Is Gestational Diabetes a High Risk Pregnancy 2 Diabetes?
gestational diabetes tends to result in healthier pregnancies and babies if women get diagnosed early and follow a special diet (see below) and remain physically active during gestation. To minimize complications during gestation, women can follow a special diet (see below) and remain physically active throughout gestation.
Women diagnosed with gestational diabetes are at greater risk for high blood pressure and preeclampsia during future pregnancies, as well as having an increased chance of type 2 diabetes later on in life.
Table of Contents
1. Birth defects
Gestational diabetes is a pregnancy-specific condition. It typically appears between 24-28 weeks gestation and resolves itself after giving birth, with excessively elevated blood sugar levels caused by hormonal shifts that rise too high during gestation. Gestational diabetes can pose complications to both mother and baby; women at greater risk are at increased risk for type 2 diabetes later.
Babies born to mothers with gestational diabetes who don’t receive treatment face an increased risk of birth defects due to insulin disruption and poor placenta formation, leading to jaundice, respiratory impairment and congenital anomalies in their offspring.
Due to differences in anomaly coding and reporting as well as suboptimal prenatal care for gestational diabetic pregnancies, it can be hard to ascertain the exact rate of birth defects. Some studies indicate that gestational diabetes increases birth defect risks by approximately 3-5% – however.
One study demonstrated the relationship between gestational diabetes and its uncontrolled state and an increased risk for fetal macrosomia (over 8.5 lbs), premature birth and subsequent complications including birth injuries.
If you are worried about your pregnancy, it is essential that you speak to your physician immediately. A doctor can identify whether your gestation is high-risk and help reduce risks through measures such as eating healthily, taking prenatal vitamins and avoiding medications that increase risks during gestation. Furthermore, selecting a hospital that specializes in handling high-risk pregnancies will be important.
2. Preeclampsia
Gestational diabetes increases your risk of preeclampsia, which is high blood pressure (hypertension) and excess protein in urine. While its exact cause remains unknown, one theory suggests it might stem from placenta malfunction preventing enough oxygen reaching your baby during gestation. Preeclampsia can have serious repercussions for both mother and child such as low birth weight, premature delivery or stillbirth as well as kidney or liver issues which have long-term health ramifications for both.
Preeclampsia’s signs and symptoms are often subtle, making them hard to notice. Your healthcare provider can check for them during prenatal visits or perform urine protein testing; in cases of severe preeclampsia you should visit the hospital immediately as signs and symptoms could include sudden rises in your blood pressure, water retention, fatigue, nausea or vomiting, blurred vision difficulty concentrating feeling fullness in stomach urinating more often or having increased fluid output, shortness of breath etc.
If your preeclampsia is severe, your provider may recommend inducing labor early so you can give birth as quickly as possible. If you’re still less than 34 weeks pregnant, they may administer medicine to start laboring or break your waters (amniotomy). Once the baby arrives, however, medicine to lower blood sugar and prevent seizures will need to be taken in addition to potential C-section surgery; gestational diabetes increases the chance of needing one in future pregnancies.
3. High blood pressure
Hypertension during gestation typically isn’t a cause for alarm, but it may increase your risk for complications like preeclampsia and HELLP syndrome – an uncommon but potentially devastating condition which can result in liver damage, bleeding and anemia if untreated.
Women who have gestational diabetes have an increased risk for gestational hypertension. If gestational diabetes is your case, more regular blood pressure readings and medical treatments may be necessary – along with changing diet and activity levels as recommended by your physician as well as potential insulin injections.
Normal pregnancy ensures the baby receives all its nutritional needs through its mother’s blood; if her blood sugar is too high, however, its pancreas may not be able to process enough glucose which causes its size to expand more than usual and result in larger birth weight.
Researchers do not know why some women develop gestational diabetes while others do not, although excess weight prior to conception often plays a part.
Gestational diabetes typically appears about 24 weeks into gestation and can usually be diagnosed using an oral glucose tolerance test, in which you consume a special syrup and wait one hour before having your doctor analyze your blood.
Gestational diabetes increases your risk for having an extremely large baby (macrosomia), making labor more complicated, potentially necessitating cesarean section and potentially necessitating premature delivery (preterm birth). It also increases your chances of having to deliver prematurely (preterm).
4. Premature delivery
Many women worry about gestational diabetes posing potential problems during their pregnancies; however, most gestational diabetic women have healthy pregnancies and babies if they make certain lifestyle adjustments and regularly visit their physician to prevent complications and detect problems early.
Gestational Diabetes occurs when blood sugar levels become abnormally elevated during gestation. A healthy pregnant woman typically maintains blood sugar levels between 80 to 120 milligrams per deciliter (mg/dL).
During gestation, your baby takes its nutritional needs from you and its shared bloodstream. But if glucose levels reach excessive levels during gestation, their pancreas must produce more insulin to control them – potentially leading to excessive growth and an oversized birth which could require C-section or even traumatized delivery.
Unintentional gestational obesity may lead to respiratory distress syndrome in babies, in which their air sacs don’t receive enough surfactant to ensure smooth lung function and breathing problems arise that require immediate medical treatment–typically oxygen therapy.
Baby of mothers who had gestational diabetes is at 50% risk for later developing type 2 diabetes; therefore, losing weight and exercising daily is vital to reducing this risk. Women who had gestational diabetes should undergo blood sugar testing six to 13 weeks postpartum as well as at 1 year, 3 years, etc after delivery, plus seeing their doctor if symptoms such as thirstiness, needing to pee often, or dry mouth arise; should this happen, contact your physician immediately!
5. Heart disease
Gestational diabetes occurs when a pregnant woman’s body cannot produce enough insulin. Insulin is a hormone responsible for managing nutrition and moving glucose from her blood stream into tissues that use it as energy, such as muscles and the brain. Insulin resistance often increases during gestation so as to ensure sufficient amounts of glucose reach her baby – however this process may go too far and cause her blood sugar levels to spike abnormally high.
Gestational diabetes poses serious risks to both mother and baby during gestation and after delivery, including birth defects, high blood pressure and premature delivery. Research has also linked gestational diabetes with cardiovascular diseases like coronary artery disease and stroke.
Doctors can help reduce gestational diabetes risk through healthy diet and regular exercise as well as encouraging women to lose weight before gestating. Women at greater risk may have gestational diabetes if diabetes runs in their family; gestational diabetes screening should occur between 24th and 28th week gestation and special drinks will likely be administered to test blood sugar levels.
Women diagnosed gestational diabetes will likely need more frequent prenatal appointments with their provider. They may perform tests such as nonstress tests and biophysical profiles to make sure both mother and baby are doing well during gestation. She should keep track of how many times her baby moves each day and inform their provider immediately if there are changes that require attention.