Gestational Diabetes — Lakeview OB/GYN Clinic

Gestational Diabetes — Lakeview OB/GYN Clinic

November 21, 2019 0 By Jose Scott


(calm music) – Basically, gestational
diabetes is diabetes that’s diagnosed during pregnancy. It’s usually some problem
with carbohydrate metabolism. Your placenta creates all these hormones that make it so you don’t utilize insulin, which is the hormone that
your body uses to use sugar, so it makes you more resistant to that. Some people can just compensate
for that on their own, and other people develop
an intolerance to sugar, so they get what we call
gestational diabetes, or in the non-pregnant patient it would probably be
pre-diabetes, something like that. Gestational diabetes also can
be diabetes that was already present but we just didn’t
diagnose it until pregnancy, and then there’s pre-gestational diabetes which is people who have type
2 diabetes or type 1 diabetes that they knew already
before they were pregnant. With diabetes, that’s kind of hard ’cause most people don’t have symptoms. People who have type 1 diabetes where their pancreas stops working, sometimes they can have
symptoms of frequent thirst, frequent urination, weight loss, fatigue, those kind of
things, but people who have type 2 diabetes often don’t have symptoms. That’s why it’s so important
to get care with your doctor and have those things screened, because you can have diabetes for 10 years and never know it ’cause
they don’t have symptoms. Kinda the same thing with
gestational diabetes. People usually don’t
know that they have it until we test for it. The biggest thing that we worry about is that babies get too big. If you have too much sugar
around, or excess sugar, the baby is gonna take
all of that from you, so most of the time, babies get too big, which is called fetal macrosomia, which can cause problems later on. I think that kinda goes to whether or not you have gestational diabetes
or pre-existing diabetes. With type 2 diabetes you definitely can lose weight, exercise,
control your diet. That can help prevent some
of the type 2 diabetes if you’re predisposed for it. Sometimes you just have
gestational diabetes and there’s nothing you
can do to prevent it. The best thing is just to
control it once you do have it, and then just be aware that
after you have the baby you have a high chance of having type
2 diabetes in your lifetime. I think it’s up to 50%, so
you just need to make sure that you still carry those good habits of exercise and diet afterwards. With gestational diabetes,
we usually tell people to at least do diet and exercise at first. We have them meet with a nutritionist and a diabetes counselor, basically, and we’d give them a trial of that, because nobody wants to
take medicine, really. But, if that doesn’t work, then
we start with oral medicine, which I think some people don’t realize that you can do can do in pregnancy. Some people use Metformin,
which people take for type 2 diabetes outside of pregnancy. The most common is called glyburide which we use pretty frequently. That can kinda help
control the blood sugars. If those things fail, then
we have to go to insulin. The good thing is, is though, it’s a very treatable disorder. I know it’s scary to have
to check your blood sugar and take insulin, but
really the ultimate goal is for you to have a healthy baby, and that’s something
that’s very easy to do. It just requires education and a little bit more work on mom’s part. (calm music)