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Diabetes Health Centre
Pregnancy

How Will Gestational Diabetes Affect Me?

Gestational Diabetes
If you are diagnosed with gestational diabetes you will likely have to readjust your schedule and activities.

Typically women with gestational diabetes feel well. However, gestational diabetes (GDM) can be associated with high blood pressure. Your doctor will regularly monitor your blood pressure, check your weight and have your urine tested for protein.

Once your baby is born, your blood glucose will most likely return to normal but there is an increased risk that you could develop type 2 diabetes later in life. It is important to have your fasting blood glucose checked about 6 weeks after delivery and annually thereafter. You may reduce the risk of developing diabetes later in life through healthy eating, regular exercise and maintaining a healthy weight.

Adjusting your Schedule

Pregnancy already entails a lot of change to your life and routine. The suggested recommendations for the treatment of gestational diabetes could mean more changes and adjustments. The support of family and friends can be helpful, but they may also be worried and unsure of how to respond. If you aren't getting the support you need, talk to your diabetes health care team. They may be able to arrange counselling or help you find a support group for women in a similar situation.

Your medical visits will increase during this time. Besides your obstetrician or family doctor, a diabetes specialist or endocrinologist may also be part of the medical team. Routinely, the following tests are done: Blood pressure; urine test for protein; blood glucose. Ultrasound pictures of the baby will be taken regularly. Medical appointments are usually weekly or every two weeks and do take time. It may be a good idea to ask your doctor to provide a letter for your employer if medical visits conflict with work. All this activity is to ensure that you stay well during your pregnancy and have a healthy baby.

Insulin

Insulin may be necessary if blood glucose cannot be maintained at a healthy level through meal planning and increased activity. Pills for diabetes are not recommended during pregnancy. Insulin is given by injection 1 - 4 times daily depending on blood glucose results. Insulin is discontinued after delivery. If you require insulin, you will be taught how to use it.
 
Managing Your Pregnancy with GDM
 

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Reviewed June 2004

 
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