Gestational Diabetes Treatment
In some pregnant women they are able to keep blood glucose level at a healthy level by managing their diet. Others may require consultation with a dietitian to set up a diet plan, and regular monitoring of blood glucose.
If diet control does not control the blood glucose level sufficiently, the physician many prescribe insulin. The United States Food and Drug Administration does not approved use of oral medicines to lower blood sugar level in pregnant women because it is possible to have undesirable effects on the unborn. If insulin is used during pregnancy to treat women with type 1 or gestational diabetes, it seems to pose no risk to the unborn when blood sugar level is monitored closely.
Gestational diabetes can cause some risks and potential problems to the developing fetus. Different to type 1 diabetes, it rarely causes serious birth defects because gestational diabetes in most cases does not occur until the last three months of pregnancy. Nevertheless, a fetus that has developed normally can have problems during delivery because the fetus can be larger than normal as a result of exposure to too much glucose levels. This is known as macrosomia. Due to this, delivery may be more difficult and the need for caesarean delivery maybe required. If natural labor and delivery does not occurred by 38 weeks of pregnancy, the physician may advise inducing labour or delivery by surgery to avoid macrosomia. It should also be noted that, badly managed blood sugar levels may increase the changes of fetal death prior to delivery.
Although the mother’s blood sugar level will return to normal after the birth, but complications can still affect the newborn. Before delivery, the fetus makes plentiful amounts of insulin when it was exposed to the mother’s high blood glucose levels. After delivery, before the newborn can adjust to its own insulin production, low blood sugar levels may occur temporarily. If the mother has gestational diabetes, the newborn’s blood sugar should be measured after birth. If required, an injection of glucose into the vein will be given to the newborn. Due to gestational diabetes, the newborn may also have other chemical imbalances, so it is necessary for the newborn to have calcium and blood tested and monitored.
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