Gestational diabetes is diabetes that occurs during pregnancy. This condition can occur because it is triggered by changes in glucose metabolism when pregnant, especially for gestational age above 6 months.
This disease usually threatens pregnant women with excess body weight, has a history of diabetes in the family, and had delivered babies weighing up to 4 kg. In addition, women with a history of having a baby die and a history of abortion more than once (especially in high blood sugar conditions) are also at high risk.
Examination required for gestational diabetes is the examination of blood sugar, internal organs, and muscles through ultrasound (ultrasound). This is to detect any abnormalities in the fetus.
When you have started to feel the symptoms of gestational diabetes, immediately do a blood test to detect it. Most pregnant women experience similar symptoms at 24 and 28 weeks of pregnancy. However, if you feel it early in pregnancy, your doctor may decide to test in early pregnancy.
When performing the test, you will be given a sweet drink containing sugar and your blood will be taken within an hour every time for three times to test sugar levels. The blood test can help to confirm the diagnosis. If the test results found abnormal, you may be affected by gestational diabetes.
In addition, if you are detected to have complications in pregnancy, it is better to do additional tests to determine the health of your fetus. This extra test is useful to check the condition of the placenta cord which is the organ of oxygen and nutrient suppliers from mother to baby. This is important because when exposed to gestational diabetes, a poorly functioning placenta strap may compromise the survival of the fetus in the womb.
Gestational diabetes usually does not show any obvious symptoms, so you should do an examination to detect this disease. However, there are some circumstances that you can suspect as symptoms, such as:
- View is blurred
- Easily tired
- Often experience infection during wounds, for example on the skin until the vagina
- Frequent urination
- Nausea and vomiting
- Weight loss even though appetite has increased
In pregnant women with diabetes, it usually raises the possibility of cesarean section and giving birth to a baby with the following conditions:
- Babies born with excess body weight up to 4 kg.
- Calcium levels in the body are low to below normal limits.
- Sugar levels are too low in the blood to below normal limits. This can happen several hours after the baby is born.
- The number of red blood cells that die and rupture to produce yellow pigment in the blood, urine, and stools. This can cause the skin of the body turn yellow.
- The respiratory condition of the baby is obstructed to hard breathing.
- The risk of fetal death at birth, because when the birth of the fetal shoulder can be caught.
Supervision of sugar levels in the body is highly recommended for people with gestational diabetes. The goal is that pregnant women can control the intake of food consumed daily.
In addition to the monitoring of sugar levels, gestational diabetes patients are advised to do the following therapies:
Diet by regulating the intake of nutrients
This therapy aims to provide adequate nutrition for the mother and fetus, control blood sugar levels, and prevent the occurrence of increased levels of carbon in the blood due to lack of carbohydrates.
Exercise is helpful to improve the condition of the body, especially cycling and upper body work. In addition, you are also encouraged to feel your own uterus when exercising. In the event of a contraction, immediately stop the sport.
Treatment of insulin
The administration of this particular dose of insulin was recommended by The American Diabetes Association in 1999 when dietary therapy failed. This therapy is usually recommended in pregnant women with severe diabetes. In fact, to save the fetus, doctors may suggest that pregnancy is terminated earlier in weeks 36 to 38-especially when pregnancy is followed by other complications, such as high blood pressure or obesity.
Gestational diabetes can be prevented by applying the following:
Check your blood sugar regularly. If you already feel the symptoms of gestational diabetes, check regularly before severe complications occur in the fetus.
Routine checkup. Perform the gynecological examination in accordance with the applicable provisions and in accordance with the age of the pregnancy.
Reduce sugar. Replace the intake of foods containing high levels of sugar with foods containing protein, vegetables, and fruit.
Stay on. Do not be too restrictive daily activities during pregnancy. Mild exercise during pregnancy will not worsen the condition of pregnancy. Consult your doctor about safe exercise during pregnancy.
The main thing that can trigger gestational diabetes is the insulin hormone that can not function properly. Because during pregnancy, there are hormones that block the hormone insulin, consequently sugar will jump sharply.
In addition, the things that can lead to gestational diabetes are:
- The presence of a history of diabetes in close family genealogies.
- Have a weight exceeding normal weight.
- Ever gave birth to a baby weighing more than 4 kg.