Gestational Diabetes Treatment Guidelines

Nice Guidelines Gestational Diabetes 2020 DEGUID
Nice Guidelines Gestational Diabetes 2020 DEGUID

Gestational diabetes is a type of diabetes that some women get during pregnancy. It is caused by changes in the hormones that occur during pregnancy. It can cause problems for both the mother and the baby. If left untreated, it can lead to serious medical complications, including preterm birth, stillbirth, and high blood pressure. It is important for pregnant women to be screened for gestational diabetes, and if they are diagnosed, to follow the treatment guidelines.

What is Gestational Diabetes?

Gestational diabetes is a type of diabetes that develops during pregnancy. It is caused by changes in the hormones that occur during pregnancy, which can cause the placenta to produce hormones that make it harder for the body to use insulin. This can cause the blood sugar levels to be too high. It usually goes away after the baby is born, but some women may need to continue to manage their diabetes after pregnancy.

Who is at Risk of Developing Gestational Diabetes?

Any pregnant woman can develop gestational diabetes, but there are certain risk factors that make it more likely. These include being over 30 years old, having a family history of diabetes, being overweight, or having had gestational diabetes in a previous pregnancy. Women who are of certain ethnic backgrounds, such as African American, Hispanic, Native American, or Asian American, are also at higher risk.

Screening for Gestational Diabetes

In order to diagnose gestational diabetes, pregnant women need to be screened. This is typically done between 24 and 28 weeks of pregnancy. During the screening, a glucose tolerance test will be done to check the blood sugar levels. If the blood sugar levels are too high, the diagnosis of gestational diabetes will be made.

Treatment Guidelines for Gestational Diabetes

Once gestational diabetes is diagnosed, there are certain treatment guidelines that need to be followed. These include following a healthy eating plan, being physically active, and taking medication, if necessary. It is also important to monitor blood sugar levels regularly, as well as to attend regular follow-up appointments with a healthcare provider.

Healthy Eating Plan

The first step in managing gestational diabetes is to follow a healthy eating plan. This means eating a balanced diet that is low in fat and sugar, and high in fiber. It is also important to eat regular meals, and to snack on healthy foods such as fruits, vegetables, and whole grains. Working with a dietitian can be helpful in creating a healthy eating plan that works for you.

Physical Activity

Being physically active is another important part of managing gestational diabetes. Aim for at least 30 minutes of physical activity most days of the week. This can include walking, swimming, or other activities that are comfortable for you. It is important to talk to your healthcare provider before starting any physical activity.

Medication

If diet and exercise alone are not enough to keep blood sugar levels under control, medication may be necessary. The most common type of medication used to treat gestational diabetes is insulin. Other medications, such as metformin, may also be used. It is important to follow your healthcare provider’s instructions when taking medication.

Monitoring Blood Sugar Levels

Monitoring your blood sugar levels is an important part of managing gestational diabetes. This can be done at home with a home blood sugar meter, or at a healthcare provider’s office. It is important to keep track of your results, as this can help healthcare providers adjust treatment if needed.

Follow-Up Appointments

Attending regular follow-up appointments with your healthcare provider is an important part of managing gestational diabetes. These appointments can help to make sure that your blood sugar levels are under control, and that you are doing everything you can to keep yourself and your baby healthy.

Conclusion

Gestational diabetes is a type of diabetes that can occur during pregnancy. It is important for pregnant women to be screened for gestational diabetes, and if they are diagnosed, to follow the treatment guidelines. These guidelines include following a healthy eating plan, being physically active, taking medication, if necessary, monitoring blood sugar levels, and attending regular follow-up appointments with a healthcare provider.

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