Gestational Diabetes and Eating for Two

After discovering they are pregnant, many women decide they can now eat whatever they desire-no consequences.  Surely, the cravings and extra tummy grumbling should be satisfied.  Any extra calories will help that wee one grow healthier and stronger. If only that fallacy of thought is true.  Unfortunately, the truth may be hard to swallow, along with that extra serving of ice cream.  Instead, it is important to understand about gestational diabetes and the reality of eating for two.

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.

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Coping with Gestational Diabetes Emotionally

Pregnancy sends hormones raging. Suddenly, sappy movies make a woman cry uncontrollably.  Stupid jokes are somehow hilarious. In fact, all feelings seem to be only skin deep.  So, when a woman is confronted with a complication that has the potential to cause serious health problems for her or the baby, it can be totally devastating. For example, coping with gestational diabetes emotionally is very difficult.

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.

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6 Complications of Gestational Diabetes

Pregnancy for many families is a cause for celebration, and a time to prepare for the addition of a magnificent little person to the household.  But, pregnancy is not without risks. It has not been so long ago that many ladies died trying to bring a new life into the world.  Thankfully, advancements in medicine and have vastly improved the odds for both mom and baby. But, complications arise. For example, moms that have been diagnosed need to know the six complications of gestational diabetes.

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.

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