How To Manage Blood Sugar Levels During Pregnancy – Jan 24, 2016 Jun 23, 2022 Joe Patterson 24440 Watch for changes in movements, increased movements, placental calcification, placental impairment, placental insufficiency, decreased movements
The placenta is an organ between the baby and the mother, which is responsible for supplying oxygen and nutrients to the baby through the blood flow in the umbilical cord and removing waste materials and carbon dioxide from the baby to the mother. As we know, gestational diabetes increases the amount of glucose in the bloodstream to the fetus, but the placenta of gestational diabetes can also have developmental, structural and functional differences from the non-diabetic mother:
In diabetes, the placenta undergoes several structural and functional changes (Rev. in1-3). Its nature and extent depend on a wide range of variables, including the quality of glycemic control achieved during critical periods in the development of the placenta, the method of treatment and the time period of extreme deviation from excellent metabolic control of the non-diabetic environment. Placenta in gestational diabetes The structure and function of the placenta can be altered as a result of maternal diabetes. The nature and extent of these changes depend on the type of diabetes and the period of pregnancy. Consequences of gestational diabetes and pregnancy on placental function and birth weight Gestational diabetes Placenta problems
Having gestational diabetes means we have a higher risk of developing placental problems, although other factors can also cause placental problems, such as other types of diabetes, high blood pressure, anemia, blood clotting disorders, smoking, and substance abuse. substances during pregnancy.
Many terms can be used for placental problems in gestational diabetes, including placenta, placental insufficiency, placental insufficiency, placental dysfunction, premature aging, calcification, and placental dysfunction.
Placental problems caused by gestational diabetes occur when blood flow through the placenta is impaired. The earlier problems are diagnosed during pregnancy, the more serious the effects will be for the baby.
There may be no signs of placental problems, but the great thing about gestational diabetes is that we are monitored regularly in hospital with scans and extra growth checks.
Fetal growth and health monitoring 1.3.34 Advise pregnant women with diabetes to monitor fetal growth and amniotic fluid volume every 4 weeks from 28 to 36 weeks.  1.3.35 Routine monitoring of fetal health is not recommended before 38 weeks in pregnant women with diabetes unless there is a risk of fetal growth restriction. This includes methods such as fetal umbilical artery Doppler recording, fetal heart rate recording, and biophysical profile testing. (macrovascular disease or nephropathy) [2008, revised 2015] NICE guideline NG3
If you are not offered an additional growth scan and doppler, you should contact your diabetes team and midwife to discuss this. The timetable for recommended antenatal appointments with gestational diabetes is available in the NICE guidelines and can be found here.
Many people with gestational diabetes see a normal decrease in blood sugar levels after about 36 to 37 weeks. Insulin resistance is at its best between 24 and 28 weeks and at its worst between 32 and 36 weeks. This is due to hormonal changes, the baby is growing rapidly which makes the placenta work harder and secrete more insulin resistant hormones. After this time (around 37 weeks) the release of hormones slows down and decreases, which means that insulin resistance can improve a little and blood sugar levels start to normalize. Increase the amount of carbohydrates ingested to maintain constant levels.
Remember that “good” blood sugar levels are nothing to worry about, but sharp drops and/or no rise in levels after eating should be noted.
The placenta naturally ages at the end of pregnancy, so it can be a sign that your pregnancy is over and the baby may be ready to come out!
If you have concerns about placental complications of gestational diabetes or low blood sugar levels, you should discuss them with your healthcare professional. It’s not worth sitting and asking and worrying, calling the diabetes team and raising your concerns.
If you suspect placental abruption, you should contact a medical professional immediately. Most women are asked to go to hospital for assessment and, depending on the stage of their pregnancy, if there is cause for concern after monitoring, doppler or scans, they may be admitted for receive attention or daily evaluations. A care plan will be discussed, which may include steroid injections to help your baby’s lungs mature (depending on how far along you are in your pregnancy and how you were born) and you may be advised to have an induced or early caesarean section. this
This can be a very scary time, but your healthcare professionals should be able to answer any questions you have and help you come up with the best plan of action for you and your baby.
Conclusion: Histological abnormalities were observed more in diabetic placentas than in the control group. These findings confirm the hypothesis that the alteration of placental function is one of the main causes of the increased frequency of fetal complications in diabetic pregnancies Placental pathology in women with gestational diabetes.
Gestational Diabetes Shopping List After you’ve been diagnosed with gestational diabetes, it’s best to change your diet right away.
Sliding scale (variable rate intravenous insulin infusion) What is an insulin sliding scale? A sliding scale (or real name: variable rate
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In my first pregnancy, I was completely new! I blamed myself and panicked at first. But I was supported to get through it and stick to a diet that worked miles better for my levels than my NHS nutritionist had told me. I have never looked back, I had my second pregnancy after that and had GD from the start. The atmosphere and all the information on the website and the support in the Facebook group is priceless! I had my twins almost 3 years ago and we still have our favorite foods in our meals.
I had gestational diabetes with both of my rainbow babies. The first was diagnosed at 29 weeks and the second, I have had high levels since pregnancy. Troubled pregnancies made even more difficult with GD on top.
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It can be a shock to have to change your diet overnight, especially when you realize that your typical Western diet is very high in carbohydrates. Figuring out what to cook and how to balance fats, proteins, and carbs can be daunting, especially when you’re going through pregnancy and the emotions of a diagnosis. Having the support of Gestational Diabetes UK to do this is absolutely invaluable. thank you so much!
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I am 7 years postpartum and I still make a lot of recipes from the web. The information on the website is second to none and I learned a lot during my pregnancy. I’m not much of a baker, but I can even follow the recipes on the website to make delicious food.
Thanks Joe for all your help and guidance, you are truly one of the millions who have dedicated their lives to helping GD moms. You have saved 1000 babies
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