{"id":222,"date":"2020-02-22T18:05:00","date_gmt":"2020-02-22T18:05:00","guid":{"rendered":"http:\/\/35.247.74.141\/?p=222"},"modified":"2025-05-03T08:42:15","modified_gmt":"2025-05-03T03:12:15","slug":"diabetes-in-pregnancy","status":"publish","type":"post","link":"https:\/\/leishahospital.com\/?p=222","title":{"rendered":"Diabetes in Pregnancy"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"222\" class=\"elementor elementor-222\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-645fd19 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"645fd19\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7adf31c\" data-id=\"7adf31c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ff96e7c elementor-widget elementor-widget-text-editor\" data-id=\"ff96e7c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>With increasing burden of Diabetes in the society, there has been increase in number of cases of Diabetes Milletus in pregnancy &#8211; commonly called as Gestational Diabetes Milletus (GDM). It is defined as glucose\/carbohydrate intolerance detected for the first time during pregnancy. Its incidence has been noted to be 2-15% and Indian women are said to be more susceptible.<\/p><p class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal;\"><b><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">Screening for GDM<\/span><\/b><\/p><ul type=\"disc\"><li class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal; mso-list: l5 level1 lfo1; tab-stops: list 36.0pt;\"><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">All pregnant women (universal screening) should be screened at their first antenatal visit.<\/span><\/li><\/ul><p class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal;\"><b><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">What test should be done?<\/span><\/b><\/p><ul type=\"disc\"><li class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal; mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">Glucose Tolerance Test (GTT). In this test, pregnant women is asked to take 75mg of glucose with water. Three samples of blood and urine are collected &#8211; before eating glucose, one hour after eating glucose and two hours after eating glucose. No food is allowed during the test.<\/span><\/li><\/ul><p class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal;\"><b><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">What if someone is diagnosed with GDM or impared glucose tolerance?<\/span><\/b><\/p><ul type=\"disc\"><li class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal; mso-list: l6 level1 lfo3; tab-stops: list 36.0pt;\"><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">Intially, lifestyle modification is prescribed including diet and exercise<\/span><br \/><ul type=\"circle\"><li class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal; mso-list: l6 level2 lfo3; tab-stops: list 72.0pt;\"><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">Diet modifications include decrease in intake of carbohydrates, sugar, fired and fatty food. Soups, sprouts and roasted grams (chana) may be taken more liberally. All &#8220;whites&#8221; to be avoided including white rice, maida, sugar, etc.<\/span><\/li><li class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal; mso-list: l6 level2 lfo3; tab-stops: list 72.0pt;\"><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">Exercise regimen to include a 30-minute walk after each meal. Whatever exercise is adopted, it should be comfortable for the pregnant women.<\/span><\/li><\/ul><\/li><li class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal; mso-list: l6 level1 lfo3; tab-stops: list 36.0pt;\"><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">Such lifestyle changes are sincerely followed for 2 weeks and doctor should be re-visited with fasting and post breakfast blood glucose reports.<\/span><\/li><\/ul><p class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal;\"><b><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">What to do if blood glucose levels continue to remain high?<\/span><\/b><\/p><ul type=\"disc\"><li class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal; mso-list: l7 level1 lfo4; tab-stops: list 36.0pt;\"><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">Along with lifestyle modifications, some drugs and\/or injections of insulin are prescribed according to the blood glucose levels. Aim of the treatment regimen is to maintain fasting blood glucose levels &lt;90mg\/dl and 2hrs after meal &lt;120mg\/dl.<\/span><\/li><\/ul><p class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal;\"><b><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">Things to remember while on insulin<\/span><\/b><\/p><ul type=\"disc\"><li class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal; mso-list: l3 level1 lfo5; tab-stops: list 36.0pt;\"><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">Beware of hypo (hypoglycemic) attacks<\/span><\/li><li class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal; mso-list: l3 level1 lfo5; tab-stops: list 36.0pt;\"><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">Always keep sugar candies with you for help during hypo attacks<\/span><\/li><\/ul><p class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal;\"><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">If you are suffering from GDM, your OBG specialist would like to see you more often during the antenatal period. There is significant risk associated with GDM during pregnancy, including:<\/span><\/p><ul type=\"disc\"><li class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal; mso-list: l1 level1 lfo6; tab-stops: list 36.0pt;\"><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">Polyhydramnios (more water around baby in the womb)<\/span><\/li><li class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal; mso-list: l1 level1 lfo6; tab-stops: list 36.0pt;\"><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">Fetal malformation<\/span><\/li><li class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal; mso-list: l1 level1 lfo6; tab-stops: list 36.0pt;\"><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">Big baby (macrosomia)<\/span><\/li><li class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal; mso-list: l1 level1 lfo6; tab-stops: list 36.0pt;\"><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">Sudden death of the baby<\/span><\/li><li class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal; mso-list: l1 level1 lfo6; tab-stops: list 36.0pt;\"><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">Malpresentation (wrong postion of the baby in the womb)<\/span><\/li><\/ul><p class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal;\"><b><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">Post Delivery<\/span><\/b><\/p><ul type=\"disc\"><li class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal; mso-list: l4 level1 lfo7; tab-stops: list 36.0pt;\"><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">GTT is repeated at 6-8 weeks after delivery (post partum) and then annually.<\/span><\/li><\/ul><p class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal;\"><b><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">Risk of Diabetes Milletus<\/span><\/b><\/p><ul type=\"disc\"><li class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal; mso-list: l0 level1 lfo8; tab-stops: list 36.0pt;\"><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">Women suffering from GDM have increased risk of developing Diabetes Milletus later in life<\/span><\/li><li class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal; mso-list: l0 level1 lfo8; tab-stops: list 36.0pt;\"><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">Babies born to mothers with GDM also have increased risk of developing Diabetes Milletus during their lifetime.<\/span><\/li><\/ul><p class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal; mso-outline-level: 2;\"><b><span style=\"font-size: 18.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-IN;\">Useful links:<\/span><\/b><\/p><p class=\"MsoNormal\" style=\"mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal;\"><a href=\"https:\/\/diabetes.org\/living-with-diabetes\/pregnancy\/gestational-diabetes\" target=\"_blank\" rel=\"noopener\"><span style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: blue; mso-fareast-language: EN-IN;\">American Diabetes Association<\/span><\/a><\/p><p><span style=\"font-size: 11.0pt; line-height: 115%; font-family: 'Calibri',sans-serif; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-bidi-theme-font: minor-bidi; mso-ansi-language: EN-IN; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;\"><a href=\"http:\/\/www.mayoclinic.org\/diseases-conditions\/gestational-diabetes\/basics\/definition\/con-20014854\" target=\"_blank\" rel=\"noopener\"><span style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: blue; mso-fareast-language: EN-IN;\">Mayo clinic<br \/><\/span><\/a><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>With increasing burden of Diabetes in the society, there has been increase in number of cases of Diabetes Milletus in pregnancy &#8211; commonly called as Gestational Diabetes Milletus (GDM). It is defined as glucose\/carbohydrate intolerance detected for the first time during pregnancy. Its incidence has been noted to be 2-15% and Indian women are said&hellip;&nbsp;<a href=\"https:\/\/leishahospital.com\/?p=222\" rel=\"bookmark\">Read More &raquo;<span class=\"screen-reader-text\">Diabetes in Pregnancy<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":227,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"off","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[12,21],"tags":[],"class_list":["post-222","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-all","category-english"],"_links":{"self":[{"href":"https:\/\/leishahospital.com\/index.php?rest_route=\/wp\/v2\/posts\/222","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/leishahospital.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/leishahospital.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/leishahospital.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/leishahospital.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=222"}],"version-history":[{"count":9,"href":"https:\/\/leishahospital.com\/index.php?rest_route=\/wp\/v2\/posts\/222\/revisions"}],"predecessor-version":[{"id":1126,"href":"https:\/\/leishahospital.com\/index.php?rest_route=\/wp\/v2\/posts\/222\/revisions\/1126"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/leishahospital.com\/index.php?rest_route=\/wp\/v2\/media\/227"}],"wp:attachment":[{"href":"https:\/\/leishahospital.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=222"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/leishahospital.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=222"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/leishahospital.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=222"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}