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Type 2 Diabetes – High Blood Sugar Levels During Pregnancy
Gestational diabetes occurs when a woman’s blood sugar levels are higher than normal during pregnancy. This can happen even if the mother has no previous history of elevated blood sugar levels. Gestational diabetes is not the same disease as type 2 diabetes, although it often presents the same.
When gestational diabetes develops, it can have a series of far-reaching and deep-seated consequences for both the mother and her unborn child that can last long after delivery. This form of diabetes is usually a “warning” that type 2 diabetes may develop in the future unless lifestyle and dietary changes are made during pregnancy or after childbirth.
Developing gestational diabetes during pregnancy is easier than you might think because a woman’s body undergoes many changes that do not normally occur. Although several factors increase the likelihood of developing diabetes, by far the biggest factor is weight gain.
Pregnant women who are obese or underweight and not directly related to pregnancy are usually advised to stabilize their weight. It is also important to let your doctor know of any significant changes in how you feel overall, especially if you feel:
- more fatigue than normal during pregnancy,
- extreme thirst, or
- Extremely hungry.
Some basic rules that pregnant women should follow are:
- Heat only slightly increased as needed.
- Foods high in fat and sugar should be avoided.
- A meal plan should include fruits and vegetables…dark green and leafy vegetables because they are high in iron and calcium.
- It is generally recommended that underweight mothers gain only 28 to 40 pounds (12.7 to 18.1 kg), normal weight mothers gain 25 to 35 pounds (11.3 to 15.9 kg), and normal weight mothers gain 11 to 25 pounds (5 to 11.3 kg) obese mother. Any more weight gain significantly increases the likelihood of gestational diabetes.
Many obstetricians will perform blood sugar testing in the first half of a woman’s second trimester…earlier if symptoms develop that may indicate an elevated risk.
Treatment for gestational diabetes is usually:
- through diet,
- exercise,
- Insulin if needed, and
- Blood sugar monitoring.
It is actually difficult to assess some women for gestational diabetes because there are no specific signs and symptoms. That’s why it’s important to see your doctor as early as possible if you suspect the condition or have any telltale signs.
In many cases, type 2 diabetes goes away after delivery. Unfortunately, it is destined to recur in up to 90% of pregnancies unless the woman gets herself in good shape between pregnancies. In some cases, gestational diabetes is actually a precursor to type 2 diabetes.
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