The Trigger

During pregnancy, generally around week 24, approximately 3-12% of women develop diabetes.  Even ladies that are extremely dedicated to eating healthy natural foods are diagnosed with the disease. Along with all the normal

and expected changes that the body undergoes, the body starts failing to process carbohydrates by breaking down the sugars and getting the cells into the bloodstream.  Enter diabetes.

Diabetes occurs when the body does not produce enough insulin, the chemical necessary to deal with the sugars in the blood.  As the baby grows, mom’s body is required to produce more insulin, to deal with all of the extra sugars needed to support her and the baby.

As studies into this health concern continue, it is also suggested that gestational diabetes is related to the placenta.  The hormones in pregnancy interfere with the production of insulin.  Then, before very long, the sugars build up in the blood and the mom becomes diabetic.

The Big Three

Diabetes is a serious health problem that affects millions of people-pregnant or not.  To better understand gestational diabetes, it might help to have a view of the big three.  The most serious form is juvenile diabetes, also known as type I diabetes.  Youngsters diagnosed with diabetes simply have bodies that quit manufacturing insulin.

Constant monitoring and regular shots are required to keep the body in balance.  To ignore the problem means death.  Unfortunately, as the years progress the disease takes quite a toll.  Individuals have a great risk of heart disease, loss of eyesight, circulation problems, and much more.

Type II diabetes is also known as adult onset diabetes.  While some people will have to learn how to self-medicate with insulin shots, many people can get the disease under control with a healthier diet and exercise.  Today, schools are also teaching the value of proper nutrition, hopefully to prevent some of the students from suffering this illness in the future.  So, it is a big problem in society today.

Gestational diabetes is different.  In most cases, the disease goes away after a baby is born.  But, like Type II diabetes, it can often be controlled by proper diet and exercise. Nevertheless, all 3 types of the disease have one major factor in common.  It is extremely important to follow the advice of a doctor very closely, monitor blood sugar levels, and do whatever treatment for diabetes is required for the rest of a lifetime, or until the birth of a child and insulin production returns to normal.

Testing for Gestational Diabetes

Because the disease does not usually manifest in pregnancy until at least 22 weeks, doctors schedule the test between then and 24 weeks of pregnancy.  Until this point, the baby is so small that a significant increase of insulin is not required.  But, as the baby begins to grow bigger and gain weight, he/she needs to be able to metabolize the nutrients provided by the mother.

Most women find the test a wee bit unpleasant.  It requires fasting through the night.  So, doctors generally schedule the test in the morning, so mom does not fade away from hunger.  Then, it is simply a matter of drinking a very thick and sugary orange drink.
Unfortunately, gingerly sipping the beverage is not permitted.  The entire amount needs to get into the body as quickly as possible, so sugar levels are high.  After waiting in the office for about an hour, the technicians take a blood sample and tests for the level of sugar still in the system.  If enough insulin is being produced to support both baby and mom, the sugar levels will be at an appropriate level.

However, if the sugar levels are still too high, the doctor will want to run another test in a few days.  If the bloodstream still contains too much sugar, mom will have to carefully follow the instructions for gestational diabetes until the end of the pregnancy, at least.  In the future, any subsequent pregnancies will have to be carefully monitored as high risk, because it is likely to happen again.

In short, gestational diabetes generally only lasts for the duration of the pregnancy.  But, it is dangerous for both mom and the baby.  Carefully following the advice of the doctor is essential.  It is a very serious disease that is potentially fatal.  Yet, it can be controlled, in most cases, by a change in diet and exercise.  So, for the health of the baby drink up that orange goo.

The following information does not mean anyone will necessarily be diagnosed with gestational diabetes.  The factors simply up the odds for some moms.  Knowledge is not for the purpose of panicking  pregnant women, who already have a lot of concerns on their minds, but to become better informed, just in case.

Family

The first risk factor should come as no surprise.  Women that already have family members with the disease should not be surprised, if the added insulin requirement for the baby bumps them into this complication.  Chances are pretty good they are already eating well and exercising, in order to stave off the disease.  While they will still have a better than 50% chance of being diagnosed with diabetes later in life, the current problem will probably go away, after the baby is born.

Stillbirth

Although the reason is unclear, it seems that moms who have lost a child to stillbirth are more likely to develop gestational diabetes.  Thankfully, the previous tragedy should also put the doctors on high alert to monitor any subsequent pregnancies more closely.

High Birth Weight in a Sibling

Women with diabetes general have babies with a higher than normal birth weight.  Therefore, if a brother or sister weighed more than 9 pounds at birth, the doctor will want to monitor for gestational diabetes more closely.  Because of the added sugars delivered to the baby during pregnancy, they tend to get fatter.  In September 2009, an Indonesian woman with diabetes gave birth to a son more than twice the weight of the average baby.

Overweight

If mom already has a problem with weight issues, she is more likely to develop gestational diabetes.  In truth, the same risk factor is present even for those people who are 20% over a healthy weight.  Although it is definitely not the time to go on a weight loss program, it is time to change eating and exercise habits.  Caring for a baby begins long before he/she makes a first public appearance.

High Blood Pressure

Pregnant women are more likely to develop high blood pressure.  But, if they are diagnosed with preeclampsia, the likelihood of adding diabetes to the complications also increases.  Although it does not seem fair to have to deal with 2 major health issues, on top of being pregnant, one often leads to the other.  But, following the advice of the doctor, improving diet and exercise, and carefully monitoring the body will greatly improve the chances of holding a happy and healthy baby in a few months.

Infections

Women that tend to have urinary tract, skin or genital infections are also prone to develop gestational diabetes.  Therefore, the best defense, other than eating healthy and exercising, is to let the doctor know if infections seem to occur more frequently than normal.

Multiples

Women pregnant with multiples are more likely to acquire gestational diabetes.  Naturally, the body will have to produce more insulin to accommodate the babies as they grow.  Of course, having twins, triplets, or more babies at one time naturally puts the mom and babies at greater risk for many health concerns, so careful monitoring is necessary in any case.  It will be extremely vital to listen to what the doctor recommends; even on the days fudging the rules seems possible.

Age

Everyone already knows that advanced age increases the risks levels of any pregnancy.  But, most women will be surprised to learn that being over the age of 25 increases the risk of gestational diabetes.  Many women are just getting started in their careers and not even thinking about a family yet.  So, this last risk factor for gestational diabetes pretty much covers anyone who many not fit within the other risk categories.

Most ladies probably do not know how prevalent gestational diabetes is during pregnancy.  In fact, 25% of all metabolic disorders in pregnancy are attributed to diabetes.  For this reason, every woman is now tested for the disease about half way through the pregnancy. Every woman is at risk and so is her baby.

In short, gestational diabetes is such a prevalent complication of pregnancy that doctors automatically test for the disease.  With 8 serious considerations, almost all women have at least one risk factor for the disease.  In every pregnancy, the ultimate goal is to have a healthy, happy baby, and taking care of a child starts with taking care of the mother.

More Often than Not

The general rule of thumb for checking blood sugar is as often as possible.

Before and after eating and exercise is especially important.  However, if mom becomes ill or does not feel good, it may be necessary to test more often and adjust insulin shots, if necessary.  For example, the flu can really play mean games with metabolic disorders.  Eating schedules are off and it is simply impossible to take a long walk or even lift hand weights.

If control of gestational diabetes is managed by exercise and diet, but mom is feeling yucky and schedules are off, it is important to call the doctor and find out what is necessary to maintain appropriate sugar levels.  If blood sugar level dips below 60 mg/dl mom and baby are both at risk for serious complications of gestational diabetes.

According to Manage Your Gestational Diabetes by Lois Jovanovic-Peterson, M.D., several symptoms will let mom-to-be know she is in trouble.  Then, it is vital to eat something with sugar content like candy, a glass of milk or juice, or something the doctor has suggested to get blood sugar levels up, before something goes terribly wrong.  The doctor provides a list of possible symptoms.  If mom has low blood sugar, she may experience:

• Dizziness
• Shakiness
• Sweating
• Increased Heart Rate
• Clumsiness
• Jerky Motions
• Hunger
• Headache
• Unexplained Moodiness
• Paleness
• Confusion
• Lack of Concentration
• Mouth Tingles

Of course, any one of these symptoms may be due to other circumstances.  But, when dealing with gestational diabetes, get used to taking absolutely no chances.  Test blood sugar levels.  If normal eating and exercise is not possible and not controlling the diabetes the doctor may require mom to come in for a checkup.  It may also be necessary to be hospitalized until mom-to-be feels better and is able to resume a regular diet for gestational diabetes.

The Need to Know

If mom has been diagnosed with gestational diabetes, it is important to NOT keep it a secret from friends, family members, and even coworkers. Should blood sugar levels become too low, it is possible to pass out, in conjunction with the other adverse insulin reactions mentioned above.

Therefore, it is important to let people know what to do and who to call, if mom cannot do it for herself.  It will also be necessary to wear some sort of identification bracelet or necklace.  Hopefully, nothing will go wrong.  But, if mom is in some sort of accident or has a reaction in a public place, unfamiliar people or emergency health care workers need to be aware of any serious medical conditions, so the proper medical treatment can be administered right away.

Miracles of Modern Medicine

While mom may not feel lucky to have gestational diabetes, it really is fortunate to have the miracle of modern medical technology.  Less than 2 decades ago, it was impossible for expectant mothers, or anyone else for that matter, to test for blood sugar levels throughout the day.  Colorful, handheld monitors have not been available for public use for very long.

Today, mom can check her blood as often as she feels necessary.  If diet and exercise are sufficient to keep gestational diabetes controlled, it will only be necessary to test first thing in the morning and after breakfast, lunch and dinner.  If insulin shots are part of the treatment, it will be important to test at least 8 times a day.  The doctor may even want mom to get up in the middle of the night, in order to make sure that an insulin shot is not needed.

Although frustration and a host of other emotions are justified, try to think of it as a blessing that modern medicine makes it possible to do what it takes to give the baby a chance to be born healthy, without any adverse side effects from the gestational diabetes. Instead of guessing what is needed, and constantly worrying about the symptoms of low blood sugar, mom can test before and after every meal, before and after exercise, as often as necessary when she is feeling ill, and whenever she simply wants to make sure that the blood sugar is within the normal range.  Before something goes terribly wrong, she can call the doctor and make any adjustments to treatment for gestational diabetes, thus improving the chances for safely delivering a healthy baby.

Delay is Dangerous

Disbelief is a common feeling, because the woman

does not feel any different than the day before, when she had no idea that the body is not processing sugars correctly.  However, it is extremely important to understand that any delay in beginning to treat gestational diabetes only increases the danger for both mother and baby.

It is vital to use the emotions to develop a fight attitude, rather than flight.  Do not give up and try to hide in ignorance.  Diabetes will not go away.  Treatment for gestational diabetes must begin immediately, to give both mom and baby a better chance of successfully completing the pregnancy.

Mom is not Alone

Although the health care team cannot make a mom take care of herself and the baby on a daily basis, she does not have to feel all alone.  Once the metabolic disorder is discovered, the doctor will schedule appointments more closely together.  At first, the visits will commence every two weeks.  At that time, the routine blood draw is tested for excessive amounts of sugar in the system.

As the pregnancy progresses, the appointments will be scheduled every week, especially if it is difficult to maintain a healthy blood sugar level.  The entire medical team shares the same goal with the mother-to bring this pregnancy to term and deliver a healthy little boy or girl.  Nevertheless, it is the mom’s responsibility to heed the medical treatment plan and do everything possible to stay healthy.

The Medical Team

An individual diagnosed with gestational diabetes will get to know several professional caregivers quite well, before the pregnancy comes to term.  It will take more people, in addition to the doctor, to make sure the diabetes is under control.  The list includes the:

• Dietician
• Therapist
• Technician

Each trained professional teaches mom how to treat diabetes; and, these experts will help monitor each specific aspect of the pregnancy.  Changes and adjustments are made, if necessary.

Dietician

The dietician teaches mom what and how to eat, in order to help control the gestational diabetes.  A healthy diet is prescribed.  In addition, the frequency of the meals will be determined.

If the mother already has a problem with excess weight, the healthier diet may result in no more weight gain, and in some cases weight loss. Nevertheless, the growth of the baby is closely monitored.  Even if mom does not gain any more weight throughout the pregnancy, the baby should still receive all of the nutrition required to arrive at a healthy weight.

In truth, the new eating habits should be maintained after the baby is born.  Since mom is at increased risk of developing type II diabetes later in life, it is important to get down to a healthy weight and do whatever is necessary to avoid a permanent diagnosis.

Therapist

A therapist will be called to discuss exercises appropriate for pregnancy.  Mom should not enroll in an aerobics class, especially if unaccustomed to such activities.  However, a brisk walk will probably be prescribed on a daily basis.

Exercise helps burn the extra sugars in the body.  Therefore, it is also a great weapon in treating gestational diabetes.  In some cases, the doctor will want mom to only do upper body exercises, especially if it is already late in the pregnancy.  The therapist will discuss those exercises that can still burn away that extra sugar, without stressing out the mom or the baby.

Technician

A technician will probably be called to teach the expectant mother how and when to test her blood sugar.  Before meals, after meals, following exercise, first thing in the morning or the last thing at night before bed, a regular routine for testing a drop of blood with a meter will be established. In addition, a visit to the technician is important, if the doctor finds it necessary to prescribe insulin shots.

If shots are required, mom will learn how to self-medicate.  A dose of insulin in the morning or at night may be all that is required. However, in order to more closely mimic the regular release of insulin in a healthy body, the doctor may prescribe up to 4 shot per day at regular intervals.

In short, learning how to treat gestational diabetes is vital for the health of the mom-to-be and the baby.  Wallowing in negative emotions or delaying treatment is not an option.  Caring for a precious child does not begin at the moment of birth. It should be a priority all through the pregnancy.  An expert medical team will help mom know what to do, and complications to watch for, but it will be her responsibility to take care of herself and her baby.

The Importance of Physical Activity

Gestational diabetes is a result of

the body’s inability to create enough insulin to properly metabolize sugars in the system.  In some cases, the doctor will have to prescribe regular insulin shots, to give the body the help needed to bring sugar levels back down to normal.

In all cases, the doctor will prescribe a mandatory diet plan and an exercise program. Changing how and when food is consumed will control the intake of sugar. Exercising will help the body burn the excess sugar that is hard for the system to metabolize. Contrary to what many people believe, it does not require strenuous exercise to burn excess sugar.  The key to better health is movement.  Since every mom and pregnancy is different, the doctor will prescribe the exercises that are best.

How to Exercise

Sometimes mom will quit exercising, after discovering they are pregnant.  Fearful of having a miscarriage or doing some sort of harm to the baby, it seems reasonable to be careful and put the feet up as much as possible.  While it does not hurt to be pampered to some degree, normal life should not stop simply because the womb is incubating a baby.  Unless complications arise, and the doctor says otherwise, it is important to stay as active as possible.

As long as mom does not suffer fatigue or feel undo discomfort, exercise is good for her and the baby.  With a normal pregnancy, many moms exercise until the moment they go into labor. Nevertheless, moms should never start a strenuous program that they are not already accustomed to enduring.  The doctor will have specific criteria.  Some of the workouts that might be recommended are:

• Upper Body Exercises
• Walking
• Swimming

For women that are having additional complications with pregnancy, or simply too far along to start any new activity, the doctor may prescribe upper body exercises.  Instead of being on her feet, mom may sit in a chair and move her arms and shoulders, while holding 2 pound weights in each hand.  It may be something as simple as holding a can of vegetables in each hand, outstretching the arms, and rotating the arms in circles.  It is not strenuous, but it gets the body in motion, and will help control gestational diabetes.

Walking is great exercise for the moms that are not restricted from such activity.  After a meal, take a walk around the block.  Enjoy the sunshine or the cool of the evening.  Make it a family outing.  In fact, some moms believe their delivery is easier because they are in the habit of walking every day.

The doctor may also suggest swimming as the recommended form of exercise.  Low impact, it is also cooling and relaxing.  It does not necessarily feel like any type of workout.  Low impact water aerobics may also be a fun way to control sugar levels.

When to Exercise

Generally, people without a metabolic disorder choose when they prefer to exercise.  Some individuals prefer getting up extra early in the morning and working out before a shower and breakfast.  Others opt to exercise in the evenings.  For moms diagnosed with diabetes, the doctor will probably prescribe a specific time of day.

In addition, it will be extremely important to monitor blood sugar before and after working out.  It can be very dangerous to have low sugar count, as well as an abnormally high sugar level.  It is paramount to determine how exercise affects mom as an individual.  Eating habits and insulin shots may have to be adjusted, in order to accommodate the new program for good health.

In short, moms need to help control gestational diabetes with exercise. With the help of medical professionals, an individualized plan will be established.  However, it is essential to monitor blood sugar, in the event that the exercise plan needs to be adjusted.  The workout does not have to be strenuous, in order to be effective.  So, if mom is farther along, and being on her feet is not recommended, the doctor can prescribe upper body exercises to do while sitting in a chair.  The idea is to use up that extra sugar in the blood stream, so that the body does not have to work so hard to process it, if insulin production is way down. As long as the doctor is monitoring the program, do only as requested.  If pain or fatigue becomes a problem, talk to the doctor and have the plan adjusted.  Do not simply give up.  In fact, hopefully the healthy habits will continue even after the baby is born.

Just Maybe

If mom is diagnosed with gestational diabetes, the doctor will prescribe a strict diet change and exercise.

For many expectant moms, changing eating habits and burning off excess sugar with activity is enough.  For example, since blood sugar levels tend to be higher in the morning, breakfast will be light and without fruits or juices.

Exercise is also an important part of every day.  For at least 30 minutes, or two 15 minute sessions, it may simply mean doing upper body exercises or taking a nice walk after a meal.  For moms with other small children at home, childcare and housework might be all it takes to help keep blood sugar levels under control.  But, with proper diet and exercise, just maybe mom will not need insulin shots.

Insulin Injections

The thought of self-medicating with insulin injections is pretty scary at first.  What if there is an air bubble in the syringe?  What if it is done wrong?  It is going to hurt?  Is the amount of insulin in the shot correct?  With so many questions and unknowns, it is perfectly natural to be apprehensive and worried.

However, the doctor and other health care providers will make sure mom understands exactly what to do and when, before she leaves to go home.  Even children with diabetes learn how to regulate their insulin. In no time at all, it will simply become habit to monitor blood sugar and self-medicate as required.

No Needles

For patients with a phobia against needles, it might be necessary to come up with an alternate method of providing insulin for the body.  A few people simply cannot bear to give themselves shots.  Unless another family member or friend is around all of the time, and willing to take on the responsibility, something else must be done.

Unfortunately, the health care team is not available every time mom will likely need a boost of insulin.  However, there are shots that work on air pressure rather than needles.  It is basically a pump syringe.  When mom puts it next the skin, the device forces it beneath the epidermis. Painless and with no needles, women with gestational diabetes are able to self-medicate.

No Pills

In researching diabetes medication, mom-to-be may have read that some people simply have to take an insulin pill each day.  How simple it will be to add a pill to the prenatal vitamin every morning.  Unfortunately, women that are pregnant should not take the insulin pill, even if they already had diabetes and have been used to it in the past.

Oral medications hit the stomach and are digested and absorbed similar to food.  Under normal circumstances, it is not a problem.  However, during gestation, everything mom swallows is shared with her baby. Just as mom should no longer have an alcoholic beverage, oral diabetic medication can go straight to the baby.  Too much of the medicine can enter the bloodstream of the infant and blood sugar levels will drop dangerously low.  The treatment may be easier, but the potential diabetic complications are simply too great to take a chance.

Worth It

Yes.  Changing dietary habits, exercising, and self-medicating with insulin can be a pain especially for those that are not used to the effort.  It is one more thing to remember, when expectant parents already have so many other concerns that involve the addition of a little person to the family.

Nevertheless, doing as the doctor prescribes, without delay, is well worth it.  Care for a baby begins long before he/she enters the world and the umbilical cord is cut. Babies are not shelved and taken down when mom and dad want a cuddle or someone with which to play. Being a parent is full of sacrifices.  But, the goal is always to raise a happy and healthy child that will grow up to be a productive member of society.

Mom should always be concerned about what they ingest when they are pregnant or nursing.  Any good mother will do anything to prevent harm from visiting her children.  A baby in the womb is no exception.

Following prescribed care for gestational diabetes, including the insulin shots, is necessary to prevent birth defects, potentially deadly complications for both mom and baby, and difficulties during the birth and immediately after separation from mom.  In fact, it is important to continue following these same healthy habits for a lifetime to reduce mom’s chances of being diagnosed with Type II diabetes later in life.

So, follow the new meals plans to the letter, exercise to burn off the excess sugars, grin and bear those insulin shots, and be rewarded with a healthy baby and a healthier mom.

When Sweets are not Sweet

Pregnancy is a truly and awesome experience for many women and their families.  The idea of nurturing a baby in the womb is amazing-especially with the first child.  The body goes through a lot of changes in a relatively short period of time.  So, it is no wonder that craving and hunger are more pronounced.  In fact, some women actually feel ill, if their stomachs are left empty for too long.  But, it does not justify eating a massive amount of sweets and indulging every favored treat.

Instead, during pregnancy is the most important time to make healthy eating choices.  After all, most mothers do not feed their children candy bars, ice cream and potato chips.  Instead, they provide a well-balance and nutritious diet that includes fruit, vegetables, grains, dairy, and proteins.

Sweets will not be so sweet, if mom gains 40-50 pounds during pregnancy, and 30-40 extra pounds are left over, after the baby is delivered. However, it will become an even more serious problem if mom is diagnosed with gestational diabetes because she has been eating for two.  Throwing caution to the wind and eating everything that is not nailed down is only asking for trouble.

Diagnosed with Gestational Diabetes

The free-for-all with food will come to an abrupt and devastating halt, when mom is diagnosed with gestational diabetes.  Now, it is absolutely essential to eat to live and not live to eat.  After all, the mom-to-be must begin to live for two, rather than eating for two. In many cases, a proper diet and exercise program will be what is required to control blood sugar levels and bring them back to normal.

Nevertheless, moms that disregard new dietary requirements will ultimately put themselves and their babies in danger. Moms are in danger of developing preeclampsia.  A fancy word for pregnancy high blood pressure, it can cause strokes or heart attacks, regardless of age or health prior to pregnancy.  Mom may also suffer from urinary tract infections, and she is increasing the chances of developing Type II diabetes later in life.

If that is not enough reason to follow prescribed dietary changes, consider the health of that precious baby.  Children of diabetic moms tend to gain weight abnormally fast, which only complicates delivery, among other issues.  The baby is more like to have a severe shock to the system, due to a rapid decrease in blood sugar after birth.  The baby can suffer seizures.   Children adversely affected by gestational diabetes are also more likely to experience jaundice and have developmental problems as they grow.  In addition, the chances of having Type II diabetes as an adult are greatly increased.

Dietary Changes

Rather than taking any unnecessary chances, follow the dietary changes suggested by the doctor and the nutritionist.  First, it is important to check blood sugar levels regularly, after every meal, and see the effects of food. If the dietary changes do not bring the sugar level down to a normal level, it will be vital to contact the doctor.  It may be necessary to begin insulin shots for the duration of the pregnancy.

Second, meal habits much changed.  Mom needs to eat on a regular schedule.  Instead of 3 big meals a day, it will be important to eat 6 small meals each day.  The dietician will provide a meal plan that will include breakfast, snack, lunch, snack, dinner and snack.  It will be vital to adhere to the menu plan, regardless of what the other family members choose to eat.

For example, fruit juice or cereal will not be a part of breakfast any longer.  Controlling sugar intake first thing in the morning is essential. Also, it will probably be the lightest meal of the day. Even if mom still feels hungry after breakfast, it will not be more than a couple of hours until the prescribed snack will ease the hunger pangs.  The same can be said for all of the small meals.  In time, it will not seem like such a sacrifice.

In short, the risks of disregarding gestational diabetes are too great.  Not only can it cause harm to the mom, it will put that growing little life in danger now and in the future. Whether it is simply strict diabetes dietary changes, or insulin shots are necessary, it will definitely be worth the sacrifice to deliver a healthy baby boy or girl.

Nevertheless,

understanding that these feelings are perfectly normal and expected can help expectant mothers use the emotions to take action and do what is necessary to bring about a successful conclusion to the pregnancy.  The range of emotions is:

• Anger
• Guilt
• Depression
• Sadness
• Disbelief
• Fear
• Acceptance

Although all of these intense feelings are perfectly normal, the order, depth, and duration will differ from one mother to another.  Some women will move from one stage to the next fairly quickly, while others may require help to do what is necessary for them and their babies.

Anger

Intellectually, everyone knows that life is not fair. Good people struggle, while unscrupulous individuals seem to prosper.  But, when it comes to the health or well-being of a child, parents naturally get angry, if life and limb is threatened.  Regardless of whether that son or daughter is still in the womb or 30 years old, a mom will want to fight off that thing or person putting a child in jeopardy.

The feeling is totally expected. A mom is abnormal, if she is unconcerned about a diagnosis of gestational diabetes.  But, the key is to not wallow in anger for very long.  Treatment must begin immediately.  Overwhelming emotions generally compound the problem.  Care for that child comes first. Using anger to develop a proactive approach to the disease of diabetes is great. Conversely, dwelling has the potential to further harm baby and mom.

Guilt

Every mother will have guilt at one time or another.  As much as moms would like to put their children in some kind of perfect bubble, and protect them from any harm, it simply cannot be done. However, guilt is intensified if an unborn child is under attack from gestational diabetes.

The guilt comes from feeling like the body that is supposed to insulate this wee babe has become a traitor.  Naturally, mom will likely lay awake at night wondering if the diagnosis might have been different, if she did/did not do something along the way.  The guilt can be suffocating, if allowed to fester.  Therefore, it is extremely important to understand that it is not because of the actions/inactions of a mom.  She has no control over how her body decides to metabolize sugar.  Even a woman that eats all the right foods and exercises regularly may be diagnosed with gestational diabetes.

Depression and Sadness

Depression and sadness basically go hand-in-hand, when it comes to these intense emotions.  Again, it is perfectly natural to experience both of these feelings, especially when facing pregnancy complications.  However, dwelling on this mindset will only make matters worse.

A mom cannot afford to go home and bury her head under the covers and cry for weeks. The unborn baby is counting on mom to take action and do what is necessary to keep herself healthy, so she can provide what is necessary for the child to become strong, regardless of the special circumstances.

Therefore, it is important to remember that gestational diabetes generally goes away after the birth of the baby.  Also, treatments are available for the disease, so mom and baby remain healthy.  Many women that have type I or type II diabetes manage to have healthy babies, as long as they follow the treatment plan prescribed by health care providers.

Disbelief

Mom eats all of her vegetables, avoids fatty foods, exercises regularly to keep fit, and still she is diagnosed with gestational diabetes. Of course, it will be difficult to believe.  She does everything right and has read all of the pregnancy books she can get her hands on; yet, she will have to start taking insulin shots for the duration of the pregnancy.  By the same token, overweight moms that think pregnancy is the perfect excuse to indulge every taste bud seem to sail through pregnancy.

Disbelief is natural. But, denial will only compound the negative health issues for mom and baby.  So, it is important to follow the advice of health care providers right away, regardless.

Fear

Even mothers experiencing a seemingly perfect pregnancy will have a natural and nagging fear throughout.  For example, anyone that has gone through labor knows it is not something to be eagerly anticipated. But, being elevated to a high risk is downright scary.  Nevertheless, it is extremely important to use fear as a catalyst for doing everything humanly possible to deliver a healthy, happy baby.

Acceptance

Of course, acceptance of the circumstances is the emotion to be attained.  Moms are more likely to take care of themselves and their unborn children, if they accept gestational diabetes.  It does not mean they have to like it.  But, knowledge is power to take control and fight for the health of that precious son or daughter.

In short, it is perfectly natural to run the gambit of emotions, when a doctor diagnoses gestational diabetes.  The key is to use those feeling constructively, and do whatever the doctor recommends to bring about a safe delivery.

Premature Babies

Because of the diabetes, babies tend to gain more weight than the average baby. However, that does not necessarily mean that their minds are prepared to support that outside the womb. Therefore, the pregnancy will be considered high risk. The doctor will carefully monitor progress of both the mother and the baby. The mom has an increased risk of going into premature labor and delivery.

Treatment may be necessary to help the baby’s lungs develop more quickly, just in case. Also, medications are available to help prevent premature labor. But, since there are no guarantees, the doctor may also prescribe bed rest for the duration of the pregnancy. In some cases the mother may have to be hospitalized, until the baby’s lungs are mature enough to be delivered.

Toxemia

Toxemia is basically a fancy name for high blood pressure due to pregnancy. However, it is no less dangerous than the typical type of high blood pressure. Moms have a greater risk of stroke or heart attack. At this point, age has no bearing. Whether the mother is 20 or 40 years old, the danger is very real.

Mothers with toxemia will be more closely monitored. Regular blood pressure checks will be mandatory. Dietary and exercise changes may be prescribed. If the blood pressure gets too high, it may be necessary for the doctor to take the baby via cesarean section, in order to save the life of the mother and the baby.

Infections

For some reason, women with diabetes seem to have a greater propensity for developing urinary tract infections. Under normal circumstances, expectant moms tend to need to use the restroom more often than other ladies. It sometimes seems that the baby is doing jumping jacks on the bladder.

But, if the urgent need to urinate becomes painful and burns or the sensation of needing to go never really goes away, it is time to call the doctor. Antibiotics should take care of the problem. In fact, the doctor may have some suggestions on how to help
prevent this very uncomfortable complication in the future.

Ketones

Women with gestational diabetes may not be eating enough to support her and the baby. It is extremely important not to skip meals and to closely follow the doctor’s dietary recommendations. Otherwise, the body will start breaking down fat to find another source of energy. These gases produced are called ketones.

Ketones traveled through the blood supply. Unfortunately, that means it can be harmful to the baby. Therefore, it may be necessary to monitor them by testing daily at home. Moms will be taught how and when to perform the tests, and when it is time to call the doctor, if the results are too high.

Diabetes

Of course, the last of the six complications is diabetes itself. Moms that have gestational diabetes are more likely to have the same complication with subsequent pregnancies. In addition, the chances of developing the disease later in life are greatly increased. The experts are still debating whether the propensity to develop diabetes during pregnancy is an inherited trait or simply an unlucky complication.

Either way, the reason really does not matter at this point. How to successfully bring a healthy baby into the world is the main concern. Moms may have to learn how to monitor blood sugar, self medicate with insulin shots, and change dietary and exercise habits. In some cases, the diabetes can be controlled by eating healthier and on a regular schedule. While jumping jacks are not a good idea, the doctor will probably prescribe low impact exercises.

Since moms with gestational diabetes are more likely to develop the same complication in future pregnancies, or have a greater chance of being diagnosed with diabetes later in life, the healthier habits should not simply be for the duration of the pregnancy.  Continue the healthier habits after the baby is born.  If moms plan on nursing the baby, it will be healthier for them as well.  But, moms should simply want to stay healthy for their families.

In short, being diagnosed with a complication like gestational diabetes can be very scary.  But, thanks to advancements in medicine, doctors know what moms need to do, in order to bring the pregnancy to term, with a healthy baby.  But, it will require monitoring and strict health rules to follow, and always keeping the ultimate goal of a healthy baby in mind.

With a number of helpful methods, gestational diabetes treatment can help you to avoid a very risky situation for you and your baby during pregnancy.  Those that are diagnosed with gestational diabetes are often surprised by it. They may not have had any symptoms of gestational diabetes before now and they may not have had any history of diabetes either.  This conditions effects pregnant women due in part to a hormone that is overworking to provide your baby with the necessary requirements for growth.  About four percent of women will fact complications due to gestational diabetes, but today treatments for gestational diabetes are among the best at avoiding complications.

What Options Are There?

It is very important for you and your doctor to work out a course of action that will help to protect your baby from the onset of complications.  This requires a plan of action that will encompass your lifestyle, your overall eating habits as well as medication in some cases.  By using a glucose test, your doctor will determine if in fact you have diabetes.  When this decision is made, he will then work on a plan with you to overcome it.

Some things that may be included in your gestational diabetes treatment will include balancing your diet so that you are eating less of the foods that can cause sudden influxes of sugars into the body which can trigger an episode.  This will mean reducing the amount of sweets that you eat and the number of calories you get from carbohydrates.  In addition to this, your gestational diabetes meal plan is likely to include an increased amount of fruits and vegetables. This means eating a larger variety of these foods so that they can be available to provide necessary nutrients to your body.  They are also helpful to your body because they are broken down by your digestive system much slower therefore slowly releasing glucose into your blood rather than doing so too quickly.  Your doctor will provide you with a specific gestational diabetes diet plan to follow as one part of your treatment.

Next, your gestational diabetes treatment will involve losing weight if available.  Just reducing your weight a fraction can help you to avoid diabetes complications.  If you are over 20 percent over your ideal body weight your doctor is likely to recommend this course of action.

In addition, your doctor will require regular, healthy exercise be gotten by you.  That is because your body can burn all of that extra glucose without actually needing insulin to do so.  That can help you to improve the overall way that you feel and it helps you to keep your baby healthy throughout.

In some women, it will be necessary to take further actions to improve their overall health.    A Diet for gestational diabetes is just the start.  Your doctor may also recommend getting insulin injections if your risks are very high for gestational diabetes complications.  This may not be one of the better things to do during pregnancy, but it will safeguard you and your baby from further problems.

What is gestational diabetes?  If you are unsure, or you are worried that you may be experiencing some of the symptoms of gestational diabetes, it is important to talk to your doctor right away.  The complications of diabetes are extreme an there is no need to have to go through them.  Through careful management of your gestational diabetes diet, exercise, and weight, most mothers to be are safely protected from the problems associated with gestational diabetes.  What’s more, without taking these measures you could be risking serious complications in your child’s health and well being.