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GESTATIONAL DIABETES

Gestational diabetes is a form of diabetes that a woman can develop during pregnancy. Diabetes is when a person's body cannot convert sugar and starches (carbohydrates) into energy, which results in extra sugar being collected in the blood.

No one knows all of the causes of gestational diabetes. Some women with gestational diabetes are overweight -however, not all women- have diabetes before getting pregnant, or have a family history of diabetes. Statistics demonstrate that from 1 in 50 to 1 in 20 pregnant women develop gestational diabetes.

If you are called during your pregnancy and told that you have gestational diabetes, stay calm, as you will work with your doctor and staff in order to come up with a plan to keep your blood sugar under control. Following a plan can help you have a healthy pregnancy and baby; as well as help you and your baby stay healthy after birth.

  1. See your doctor regularly
  2. Work with a dietician and diabetes educator to learn more about healthy food options
  3. Exercise regularly -> brisk walks for 30mins. 5 days a week
  4. Take your medications as directed by your physician (if prescribed)
  5. Monitor your blood sugars often and bring results to every doctor's appt.
    1. Your blood sugar can change many times throughout the day depending on
      1. Food
      2. Exercise
      3. Babies growth
  6. Control and treat low blood sugar quickly
    1. Use hard candy or glucose tablets

Uncontrolled diabetes can cause:

  • Large birth weight (>9 lbs)
    • Elicit the need for C-section
      • Longer recovery time
    • Cause problems with vaginal delivery such as:
      • Injured nerves in the shoulder (shoulder dystocia)
      • Fracture of the collarbone
      • lack of oxygen resulting in brain damage
  • Quick change in blood sugar of the child after delivery resulting in the need to treat low blood sugar
  • Child will be more likely to become overweight in the future possibly resulting in child being type II diabetic
    • Type II diabetes is the condition in which the body does not make enough insulin to regulate the blood sugar properly. This can sometimes be controlled by proper diet and exercise but may need to be monitored with Insulin.
  • Mothers can develop preeclampsia
    • Symptoms include
      • High blood pressure
      • Protein in the urine
      • Swollen extremities
    • Can cause seizure or stroke in mother
    • Can cause baby to be born early

Monitoring your blood sugar

Recommended

Blood sugar levels

AGOC levels

Before meals

≤95

 

1 hour after eating

≤130

 

2 hours after eating

≤120

 

Circle any abnormal blood sugar results. Add comments on diet, exercise, illness or stress. Copy this chart as you will need to keep track of your blood sugar and bring to every OB visit (once weekly).

Date

Breakfast

Lunch

Dinner

Bedtime

Other

Medicine you take

Before

After

Before

After

Before

After

Time

Blood sugar reading

Comments

(report anything that may have caused changes in blood sugar)

Date

Breakfast

Lunch

Dinner

Bedtime

Other

Medicine you take

Before

After

Before

After

Before

After

Time

Blood sugar reading

Comments

(report anything that may have caused changes in blood sugar)

***if you are concerned about your blood sugar levels please fax results to 478 -3014 or email results to info@thewomenswellnessplace.com

Symptoms of high blood sugar: Symptoms of Low blood sugar:
  • Thirst
  • Headaches
  • Blurred vision
  • Feeling of weakness or fatigue
  • Yeast infections
  • Frequent urination
  • Difficulty paying attention
  • Feeling hungry
  • Headaches
  • Perspiration
  • Weakness
  • Feeling dizzy or shaky
  • Feeling anxious or cranky
  • Heart feels like it is beating too fast
  • Confusion
  • Pale appearance
  • Fasting sugar < 70

If you notice any of the above signs or symptoms, check your blood sugar. If your level is low eat or drink a source of quick sugar -like hard candy or 4 oz of fruit juice or skim milk. Check your blood sugar agin in 15 minutes. If the level has not improved eat or drink another source of quick sugar. When your symptoms have resolved have a protein snack. Speak with your doctor if you have more than 2 low blood sugars during a 1 week timeframe. IF your blood sugar is high just document it on your chart -call the office if >200.

Eating for two is not a license to double your consumption of daily food. You only need an extra 300 calories per day! By eating healthy and monitoring your daily caloric intake will help support your babies health and make it easier to lose the extra weight after delivery.

Below is a simple guide to eating healthy (this should not take the place of any meal plan developed by you and your dietician)

  1. Eat smaller portions


     
  2. Eat less fat
    1. Limit foods high in saturated fats such as
      1. Fatty cuts of meat
      2. Fried foods
      3. Dairy products made with whole milk
      4. Cakes, candy, cookies, crackers, and pies
      5. Salad dressing
      6. Lard, shortening, stick margarine, and non dairy creamers
    2. Use less fat for cooking
  3. Eat more fiber
    1. Eat more whole grains
  4. Eat a variety of vegetables
    1. Dark green veggies
    2. Orange veggies
    3. Beans and peas
  5. Eat less foods high in sugar
    1. Fruit-flavored drinks
    2. Sodas
  6. Use less salt
    1. Canned or packaged foods
    2. Avoid frozen prepared meals
    3. Avoid processed meats and cheeses
  7. Eat meals at the same time every day
  8. Eat a variety of foods from all food groups
  9. Try to eat 6 small meals throughout the day.
    1. i.e. breakfast -> snack -> lunch -> snack -> dinner -> snack

Menu tips

 Trade in your white bread and pasta for whole-grain

 Choose a salad with low-fat dressing and beans or grilled chicken

 Make a choice to have sliced fruit instead of cookies or cake

 Avoid Juice





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