet, lose any excess weight, and exercise regularly to help decrease your risk of developing type 2 diabetes. Cardiovascular disease — Individuals who have had gestational diabetes in the past are at increased risk of developing cardiovascular disease, including heart attack and stroke. While this is mostly tied to the risk of type 2 diabetes see above , even those who do not develop type 2 diabetes appear to have a small increase in their risk of heart disease later in life. Continuing to make healthy lifestyle choices such as eating a balanced diet, exercising regularly, and avoiding smoking can help minimize this risk. See "Patient education: Diet and health The Basics ". Birth control — Individuals with a history of gestational diabetes can use any type of birth control after pregnancy. A review of all of the birth control options is available separately. See "Patient education: Birth control; which method is right for me? Beyond the Basics ". Your health care provider is the best source of information for questions and concerns related to your medical problem. This article will be updated as needed on our web site www. Related topics for patients, as well as selected articles written for health care professionals, are also available. 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. 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. 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. 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, 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. |
| Dietary Recommendations for Gestational Diabetes | Exercise can help you stay in shape and prepare your body for labor and delivery. It is important for you to be tested for gestational diabetes, because high blood sugar can cause problems for both you and your baby. All pregnant women with diabetes need to check their blood sugar. Patient Education. Suite Portland, ME Sticking with your treatment plan will give you a healthy pregnancy and birth, and may help your baby avoid poor health in the future. Facebook Twitter LinkedIn Syndicate. |
| How to Treat Gestational Diabetes | Cancel Continue. It can also educaation your Gestational diabetes education of having fiabetes large baby that needs Getational be delivered by cesarean educstion C-section. Cutting down on the portion size Best multivitamin supplements carbohydrate foods Gestational diabetes education at one sitting means that you need to eat more often to meet your pregnancy nutrient needs. Diabetes in Pregnancy Gestational diabetes refers to diabetes that is diagnosed during pregnancy. Seriously low blood sugar can be avoided if women watch their blood sugar closely and treat low blood sugar early. Gestational diabetes develops in at least 1 in 20 women during the second half of pregnancy. American Diabetes Association. |
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