2012年8月31日 星期五

Preventing Gestational Diabetes - Is it Possible?


Gestational diabetes is a metabolic condition commonly observed in pregnant women where your blood glucose levels in the blood shoot up to abnormally high levels. As per the available statistics, around 2-5% pregnant women suffer with this illness. Gestational diabetes usually starts between 24 and 28 weeks of pregnancy and the condition gradually aggravates with every passing day. Controlling gestational diabetes is extremely important so as to safeguard the health of both the mother and the fetus and avoid any severe health complications.

Preventing gestational diabetes usually involves keeping your blood glucose levels under control. For this, the first step is to know whether or not you are at the risk of suffering with gestational diabetes. Exercise regularly and ensure that your lead an active and healthy lifestyle. For pregnant women, a good exercise schedule includes light to moderate exercises for at least 30mins a day and three days per week. And lastly, strictly adhere to a properly designed diabetes diet plan.

Below are summarized some important characteristics that constitute a sample diet for gestational diabetes. 


Gestational diabetes diet should never be aimed at restricting or oppressing any of the existing eating habits of the person. It is just a different pattern of eating where much emphasis is given on the food combinations that are healthy and provide nutrition.
Most importantly, there is no standard diet plan for gestational diabetes patients. The diet plan changes as per the body weight of the person, her age, her general eating habits, and the time of pregnancy. The entire objective is to provide proper nutrition both to the mother and the fetus.
Controlling gestational diabetes is only possible when the sample diet for gestational diabetes usually requires an individual to eat small volumes of food at every 3-4h interval. This will help the body metabolize body sugar efficiently and doesn't allow your stomach to become empty at any time of the day. Remember not to keep your stomach empty for long hours during gestational diabetes. It can result in hypoglycemia, a condition that is strictly not suggested during the development of the fetus. Even at bed-time, never forget to consume some protein-rich food. This will help stabilize glucose levels at night time.
A sample diet for gestational diabetes must include a balanced combination of proteins, carbohydrates and healthy fats. The entire objective is to control the glycemic index and slow down the glycemic response inside the body and provide long-lasting energy, apart from providing nourishment to the baby.
Diet plan should never include certain food items that can tremendously increase the overall calorie intake. Some examples include sweets, chocolates, ice-creams, fruit juices, honey, muffins and other foods having excessive amounts of sugar, complex carbohydrates and fats.
Finally, for preventing gestational diabetes, one must emphasize on foods that have high fiber intake. Also, have a strict count on the average number of carbohydrates consumed per day.

By keeping this information in mind, you will stand a much greater chance at preventing gestational diabetes.




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Gestational Diabetes Fear For Moms


Gestational diabetes is a type of diabetes that develops in pregnant women in 3% of pregnancies. For whatever reason, the blood sugar levels become abnormal during pregnancy due to a mild or sometimes severe carbohydrate intolerance. The potential for fetal and neonatal loss is higher in this category and is therefore an area of great concern. Proper prenatal care allows for many complications to be avoided. Gestational diabetes requires a good amount of medical attention. There may be several doctors involved when dealing with this type of diabetes.

Despite the fact that diabetes will generally clear up in the majority of women after the delivery of the child, it also means that the chance for these women to develop diabetes mellitus within the next 15-20 years increases by 50%.

The risk of complications is high with diabetes in pregnancy. They can include pre-term labor, pregnancy induced hypertension, infections or delivery problems. This makes proper prenatal care a must.

Those at risk for gestational diabetes include women who:

o have had multiple pregnancies

o have had previously unexplained stillbirths

o have given birth to babies 9 lbs or more

o have gained an excessive amount of weight during pregnancy

o come from a high risk ethnic groups such as Hispanic, Native American or African American

o have a previous history of high blood sugar or previous pregnancies with gestational diabetes

o have a family history where their mother or sisters had gestational diabetes

As with other types of diabetes, good control of blood sugar levels are the key to managing gestational diabetes properly. A proper diet and watching weight gain while keeping regular appointments with health care professionals is key to ensuring the baby's safety during its 9 month gestation period. Most women who actively participate in the proper management of their gestational diabetes go into labor at term and deliver naturally.

That which is affecting the mother during pregnancy will also affect the baby. When blood sugar levels stay above normal, the fetus' pancreas will in turn put out more of its own insulin to help control its own blood sugar levels. What can happen in these types of incidences is that the insulin will act as a growth hormone and increase the baby's size. The result is macrosomia, a term that means 'large body'. This can cause trouble as far as delivery is concerned. These complications can be prevented with proper prenatal care.

Gestational diabetes is a big fear of most pregnant women and it can be less of a problem with the right knowledge. Always keep your weight gain under control and visit your doctor regularly.




Get your Gestational diabetes [http://www.thediabetesdoc.com/Gestational-Diabetes.html] information and Diabetes advice at [http://www.thediabetesdoc.com]

This content is provided by Dr Pieter De Wet a general practitioner and in practice for 23 years. It may be used only in its entirety with all links included.





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Risk Factors and Symptoms For Gestational Diabetes


There are several risk factors for gestational diabetes. Gestational diabetes is a glucose intolerance that develops in pregnancy. While gestational diabetes only affects about 4% of pregnant women, if you feel you are at risk, you may want to get tested. Most doctors do a glucose test between 20 and 24 weeks gestation. You will need to fast before this test. You'll have to drink a syrupy liquid, and then have blood drawn an hour later. If your numbers are high after this test, they will have you do a 3-hour test. This longer test is what will give you a definite diagnosis.

Most women with Gestational Diabetes rarely show signs or smptoms of GD. That is why it is important to know the risk factors for Gestational Diabetes and check with your doctor.

Some common signs of gestational diabetes are......

oIncreased Thirst

oIncreased Urination - This is especially hard to tell since pregnant women have to urinate more often than normal.

oWeight Loss - Weight loss with increased appetite.

oFatique - Again, most pregnant women feel more tired than usual.

oNausea and Vomiting

oFrequent Infections

oBlurred Vision

Risk Factors

oAge - While there is some dispute as to what the age is for being at risk, medical authorities will quote anytime between 25 to 35 years of age as being a determining factor.

oObesity - One of the major risk factors for gestational diabetes, obesity is defined as scoring more than 30 body mass index (BMI) for your height and weight.

oRace - Women of Hispanic, Native American, African American, Pacific Island or South or East Asian descent seem to be more at risk for gestational diabetes.

oFamily history - If your parents or siblings suffer from diabetes of any type, it can increase your chances of developing gestational diabetes when pregnant.

oGestational diabetes in a previous pregnancy - If you developed diabetes in a previous pregnancy, chances are it will come back in subsequent pregnancies. Your chances of developing it again range from 30 to 80%, depending on your other risk factors.

oBirthed a large baby - Again, there are a few disparities. Some authorities consider a previous baby over 8 lbs 5 oz as a risk factor, while others don't count the weight of previous babies unless they are 9 lbs or more. While gestational diabetes can be a cause for high birth weights, it can also cause low birth weight babies. High birth weight babies will often have their blood sugar tested at the hospital to make sure they don't suddenly drop to a low level.

oMiscarriages/still births - If you have had unexplained miscarriages or had a stillbirth, you may be more at risk for developing gestational diabetes. Miscarriage is a symptom of PCOS, which in turn could lead to diabetes due to insulin resistance.

oSmoking - Smokers have double the chance of developing gestational diabetes than those who do not smoke. Smoking also can cause other gestational complications like a low birth-weight baby and placental problems.

oPolycystic Ovarian Syndrome - Polycystic Ovarian Syndrome (PCOS) already causes difficulty in conception due to hormonal imbalances. Women suffering from PCOS often experience weight problems, irregular ovulation and menstrual cycles, and excessive effects of masculine hormones. PCOS causes a resistance to insulin, which in pregnancy is more pronounced due to the extra needs of the fetus and the mother's body.

As you can see, it is important to check your risk factors for gestational diabetes. The more risk factors you have, the more important it is that you be tested early in your pregnancy so treatment can get started.

Need some help with what to eat during this time. ...Click Here! For more information on recommended diet for gestational diabetes.




Alisa A. Roberts is the webmaster for http://www.easy-diabetic-recipes.com - it is her passion to help people live well and long all while enjoying delicious food!





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2012年8月30日 星期四

Gestational Diabetes


What is Gestational Diabetes?

Gestational Diabetes also known as Gestational Diabetes Mellitus or GDM is a form of diabetes that sometimes develops during pregnancy. It is usually noted in the second or third trimester. GDM occurs when the expectant mother's pancreas cannot make enough insulin causing the body not to able to regulate the glucose.

What Causes Gestational Diabetes?

No one knows the exact cause of GDM. It is very possible that the hormones made by the placenta interfere with the regulation of insulin or block the effect of insulin. The placenta is a tissue that connects the baby to the mother while the baby is in the womb. The blocking effect would seem to increase as the placenta grows and produces more hormones. In most women the body makes more insulin and takes care of the problem. GDM would be the result of the pancreas making insufficient amounts of insulin.

Some women are more likely to develop Gestational Diabetes than others.

Risk factors include the following

* Having a family member with Diabetes

* Having a history of high blood sugar

* Gaining too much weight during pregnancy

* Being overweight before getting pregnant

* Having given birth to large babies in the past (over 9lbs)

* Having glycosuria (sugar in the urine)

* Black

* Hispanic

* American Indian

Signs and symptoms of gestational diabetes;

o Frequent Urination

o Blurred Vision

o Tired feeling much of the time, more than is usual

o Frequent urinary or bladder infections

o Frequent skin rash or infection

o Gaining more weight

o Nausea

o Vomiting

How is GDM Diagnosed?

The physician or healthcare professional will do a physical examination. If there is any concern about the possibility of GDM they will likely order either a 50 Gram Glucose Challenge. This is sometimes referred to as a 1hour Tolerance Test. In most labs you will be asked to fast prior to the test, but that is not always the case. Most labs will draw a sample and check the baseline blood glucose then give you a drink containing a specified amount of glucose. After you complete the drink you will then be asked to return in 1 hour to have a second tube of blood drawn. Women that are at high risk for gestational diabetes may have this test repeated several times throughout their pregnancy.

How is Gestational Diabetes Treated?

Much of the time GDM can be treated and controlled by using a combination of diet and exercise. The person with possible GDM should keep a very close watch on her Glucose levels through use of a glucose monitoring device such as the one-touch or accu-check.

Insulin or other medications may be given if diet and exercise are not successful in the treatment of GDM.

Will having GDM affect the baby or the mother?

There is a chance that GDM will lead to the following in mother:

* Development of Type 2 Diabetes later in life

* GDM in future pregnancies

* Increases chances of need for caesarean delivery

* Possible premature labor

And the following in the baby:

* Hypoglycemia (low blood sugar)

* Macrosomia (large baby) any baby weighing over 8lbs 8 oz is considered to be large

* Long term jaundice. Babies usually have some jaundice but it goes away after a week or so.

* Twitching of the hands and feet, possibly cramping of muscles

* Low Calcium

* Low Magnesium

To find out more about GDM or any type of Diabetes, or if your doctor says you have diabetes and you need some support or more information check out the following places.

How do I find support and more information? Gestational diabetes is a life-changing disease for you and your family. Accepting that you have gestational diabetes may be hard. You may want to join a support group which is a group of people who also have gestational diabetes.

Disclaimer:

This report should in no way be considered medical advice. The suggestions and/or techniques described in this report are for informational purposes only. If you are ill or injured you should see your primary healthcare professional immediately.




Jerry Goodwin is an avid cyclist, Medical Technologist, Personal Trainer and bicycle mechanic. Jerry and his wife Ruth have operate BMG Cycling and Fitness in Moultrie Georgia. Jerry is a member of the Pecan City Pedalers,he races his bicycle in the Georgia Golden Olympics and races BMX with his grandsons at CCheck out http://www.bmgfitness.com/diabetes for more information





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Gestational Diabetes - A Cause For Concern In Pregnancy


Gestational diabetes is a unique type of diabetes that occurs when a woman is pregnant. Approximately four percent of all pregnant women are affected by gestational diabetes. The disease is caused when the body is unable to properly process insulin, causing high levels of blood sugar, very similar to type 2 diabetes. It usually occurs during the second trimester, and often disappears after the child is born. Left untreated, gestational diabetes can cause harm to the fetus as well as to the mother.

What Triggers Gestational Diabetes? Gestational diabetes starts when a woman's body is not able to make and use all the insulin it needs for pregnancy due to hormonal changes caused by pregnancy. During pregnancy, hormones from the placenta help the baby grow and develop. But these same hormones make it tougher for the woman's body to use insulin, creating insulin resistance. In most cases, this isn't a problem: as the need for insulin increases, the pancreas steps up its production. But when a pregnant woman's pancreas can't keep up with the insulin demand and blood glucose levels get too high, the result is gestational diabetes.

Who Is At Risk For Gestational Diabetes? A woman may be at risk for gestational diabetes if she is:


over 25 years of age,
has a family history of type 2 diabetes,
experienced gestational diabetes during a previous pregnancy,
is overweight,
had a previous pregnancy resulting in unexplained stillbirth or an infant with a birth weight over nine pounds; or
is of African descent, Hispanic, or Native American.
Expectant mothers who have gestational diabetes may experience increased thirst, tiredness, excessive urination and other symptoms similar to diabetes mellitus. Unfortunately, those same symptoms are normal for any pregnancy. As in prediabetes, gestational diabetes often has no symptoms at all. The woman's blood sugar should be tested regularly by the prenatal medical team and at home, especially if she is considered at risk.

Babies Are Affected by Gestational Diabetes High levels of blood glucose circulating to the fetus can cause unusually large, fat babies. This is a condition known as macrosomia. Extra blood glucose goes through the placenta, giving the baby high blood sugar levels. The baby's pancreas in turn must make extra insulin to get rid of the blood glucose. Since the baby is getting more energy from the mother's high glucose level than it needs to grow and develop, this excess energy is stored as fat. Babies with macrosomia face health problems of their own, including shoulder damage at birth (shoulder dystocia) because they are too large to fit through the birth canal. Because of the extra insulin made by the baby's pancreas, newborns may develop very low blood glucose levels (hypoglycemia) at birth and are also at higher risk for breathing problems and jaundice. These babies also have an increased risk for obesity and type 2 diabetes as adults. Gestational diabetes has not generally been associated with birth defects.

How Does Gestational Diabetes Affect The Mother-To-Be? Besides suffering symptoms of diabetes, women may need a cesarean section delivery to be performed if the baby is macrosomic. Expectant mothers are also at increased risk for preeclampsia, a serious condition characterized by significant increases in blood pressure. Women with gestational diabetes are at greater risk of developing Type 2 diabetes and high blood pressure later in life.

An Accurate Diagnosis Requires Testing Pregnant women at risk for developing gestational diabetes should be tested between weeks 24 and 28; earlier if there are risk factors present, and especially if the condition was present during a previous pregnancy.

If you are diagnosed, treatment includes special meal plans and regularly scheduled physical activity, which helps lower blood sugars. It may also include daily blood glucose testing and, if necessary, insulin injections. Work with your doctor, nurse practitioner, and other members of your health care team so that your gestational diabetes treatment can be adjusted as needed. Following the prescribed treatment for gestational diabetes will help ensure a healthy pregnancy and birth, and a healthy baby.

While gestational diabetes usually goes away after several weeks, it is important to remember that you have a higher risk of gestational diabetes with your next pregnancy and a greater chance of becoming diabetic later in life. One or two months post-pregnancy, get a blood glucose test [http://www.naturaldiabetesremedy.com/what-is-a-fasting-plasma-glucose-test_49] to ensure that your gestational diabetes is in fact gone. It is important to exercise, minimize weight gain, and maintain a healthy diet full of vegetables, fruits and minimal fats to ensure that you remain in good health.




Cydne Kaelin is a health writer living in Northern Georgia, USA. As a wife, niece and granddaughter of diabetics she has a keen personal interest in researching and writing about the disease. Visit Natural Diabetes Remedy [http://www.naturaldiabetesremedy.com], her diabetes blog at [http://www.naturaldiabetesremedy.com] for more information, news and tips on diabetes.





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Understanding The Gestational Diabetes Diet


Women with preexisting diabetes who become pregnant are at risk for fetal complications along with risks to their own health if and when complications of diabetes occur. About 4% of all pregnant women in the United States will contract gestational diabetes during their pregnancy.

It is believed that the stress of pregnancy is one of the causes of gestational diabetes because once the baby is born it goes away. Because of the risks associated with pregnancy and diabetes it is important that any woman diagnosed with diabetes during pregnancy follow a gestational diabetes diet.

Whether the mother has preexisting diabetes or gestational diabetes there is an increased risk of fetal abnormalities and mortality because of the hyperglycemia caused by the insulin resistance. Any woman with gestational diabetes should receive nutrition counseling by a registered dietician and every effort should be made to control blood glucose levels.

Changes that take place during pregnancy greatly affect diabetes control and insulin use. Some hormones and enzymes produced by the placenta are antagonistic to insulin reducing its effectiveness. Maternal insulin does not cross the placenta but glucose does. This will cause the fetus's pancreas to increase insulin production if blood glucose levels are too high.

This increase in insulin levels causes the most typical characteristics of babies born toe diabetic mothers; macrosomia which is a larger than normal body size. New babies can also suffer from other conditions such as respiratory difficulties, hypocalcemia, hypoglycemia, hypokalemia, or jaundice.

Individualization of a gestational diabetes diet is contingent on maternal weight and height. The diabetes diet plan should include provision for adequate calories and nutrients to meet the needs of the pregnancy and should be consistent with established maternal blood glucose goals.

Self monitoring of blood glucose (SMBG) is an important part of any diet plan because it gives vital information about the impact of food on blood glucose levels. When blood glucose monitoring begins during a pregnancy the minimal daily SMBG should be take place four times a day. Blood glucose goals during a pregnancy are as follows.

Fasting - less than 95 mg/dl

1 hour after a meal - 140 mg/dl

2 hours after a meal - 120 mg/dl

The frequency of the self monitoring can be decreased once blood glucose control is established. It is important to continue checking glucose throughout the pregnancy though.

Desired weight gains and nutrient requirements are the same as for established pregnancy guidelines: 2 to 4 pounds for the first trimester and 1 pound per week for the second and third trimesters based on body mass index before the pregnancy. Calorie adjustments for the first trimester are not needed. During the second and third trimesters, an increased energy intake of approximately 100 to 300 kcal/day is the recommendation.

High quality protein should be increased by 10 g/day and can be easily met with one or two extra glasses of low-fat or skim milk or 1 to 2 oz of meat or meat substitute. All pregnant women should also take 400 ug/day of folic acid to help prevent neural tube defects and other congenital defects. As with any pregnancy drinking alcohol should be avoided.

Any restriction of calories should be approached with caution. In order to prevent ketosis a minimum of 1700 to 1800 calories per day of carefully selected foods must be eaten. Eating less then this amount is not advised under any circumstances. Weight gain should still occur even if the pregnant woman has had considerable weight gain before the onset of their gestational diabetes. Every pregnant woman with gestational diabetes should be individually evaluated by a registered dietician to create a gestational diabetes diet that fits her specific needs.




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2012年8月29日 星期三

Gestational Diabetes - What Is It, How Does It Develop?


As indicated by the word Diabetes, you might have guessed that this is a condition involving a higher than normal blood sugar level (glucose) but what does it mean to have this condition? Well this condition is actually related to developing Diabetes during pregnancy. Approximately 4% of women develop this form of Diabetes during pregnancy. Although all women will have some type of impaired glucose intolerance as a result of the hormonal changes that their body will be going through, their higher glucose levels are not usually serious enough for the development of Diabetes. However for some women the hormonal changes as a result of the pregnancy places them at risk for developing Diabetes during their third trimester.

The cause is related to the placenta and the increased levels of certain hormones that are produced to actually help prevent the mother from developing low blood sugar. In essence these hormones produced help stop the actions of the naturally produced insulin. Since insulin regulates the level of blood sugar in the system, the hormones produced by the placenta counteract the insulin and result in a high blood sugar level. Over the course of a pregnancy progressive impaired intolerance is developed. The body tries to lower the blood sugar level by producing more insulin from the pancreas, however if the pancreas can not produce enough insulin to overcome the effect of the pregnancy hormone levels then there is a good chance that Gestational Diabetes will develop.

Although it may seem like a cruel joke from the big guy upstairs, there is some good news. Most women return to normal glucose levels within about 6 weeks after the birth of their child and the diabetes is no longer an immediate factor. You may need to take another test several weeks later to confirm but this is usually not required. However you are not out of the woods yet as women that develop Diabetes during pregnancy have a 60% greater risk of developing type 2 Diabetes later in life. So if you find yourself in this group it will be important for you to follow a healthy diet, exercise and maintain an ideal body weight to help reduce your risk.

Top risk Factors for Gestational Diabetes during pregnancy


Family history of Diabetes
Previous pregnancy involving a stillborn or baby over 9 pounds
20% or more overweight prior to pregnancy
Member of a high risk group (Asian, Black, Native American, Hispanic)
Gestational Diabetes in a prior pregnancy
Previous impaired glucose levels (higher than normal glucose levels but no Diabetes)
Excessive amniotic fluid (called polyhdramnios)
Sugar in the urine

It is important to note that although these are the top risk factors many women that develop gestational diabetes have none of the top risk factors.

How I know if I have Gestational Diabetes?

The key is to first asses if you have a high risk for gestational diabetes. If you have some of the high risk factor previously mentioned then you should be tested as early as possible during your pregnancy. If you do not have any of the high risk factors then you should be tested between the 24th and 28th week of pregnancy. The important thing here is to be sure and discuss this issue with your doctor if you have a concern as there is no one solution for every person

The test for gestational diabetes is easy and relatively quick. It is called an oral glucose tolerance test and involves consuming a sweet liquid that is absorbed by the body quickly and causes the blood sugar levels to rise within 1 hours time. After an hour the blood is tested and a blood sugar level greater than or equal to 140 mg/dL is considered to be abnormal and additional test may be required to verify development risk.

What Are The Risks?

Gestational Diabetes can affect the development of the baby throughout pregnancy. If developed early in the pregnancy there is the risk of birth defects that affect the major organs as well as the brain. In addition, there is an increased risk of miscarriage. In the second and third trimester of pregnancy the diabetes can result in over nutrition to the baby and cause the baby to be larger than normal. Now while this may not seem to be a concern on the surface, a larger baby can cause additional trauma to the mother and shoulder trauma to the baby if delivered naturally, especially for smaller women. Most often this situation requires a caesarean type delivery. Finally a baby once delivered can suffer from hyperinsulinemia. A condition in which the blood sugar level of the baby drops to very low levels as they are no longer receiving high blood sugar levels from the mother. While this may seem frightening, it is important to remember that just because you may be at risk does not mean that you will experience any of these issues. With proper treatment there is no reason why you can not deliver a healthy baby. Trust you physician and if you do not understand...ASK QUESTIONS!

Ok...... Now What?

Managing Your Gestational Diabetes

Managing your gestational diabetes involves monitoring, exercise and diet. As an overview some of the best approach involves:


First and foremost, follow the guidelines provided by your doctor
Monitor weight gain
Take insulin, if necessary
Keep your high blood pressure under control
Monitor your blood sugar levels at least several times during the day (this may include monitoring urine for Keytones)
Keep a journal of monitoring results, glucose test, diet, exercise and general overall how you feel
Exercise as allowed by your physician

Diet Changes with Gestational Diabetes

While some of the steps below may take some effort on your part, they will go a long way towards you and your babies health.


Drink 64oz of liquids per day (min)
Ensure your diet includes sufficient vitamins and minerals. Consult your health physician regarding the use prenatal supplements to meet these needs
Consume foods high in fiber (20-35 grams per day)
Avoid large meals. Eating three small meals along with two snacks will help avoid blood sugar spikes
If experiencing morning sickness eat small servings of crackers or pretzels before getting out of bed
Avoid fried and greasy foods as your fat intake should be below 40% of your total calories

All the best




At Best Diabetes Diets we provide resources for the management of diabetes as well as many health related issues. For more information on our services go to http://www.best-diabetes-diets.com





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Causes of Gestational Diabetes - Diabetes During Pregnancy


Gestational diabetes usually diagnoses or begins during the pregnancy. It is characterized by high blood sugar level that is first recognized during pregnancy. In pregnancy, Glucose Intolerance occurs and it synonymous of gestational diabetes.

The common causes of Gestational Diabetes can be the family history of diabetes, born 9lb baby previously from the same mother, overweight or loss, having polycystic ovary syndrome (PCOS), African or Hispanic origin, obesity, recurrent infections, death of a new born or a mysterious miscarriage. Families originating from certain areas can be at a higher risk. Women from South Asia including India, Pakistan are on risk.

Therefore, women from Middle East including Saudi Arabia, UAE, Iraq, Jordan, Syria, Oman, Qatar, Kuwait, Lebanon or Egypt can also be risk prone of Gestational Diabetes. It is appeared that women possess a certain degree of impaired Glucose Intolerance due to hormonal change during pregnancy; it means the blood sugar is higher than normal but the diabetes is not high. At the third semester, the later part of the pregnancy, these hormonal changes let women fall in risky position for Gestational Diabetes. The high level of certain hormones that prepared in the placenta lets nutrients shift from the mother to the developing fetus. The placenta is the organ that connects the baby to the Uterus by the umbilical cord.

However, the residual hormones, produced in the Placenta help the mother prevent developing low blood sugar, and insulin stops working. As the pregnancy period continues, these hormones ultimately lead to create impaired Glucose Intolerance, the high blood sugar levels. Decreasing blood sugar levels, the body makes more insulin letting glucose pour into the cells for energy consumption. Pancreas of mothers can be able to produce more insulin that is three times higher than normal amount. The system produces to overcome the effect of the pregnancy hormones at blood sugar levels. When the Pancreas cannot produce insulin enough to overcome the effect of the increased hormones in pregnancy time, the blood sugar levels will rise, and it results Gestational Diabetes.

Further, Gestational Diabetes of Gestational Diabetes Mellitus, GDM is a condition when pregnant women exhibit high blood pressure without diagnosing diabetes before.

The symptoms of Gestational Diabetes are being screened during the pregnancy period. The diagnostics tests detect the inappropriateness of high levels of glucose in blood samples. Gestational Diabetics affect 3% to 10% pregnancies based on population studies. Some studies reveal that the lack of resistance of women body on insulin production results impaired Glucose Tolerance relating to hormones levels.

The mothers with Gestational Diabetics give the birth of babies bearing typical problems. It can be delivery complication, low blood sugar and jaundice. Control of glucose levels can decrease the level.

Women who are bearing Gestational Diabetics are at an increased risk of developing type 2 diabetics or latent autoimmune diabetes, type 1 after the pregnancy. The children are to be childhood obesity prone and type 2 diabetics are at later stage of life. Patients usually take moderated diet, exercises or insulin.




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Gestational Diabetes Diet


Gestational diabetes is just as serious as other types of diabetes, even though you may only be "diabetic" for a short period of time; however, with gestational diabetes, you are not only concerned about the health of yourself but also the health of your unborn child. So, in actuality, gestational diabetes can be even more serious than other forms.

You should definitely take your diet seriously when it comes to gestational diabetes. It may take some getting used to but keep in mind that it is only for a short period of time. Once you have been diagnosed with gestational diabetes, your physician will help to instruct you on how to better care for yourself and for your unborn child. Sometimes just watching your diet can help, other times, you may have to enlist the help of medication or even insulin during your pregnancy.

A healthy diet is extremely important after the diagnosis of gestational diabetes just as it was prior to the diagnosis. You will want to make sure to cut out as much sugar out of your diet as possible, and to also consume plenty of proteins and vitamins. As a gestational diabetic, you will basically have the same symptoms as a Type 2 diabetic because of the hormones that are produced during the pregnancy. Your body is still producing insulin; however, it may not be enough and a lot of time by following a diabetic diet you will be able to help your body out and possibly even overcome the diabetic symptoms. In actuality, you will want to follow a diabetic menu for a Type 2 diabetic.

This means that your diet should be low in carbohydrates, low in sugar, low in sodium and high in protein and vitamins. It is recommended that you consume fruits and vegetables even though fruits have natural sugars; however, there are only certain fruits that you will want to consume as some are extremely high and can put a strain on your body.

Seek Help - Ask your physician, if they haven't already, to recommend a dietician for you to consult with, to help explain the different aspects of a diabetic diet and what you should and should not do. There are also books available that will help as well as doing research on the internet. You will definitely want to learn how to read a nutrition label and to even purchase a book that gives you the nutrition guidelines on foods that usually do not come with a label, like garden foods, fruits and so on. This will prove to come in very handy in your education and understanding of the gestational diabetes diet.

The proper diet is actually easy to learn if you keep an open mind and pay close attention to details. In the long run, not only will you be better off by following gestational diabetes diet guidelines but your unborn child will be better off as well. Diabetes, no matter what type, is a serious condition and should be regarded as such.




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Understanding Gestational Diabetes


For women, diagnosed with gestational diabetes, caring for diabetes when pregnant is a great concern. Depending on the way the diabetes progresses, a medication may be necessary. One of the most popular medications used for gestational diabetes, is insulin. The use of insulin will be instructed by your health care provider, and can be very easy. But for those who do not have this disease, they may be interested in preventing gestational diabetes. Fortunately, there is plenty of information on both of these topics. So no matter what your individual situation is, you will be able to find the information you need, quickly.

Caring for diabetes when pregnant, may be a popular topic, for those with gestational diabetes. But this disease does not have to be particularly concerning. If you follow the steps your health care provider gives, you should find it simple, caring for diabetes when pregnant.

Most doctors handle gestational diabetes through the use of dietary changes and exercise. The pregnant woman, who is caring for diabetes, when pregnant, will simply institute these changes. She will make better food choices, as her way of caring for diabetes when pregnant. The better food choices you make the healthier you and your baby will be.

Depending on the way this form of diabetes progresses, a medication may be necessary. One of the most popular medications used for GD, is insulin. The use of insulin will be instructed by your health care provider, and can be very easy.

Understanding the risk factors of this disease is crucial to preventing gestational diabetes. Some risk factors, such as family history, or race cannot be changed. But other risk factors, such as obesity, can be used in preventing gestational diabetes. Women willing to exercise, monitor their weight, and make dietary changes, can lessen their chances with this disease.

There are other ways for pregnant women to prevent developing gestational diabetes. One of these is to maintain a healthy weight. Pregnant women are expected to gain weight. It is a natural part of the pregnancy process. But they do not have to gain excessive weight. Monitoring your weight is a great way of preventing this form of diabetes.

Regular exercise, is also a way to prevent this condition, as well. Regular exercise is known to keep one's blood sugar levels within a safe range. Not only does exercise help to maintain your levels, it also promotes overall health. It assists you in the process of monitoring your weight.

There are also home remedies that can address those susceptible to gestational diabetes. Many of these can work to affect blood sugar issues, you may already have. One of these is the use of a supplement. Garlic for instance, is a known sugar regulator. And chromium picolinate is used to keep one's sugar levels low. One natural home remedy is huckleberry, in various forms. Huckleberry, promotes the production of insulin in the body.

It is wise to consult your physician before using even home remedies to address your gestational diabetes. Although there may be no harm done, it would be better to be safe, rather than sorry. Remember, that anything taken affects not only you but your baby, as well. This is why, consulting your doctor is best.




You can find helpful information about preventing gestational diabetes and everything you need to know about caring for diabetes when pregnant at Aha! Baby.





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2012年8月28日 星期二

Gestational Diabetes Facts


Diabetes affects almost 200 million people worldwide today, and shows all the signs of being classified as a modern day epidemic. It is estimated that the number of diabetics in the world will double by the next decade. Studies have shown that the trend has a 2 to 1 ratio between women and men. The higher incidence of diabetes in women has also led to the existence of another type of diabetes known as gestational diabetes.

Gestational diabetes shows up in 4 to 8 percent of pregnancies, affecting 135,000 women in the United States alone each year. The biggest threat posed by gestational diabetes is that the developing infant runs a high risk of being born with type 2 diabetes.

Type 2 diabetes affects 90 percent of the world's diabetics, and involves the blood cells having a high resistance rate to insulin, resulting in an increased demand on the pancreatic cells of the body which generate insulin. Type 2 diabetes is closely linked to obesity, and is a leading cause of both blindness and heart failure.

Women who develop gestational diabetes run the risk of complications during pregnancy aside from the fact that their infants may be born with type 2 diabetes. Gestational diabetes has been known to lead to hemorrhaging and other difficulties during childbirth, as well as leading to a few stillbirths. Thankfully, the number of fatalities as a result of the complications of gestational diabetes are low.

A large number of women who are affected by type 2 diabetes will also develop gestational diabetes during conception, though there are also reported cases where the women were never previously diagnosed with diabetes. Studies are still being conducted to support two theories regarding this; the first being that the women were never diagnosed with diabetes but had it to begin with in a milder latent form that was only diagnosed during pregnancy, and the second that the women developed diabetes during their pregnancy as a result of dietary imbalance, obesity, and lack of physical exercise.

There is enough evidence to support both theories. On the one hand, 2/3 of the people in Europe who were undergoing treatment for cardiovascular problems were actually discovered to have diabetes, and they simply were never diagnosed for it, which supports the first theory. On the other hand, the main leading cause of type 2 diabetes is high intake of sugar in the diet, intestinal obesity, and lack of exercise, all of which are factors which affect some pregnant women. This supports the second theory.

Whatever the case, diabetes is rapidly turning into an epidemic, and international health organizations and governments have begun to increase their research into finding ways to address this growing problem. In the United States, Senators Hilary Clinton and Susan Collins have recently introduced the Gestational Diabetes Act, which is being supported by the American Diabetes Association.

The act is intended to promote research into gestational diabetes and to try and find preventive measures and cures to the problem. Given the number of diabetics is increasing daily, this research is vital to keeping the problem of diabetes in general stemmed. While diabetes can be avoided by people who lead the right lifestyles by getting enough exercise and keeping proper diets, the children who are born with type 2 diabetes as a result of gestational diabetes in their mothers have no such defense.

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Note: This article may be freely reproduced as long as the AUTHOR'S resource box at the bottom of this article is included and and all links must be Active/Linkable with no syntax changes.




Charlene J. Nuble

For All the things you need to know about diabetes, please go to: Gestational Diabetes [http://www.yourdiabetes.org/]





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Gestational Diabetes Testing - What To Expect


In pregnancies today, having a screening for gestational diabetes has become very common. The test is given between the 24th-28th week of pregnancy when this form of diabetes will show up at its height.

While women with gestational diabetes can still deliver normal healthy babies, if left untreated, high blood sugar levels can cause problems for both you and your baby. Why is it necessary to be tested for gestational diabetes? Let's take a closer look.

Gestational Diabetes Screening

Until recently, testing for gestational diabetes was not included as routine prenatal care for most women, unless you had diabetes prior to becoming pregnant. In 2005, researchers reported results from a study that tracked women who were pregnant and had gestational diabetes. The women who received proper medical treatment for diabetes all had healthier babies and fewer complications than those who had no treatment. Hence, the importance of being screened.

Your doctor will most likely have you take what is called the glucose challenge test. What happens is that you'll be given a special glucose solution to drink when you come in for your appointment. It is simply an extra sweet solution that sort of tastes like a soft drink.

Next, you'll wait for an hour and the doctor will draw a blood sample from your arm. The results will be known within a day or two.

The reason for the hour delay is to give the glucose drink time to work through your system and see how your body's insulin reacts. Does your pancreas produce enough insulin to offset the glucose? Or, does your body succumb to the increase and maintain a high blood sugar level? This is what the test will answer.

A normal and healthy blood sugar level following the test is below 140 mg/dL. If you're below that number you're fine, and no further testing needs to be done.

If you're blood glucose level is above 140 mg/dL, don't panic. You'll then be given a second test to confirm any diagnosis of gestational diabetes.

Follow Up Gestational Diabetes Test

For the follow up glucose test, you will need to fast overnight before the test for at least 8 hours. You'll be asked to have nothing but water during that time.

You'll then be given another glucose solution to drink, but this time your blood sugar levels are checked every hour for 3 straight hours. If your blood sugar is high for two of those three hours, you will be diagnosed with gestational diabetes.

If in fact it is confirmed that you have gestational diabetes, your doctor will most likely put you on a special diet and exercise program for the duration of your pregnancy. In some cases daily insulin medication may also be needed.

All Rights Reserved Worldwide. Reprint Rights: You may reprint this article as long as you leave all of the links active and do not edit the article in any way.




You can find out more about Gestational Diabetes Testing [http://www.Diabetes.InfoFromA-z.com/Gestational_Diabetes_Test.html] as well as much more information on all types of diabetes issues at www.Diabetes.InfoFromA-z.com [http://www.diabetes.infofroma-z.com].





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What are the Symptoms of Gestational Diabetes?


Gestational diabetes is a condition in which a pregnant woman suffers from higher then normal blood glucose levels. Medical science does not know the exact cause of this form of diabetes but many think it is linked to the stress of pregnancy on the woman's body. For the majority of women there are no noticeable symptoms of gestational diabetes and they are unaware that they have this condition until they are tested.

It is believed that the placenta and how it works during a pregnancy is the main cause for gestational diabetes. The placenta is the life support system for the baby in the uterus. During a pregnancy the placenta produces a multitude of different hormones, many of which negatively affect the effectiveness of the mother insulin. This results in high blood glucose levels because the insulin is unable to move the glucose out of the blood and into the cells. The mother may produce up to three times her normal amount of insulin to effectively deal with the effects of the placental hormones. This is known as insulin resistance.

For some women they will see some of the classic symptoms that all diabetics are familiar with. These include:

o Frequent urination - Caused by high blood glucose which increases blood flow to the kidneys.

o Excessive thirst - Results from dehydration from the increased urinary output.

o Extreme hunger - Because glucose is unable to get into the body's cells from the lack of insulin the body suffers from an energy deficit, causing hunger.

o Unusual weight loss - Despite eating more the body actually loses weight as it breaks down proteins and fats to make up for the perceived energy deficit.

o Increased fatigue - Caused by the decrease in energy.

o Irritability

o Blurry vision - Caused by the increased blood volume that causes a swelling of the lens of the eye.

But the majority of women suffer no overt symptoms of gestational diabetes. Because of this it is vitally important that all women be screened for gestational diabetes towards the end of the second trimester at around 24 to 28 weeks of their pregnancy.

This test is called the oral glucose tolerance test. During the test the pregnant woman will consume a drink containing 50g of glucose. After one hour her blood glucose level is tested and if it is equal to or greater then 130 to 140 mg/dl then further testing is needed.

The next test to determine if a woman has gestational diabetes is the 3 hour, 100g oral glucose tolerance test. This test actually lasts about three days. For the three days before the test the woman eats an unrestricted diet eating at a minimum of 150g of carbohydrates each day. The night before the test she fasts and in the morning drinks a 100g oral glucose solution. Her plasma glucose is tested at four different intervals with blood glucose levels not to exceed the following for two or more of the tests:

Fasting - 95mg/dL

1 hour - 180mg/dL

2 hours - 155 mg/dL

3 hours - 140 mg/dL

If the diagnosis of gestational diabetes is made then the pregnant woman will have to follow a diet and exercise plan created for her individual needs by her medical care givers. For many women the first symptom of gestational diabetes is not passing the oral glucose tolerance test.




For more information about the symptoms of gestational diabetes please visit the web site Diabetic Diet Plans by Clicking Here.





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2012年8月27日 星期一

Gestational Diabetes Diet Menu - The 3 Most Common Mistakes Women Make (Is This You?)


A gestational diabetes diet menu helps you to plan what you need eat throughout the day to meet your calorie and protein needs. By using a diet menu, you can rest assured that you have eaten the right amount of food to have a healthy baby yet, keep your diabetes under control. This is a guide to some of the most common mistakes that women make when on a gestational diabetes diet.

Gestational Diabetes Diet Menu Mistake # 1 - Not measuring your food and knowing the serving sizes for the food you eat. Portion sizes can be confusing for you and packaging may contain several servings. A good example of this the fact that 1 pint of ice cream usually equals 4 servings.

What to do instead: plan out what you want to eat throughout the day, and portion it out. While this might take a little time at the beginning of the week, it is an excellent way to make sure you're eating just what you need. For example, my gestational diabetes meal plan contains patterns and meal listings for an entire day so you don't have to spend so much time figuring out what to eat.

Gestational Diabetes Diet Menu Mistake # 2 - Not eating throughout the day and skipping meals. Most women think that they need to limit their intake to make sure that their blood sugars don't get too high. Often they avoid foods that are really okay to eat if they knew the correct amount.

What to do instead: get a meal pattern for an entire day that shows the amount of calories and carbohydrates that you need. This will allow you to plan your day and eat snacks and smaller meals. It's important that you eat enough calories to make sure your baby grows properly. You also need to eat the right kinds of calories to control your blood sugar.

Gestational Diabetes Diet Menu Mistake # 3 - Not having a plan for the day. You can end up eating too much carbohydrates or too little calories which affects your blood sugar and your baby. If you take medication to control your diabetes, you need to be able to plan out your day to avoid high and low blood sugars.

What to do instead: use a meal pattern and planner for the day, like the kind that we provide as part of our gestational diabetes meal plan. You should get something with a breakfast, lunch, snacks, and daily planner that is based on the number of calories that you need for the day during your pregnancy.

Fixing these 3 mistakes can be an important part of controlling your gestational diabetes. As you work with your doctor or diabetes educator, be sure to understand how you should eat throughout the day to make the most of your pregnancy.




What if you just can't follow a gestational diabetes diet? I know it can be hard to try and make your own meal plan with recipes that are right for your diet. If you really want to succeed at your goals of having a healthy pregnancy you will need to follow a method that works amazingly well. This method is simple to pick up and it doesn't take much work, you can learn more about a gestational diabetes diet plan on our website. Don't give up hope, it's NOT impossible. Learn how to follow a gestational diabetes diet plan by going to our website now.





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Gestational Diabetes


What is Gestational Diabetes?

Gestational Diabetes also known as Gestational Diabetes Mellitus or GDM is a form of diabetes that sometimes develops during pregnancy. It is usually noted in the second or third trimester. GDM occurs when the expectant mother's pancreas cannot make enough insulin causing the body not to able to regulate the glucose.

What Causes Gestational Diabetes?

No one knows the exact cause of GDM. It is very possible that the hormones made by the placenta interfere with the regulation of insulin or block the effect of insulin. The placenta is a tissue that connects the baby to the mother while the baby is in the womb. The blocking effect would seem to increase as the placenta grows and produces more hormones. In most women the body makes more insulin and takes care of the problem. GDM would be the result of the pancreas making insufficient amounts of insulin.

Some women are more likely to develop Gestational Diabetes than others.

Risk factors include the following

* Having a family member with Diabetes

* Having a history of high blood sugar

* Gaining too much weight during pregnancy

* Being overweight before getting pregnant

* Having given birth to large babies in the past (over 9lbs)

* Having glycosuria (sugar in the urine)

* Black

* Hispanic

* American Indian

Signs and symptoms of gestational diabetes;

o Frequent Urination

o Blurred Vision

o Tired feeling much of the time, more than is usual

o Frequent urinary or bladder infections

o Frequent skin rash or infection

o Gaining more weight

o Nausea

o Vomiting

How is GDM Diagnosed?

The physician or healthcare professional will do a physical examination. If there is any concern about the possibility of GDM they will likely order either a 50 Gram Glucose Challenge. This is sometimes referred to as a 1hour Tolerance Test. In most labs you will be asked to fast prior to the test, but that is not always the case. Most labs will draw a sample and check the baseline blood glucose then give you a drink containing a specified amount of glucose. After you complete the drink you will then be asked to return in 1 hour to have a second tube of blood drawn. Women that are at high risk for gestational diabetes may have this test repeated several times throughout their pregnancy.

How is Gestational Diabetes Treated?

Much of the time GDM can be treated and controlled by using a combination of diet and exercise. The person with possible GDM should keep a very close watch on her Glucose levels through use of a glucose monitoring device such as the one-touch or accu-check.

Insulin or other medications may be given if diet and exercise are not successful in the treatment of GDM.

Will having GDM affect the baby or the mother?

There is a chance that GDM will lead to the following in mother:

* Development of Type 2 Diabetes later in life

* GDM in future pregnancies

* Increases chances of need for caesarean delivery

* Possible premature labor

And the following in the baby:

* Hypoglycemia (low blood sugar)

* Macrosomia (large baby) any baby weighing over 8lbs 8 oz is considered to be large

* Long term jaundice. Babies usually have some jaundice but it goes away after a week or so.

* Twitching of the hands and feet, possibly cramping of muscles

* Low Calcium

* Low Magnesium

To find out more about GDM or any type of Diabetes, or if your doctor says you have diabetes and you need some support or more information check out the following places.

How do I find support and more information? Gestational diabetes is a life-changing disease for you and your family. Accepting that you have gestational diabetes may be hard. You may want to join a support group which is a group of people who also have gestational diabetes.

Disclaimer:

This report should in no way be considered medical advice. The suggestions and/or techniques described in this report are for informational purposes only. If you are ill or injured you should see your primary healthcare professional immediately.




Jerry Goodwin is an avid cyclist, Medical Technologist, Personal Trainer and bicycle mechanic. Jerry and his wife Ruth have operate BMG Cycling and Fitness in Moultrie Georgia. Jerry is a member of the Pecan City Pedalers,he races his bicycle in the Georgia Golden Olympics and races BMX with his grandsons at CCheck out http://www.bmgfitness.com/diabetes for more information





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What is Gestational Diabetes and What You Can Do to Control It


Many women who become pregnant are unfamiliar with gestational diabetes until they are diagnosed during their second trimester. If you are currently pregnant or are trying to get pregnant then it is important that you are aware of this condition that affects only about 4% of all pregnant women. Most women are not affected by gestational diabetes but with the increasing obesity rates and un-healthy eating habits it is becoming more of a problem.

Gestational diabetes is a disease that appears during pregnancy and goes away once the baby has been born. In a few instances it does not go away causing the woman to become a type 2 diabetic. Most doctors attribute this problem with the hormonal changes that take place in a pregnant woman but there is still no clear cut known cause. No matter the cause it is a very serious issue that if left untreated can have severely negative health effects on both mother and baby.

Most women who are eventually diagnosed with gestational diabetes are unaware that they have it. This is why it is important that every pregnant woman get tested during their 24th to 28th week of pregnancy. If there are symptoms they will manifest much like any other person who is affected by diabetes. Increased frequency of urination, constant hunger despite eating, general fatigue and lethargy, carbohydrate cravings, increased thirst, and weight loss are all signs of gestational diabetes.

Gestational diabetes is characterized by high blood sugar levels during the term of a woman's pregnancy. Fortunately it is easy to control it effects through changes in diet and exercise frequency. Normally these lifestyle changes are easy to incorporate into daily life and the health benefits far out-weigh any inconvenience they might pose. The changes in diet consist of eating healthy foods and avoiding sugar and other high carb foods. If you are diagnosed your doctor will recommend a dietician who specializes in helping women with gestational diabetes. Working together with your health care practitioners you can create a gestational diabetes diet that best fits your needs.




For more information about the symptoms of gestational diabetes please visit the web site Diabetic Diet Plans by Clicking Here.





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Gestational Diabetes Testing - What is it and What Are Your Options?


In recent times, there has been meteoric rise in the number of pregnant women suffering with diabetes, a condition commonly known as pregnancy gestational diabetes. As per the available statistics, around 100,000 women every year suffer with gestational diabetes, a condition that is also called as glucose intolerance during pregnancy.  However, a major portion of these women are not even aware of their condition until they reach the last stages of pregnancy.  Gestational diabetes is a condition that can be best controlled only when it is identified early.  And the only way to identify the condition is to screen for diabetes using different gestational diabetes testing methods.  

As per American Association of Obstetrics and Gynecology, there is no one specific method that can be used for screening pregnancy gestational diabetes. Usually, women get affected with gestational diabetes between 24 and 28th week of pregnancy. The general process of screening and diagnosis of gestational diabetes mellitus involves routine screening for blood glucose levels during this period. Ironically, even if the gestational diabetes testing turns negative, it doesn't indicate that the non-existence of the illness. The tests need to be repeated during every subsequent trimester.

When it comes to gestational diabetes testing, there are two commonly followed diagnostic methods used around the world:

1. One-hour Oral Glucose Tolerance Test: In this test, pregnant woman is made to drink a solution of glucola that contains 50g of glucose. As the glucose is absorbed rapidly into the system, it causes an increase in blood glucose levels. After 60 minutes, blood sample is drawn from the patient and the samples are analyzed. A case of gestational diabetes is suspected if the glucose levels are above 130-140mg/dL. In this case, patient need not undergo any fasting.

2. Three-hour Glucose Tolerance Test: This method of gestational diabetes testing is recommended only when the one-hour glucose tolerance test results are abnormal. In this test, patients are made to drink a glucola solution containing 100g of glucose. Blood glucose levels are tested four times during a three-hour period and results are analyzed. The first test is done before consuming glucola. Subsequent tests are done after every one hour. Patient is considered to be suffering with pregnancy gestational diabetes even if 2 out of 4 tests show abnormal readings.

Controlling gestational diabetes is extremely important.  Otherwise, it can result in various complications occurring in the fetus. Infants might suffer with conditions such as macrosomia or extreme obesity at the time of birth, hypoglycemia, respiratory disorder, jaundice or even juvenile diabetes.  If the new born turns macrosomic, delivery can be extremely traumatic both for the mother and infant.  In fact, in these types of delivery, babies might experience situations such as shoulder dystocia, fractured bones or nerve damage.

By keeping these different Gestational Diabetes testing methods in mind, you are far more likely to get a proper diagnosis. Early diagnosis can help both the mother and child so please do not hesitate to have these tests done if symptoms start to occur.




For more information on Gestational Diabetes, try visiting http://www.curefordiabetes.org - it is a website offering solid tips and information on different diabetes treatments and diabetes in general.





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2012年8月26日 星期日

Gestational Diabetes Symptoms and Information


While there are many symptoms associated with the complications of gestational diabetes many mothers affected by this condition do not suffer many symptoms and might be unwary they have the problem. Gestational diabetes affects less than 5% of pregnancies in the U.S. For these women their health and their babies can be affected by this condition if it is not taken seriously and careful managed. Both the mother and the physician need to work together to come up with options that will reduce the risk of complications during the pregnancy. Watching and monitoring for symptoms of gestational diabetes are very important to the health of the mother and the baby.

Hormone changes in the body during pregnancy almost always in some way impair how glucose is used in the body. Insulin is a hormone produced to trigger glucose being moved through the body to provide energy. If the body becomes resistant to this hormonal trigger the result is the same as if too little insulin was being produced. For the pregnant woman, this might mean having a higher than normal blood sugar level, but not high enough to be diabetes during most of the pregnancy. The last part of the pregnancy or the third trimester can see a hormonal shift that upsets this balance and places the woman at risk of developing gestational diabetes. This might happen in part because during pregnancy the placenta which connects the baby to the uterus by the umbilical cord is also producing hormones as it helps to shift nutrients from the mother to the fetus.

These hormones produced by the placenta resist insulin and help the mother from developing low blood sugar levels in her blood. As the pregnancy nears its end these hormones coming from the placenta interfere more and more with the body's tolerance for insulin and a higher level of sugar in the blood. Most of the time the pancreas of the mother produces more insulin often as much as 3 times the normal level to compensate for the hormonal shift, but if this organ cannot produce enough insulin to surmount the levels coming from the placenta then the result is gestational diabetes. This is why the symptoms of gestational diabetes are the same as you might see for other types of diabetic conditions such as Type 2 since the blood level issues are the same in both conditions even though the causes are very different. It is also important to note that once the pregnancy is over and the placenta is expelled from the body this stops the conditions that resulted in the diabetes. That these factors did occur can however indicate a problem with diabetes Type 2 for the mother later in her life.

Symptoms of gestational diabetes or signs a doctor might look for include being overweight before the pregnancy, having a baby weighing over 9 in the past, having had a stillborn birth, having sugar in the urine, a family history of diabetes, having had gestational diabetes during a past pregnancy, or having too much amniotic fluid.




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An Overview of Gestational Diabetes


Getting sick is never a good thing for anyone at any time, but when you are pregnant, developing a condition can take on a whole additional set of factors that can raise red flags and concern for you and your unborn baby. Gestational diabetes is one of these potential concerns.

Gestational diabetes is a condition where a form of diabetes exists in the body where there was no diabetes before. It only affects pregnant women and the cause is still unknown at this time. However, medical science does have some ideas as to what may cause it.

What happens during pregnancy is the foetus is provided with all its nutrition through the mother's placenta. The placenta gives off hormones that are necessary for the baby to develop correctly in the womb. The problems start when these hormones interfere in the mother's ability to produce insulin.

The body uses insulin to process sugar and turns it into energy that the mother's body needs to live. With the production of insulin blocked this can't happen and is called resistance to insulin. The mother will develop a condition called hyperglycaemia, which simply means that her sugar levels are too high.

This condition is thought to affect about four percent of women who are pregnant in the United States each year, and it is unknown how many women suffer from gestational diabetes every year world wide.

Continue reading to discover the risk factors for gestational diabetes and to sign up for the free newsletter that offers natural methods for overcoming gestational diabetes.

The reason some develop gestational diabetes and others don't is unclear. However, there are some risk factors that can contribute to gestational diabetes developing.

Gestational diabetes has shown to be more prevalent in women who become pregnant at thirty five years or older, have a history of PCOS (poly cystic ovarian syndrome), are overweight or obese, have a history of gestational diabetes in previous pregnancies or a family history of type II diabetes and are from certain ethnic minorities.

It has now become common for all women who are between 20 and 30 weeks into their pregnancy to be tested for gestational diabetes since the condition has become more common in the last few decades. If you fall into one of the high risk areas described above, it is recommended that you get tested multiple times throughout your pregnancy, once during the first trimester, and then again at regular intervals throughout the following trimesters, as well.

The best pieces of advice to remember when it comes to gestational diabetes is to try to stay calm about it. Any additional stress that the pregnant mother undergoes when diagnosed with any sickness at all during pregnancy, including gestational diabetes, can cause as much harm to the unborn baby as the diabetes can. The best thing to do is to seek the advice of a medical professional and to follow their instructions to the letter. If you disagree with their recommendations about the proper way to treat yourself, then getting a second opinion is the best idea.




Sign up for Diane Ball's free Overcoming Gestational Diabetes newsletter - Overflowing with easy to implement methods to help you discover more about gestational diabetes.





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The Infant Risk Factor of Gestational Diabetes


Gestational diabetes brings a variety serious risk factors for any infant whose mother suffers its effects. Most of the problems caused to the growing fetus are a result of high blood glucose levels which makes controlling sugar intake so important. This is true of the woman with either preexisting diabetes or gestational diabetes because the increased risk associated with this disease left uncontrolled include both congenital birth defects and fetal death.

One of the most serious problems associated with a diabetic mother is ketoacidosis, which is an increase in the acidity of her blood caused by high blood glucose levels. Fetal death rates are increased by 50% from this complication because the fetal enzyme system can no longer function in a high acid environment.

Another major factor in fetal death rates in diabetic pregnancies is the risk of congenital birth defects. This risk occurs in 5 to 10 percent of all pregnancies in which diabetes is a factor. Medical research has shown that the increased risk of birth defects is brought about by a multitude of factors that include high blood sugar levels during the early part of pregnancy.

The heart, central nervous system, and skeletal system can all be affected in the growing fetus. Septal defects, coarctation of the aorta, and transposition of the great vessels are all fetal heart defects that are at an increased risk for gestational diabetes. The central nervous system can suffer from hydrocephalus, meningomyelocele, and ancephaly. Sacral agenisis is a disorder specific to gestational diabetes in which the lumbar spine and sacrum are unable to develop correctly. This has the effect of severely stunting the development of the lower extremities.

Macrosomia, which is excessive growth and fat storage, is another risk factor for gestational diabetes. Babies born with this condition are overly large for their gestational age but it can be controlled if the mother keeps her blood glucose levels under control. Large amounts of glucose crossing the placenta are the primary cause of this problem in which the fetus produces large volumes of insulin to deal with it. This over supply of insulin causes hyperinsulinism and hyperglycemia which is the primary factor in macrosomic babies. Babies who suffer from this condition are unable to be delivered vaginally because of their large size so a c-section must be done.

The reverse of macrosomia can also occur in a diabetic mother. Intrauterine growth restriction (IUGR) is a condition caused by changes in the mother\'s vascular system and leads to a gestationally small baby. These vascular changes compromise the blood flow to the fetus, which restricts the amount of nutrients the fetus receives.

High fetal insulin levels also contribute to respiratory distress syndrome in which the enzymes needed for surfactant production are inhibited. Surfactant is a lining that coats the lungs and allows newborns to breathe when they are born.

The last major risk for babies born to diabetic mothers is Polycythemia in which to many red blood cells are being produced. This creates an inability for the mother\'s blood to release oxygen which affects the fetal liver\'s ability to metabolize bilirubin that is being synthesized by the over abundance of red blood cells.

The risk factors for babies from gestational diabetes are very high. This is why it is important that all pregnant women be tested for this form of diabetes during their pregnancy. Women who already have type 1 or 2 diabetes upon getting pregnant will need to follow a strict diet, exercise and medical regimen overseen by their health care team to ensure the normal development of their baby. Gestational diabetes does pose many dangers to the unborn fetus but with proper management and care the outlook is very positive.




To learn more about the risk factors of gestational diabetes please visit the web site Diabetic Diet Plans by Clicking Here.





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2012年8月25日 星期六

Gestational Diabetes - A Warning Sign Type 2 Diabetes Will Be in Your Future!


Diabetes can occur during pregnancy, this is known as gestational diabetes mellitus (GDM). This occurs between the twenty-fourth and twenty-eighth week of pregnancy. If you had diabetes prior to your pregnancy, type 1 or type 2 diabetes, it is known as pre-gestational diabetes, which is a completely different story in that risks to the fetus exist throughout the pregnancy.

Technically the definition of gestational diabetes is "high blood sugar which is first diagnosed or recognized during pregnancy". Research reports 3 to 12% of all pregnant women will develop gestational diabetes between the twenty-fourth and twenty-eighth week of their pregnancy.

The symptoms of gestational diabetes are:

Extreme thirst
Hunger
Fatigue

But along with all the other changes taking place during pregnancy, many women do not notice these symptoms.

Gestational diabetes is not the same disease as type 2 diabetes, although it usually acts in the same way. It is a condition that occurs during pregnancy in which the body becomes resistant to the insulin it makes. It can often be managed through changes in diet and meal planning. It often disappears after the pregnancy has ended.

What you need to realize is gestational diabetes is often a warning sign, and unless lifestyle and dietary habits change after childbirth, type 2 diabetes will be "in the cards" in your future.

Statistics show:

If you return to your pre-pregnancy weight and continue to follow a healthy lifestyle, then your chances of developing type 2 diabetes within 10 years are just one in four
If before your pregnancy you were overweight or obese and continue to be so after delivery, you have a 60% chance of developing type 2 diabetes within 10 years.

What causes GDM?

Hormones made by the placenta can actually block the insulin made by your pancreas during pregnancy. This then forces your pancreas to work harder and harder to produce much more insulin than usual. Often the pancreas is not able to keep up and your blood sugar levels rise.

Many experts believe it is the natural weight gain which contributes to insulin resistance as your pancreas is unable to keep up with the additional weight.

How is GDM Managed?

As GDM takes the form of type 2 diabetes it can be managed through diet and blood sugar monitoring. However, recent research shows two-thirds of women with gestational diabetes required insulin. Usually GDM disappears once you deliver, but it recurs in future pregnancies.

Sometimes GDM uncovers a case of type 2 diabetes, or even type 1, that has not been previously diagnosed. But if you are genetically predisposed to type 2 diabetes, you are more than likely to develop type 2 in the future. As well, if you have GDM, you are also at risk of developing other pregnancy-related complications such as:

High blood pressure
Pre-eclampsia
Polyhydramnios which is too much amniotic fluid

So, if you are diagnosed with gestational diabetes, it is wise to seek out an experienced obstetrician.

Treatment for GDM is controlling blood sugar levels through diet, exercise and insulin if necessary, plus self-monitoring of your blood sugars. Unfortunately gestational diabetes is destined to return in following pregnancies approximately 80% of the time unless you manage to get yourself into good shape between pregnancies. If not, each subsequent bout of gestational diabetes is more severe than the previous one.

Family planning, therefore, is essential if you have had gestational diabetes... before conception you would need to have control of your blood sugar levels.




Would you like more information about alternative ways to handle your type 2 diabetes?

To download your free copy of my E-Book, click here now: Answers to Your Questions ...its based on questions many diabetics have asked me over recent months.

Beverleigh Piepers is a registered nurse who would like to help you understand how to live easily and happily with your type 2 diabetes.
http://drugfreetype2diabetes.com/blog
Copyright. (c) 2010 Beverleigh H Piepers RN - All Rights Reserved Worldwide





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Pregnant Women and Gestational Diabetes


There are a few different types of Diabetes however none are as confusing as Gestational Diabetes.

Gestational Diabetes is not a common form of Diabetes. Unlike Types 1 and 2, Gestational Diabetes targets only a select few pregnant women. Statistics indicate that only four percent of pregnant women are affected by Gestational Diabetes, in the United States, one hundred and thirty five thousand pregnant women are diagnosed each year.

When you are diagnosed with Gestational Diabetes, it may seem like your world is crashing down around you. A million thoughts run through your head, and you fear for the health of your child. It is important that you learn all you can about this disease and understand that you can have a normal healthy child with no risk to yourself or baby if you follow your physician's instructions.

There are no known causes for Gestational Diabetes, however studies indicate that the problem lies in the mothers ability to process insulin during pregnancy. This is called insulin resistance. Hormones from the placenta work against the mothers body by not allowing it to process insulin. However her body keeps producing it in large quantities.

Gestational Diabetes affects pregnant women from all ethnic backgrounds even if there is no history of Diabetes in the family. It strikes in mid to late pregnancy and can cause a great deal of harm to both mother and baby.

While the mother's body continually produces insulin, this alone cannot harm the baby. Insulin from the mother cannot enter into the baby because the placenta. What harms the baby is the extraordinary high levels of glucose that the baby ingests through the placenta. Macrosomia know as fat baby syndrome, can develop in the baby and cause serious complications at birth both for the baby and the mother. Babies born with Macrosomia face potential breathing problems, obesity and are at risk for Type 2 Diabetes later in life.

It is critical to have regular prenatal care when you are pregnant to ensure the health of your baby. Without proper prenatal care, Gestational Diabetes cannot be detected and you could be harming yourself as well as your child.

Treating Gestational Diabetes as soon as you are diagnosed is critically important. Often, it is just a matter of special menu options, monitoring your glucose level and exercise to keep it under control. More serious cases may also include daily insulin injections. Treating Gestational Diabetes will reduce the risk of 'fat baby' syndrome and a Cesarean section delivery.

There is an upside to Gestational Diabetes; it disappears after the baby is born. Just as suddenly as it comes on it goes away. However, research has shown that women who develop Gestational Diabetes during pregnancy are twice as likely to develop Type 2 Diabetes later in life. Research indicates that both types of diabetes are insulin resistant.

For women who have had Gestational Diabetes, it is recommended that lifestyle changes be made to include a healthy diet and exercise. This can reduce your risk of developing Type 2 Diabetes. It is also recommended that you maintain a healthy weight.




Peter Geisheker is CEO of The Geisheker Group marketing companies. For more information on Diabetes and managing blood sugar, please visit santalsolutions.com.





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Gestational Diabetes - The Facts and the Treatment


There is no greater gift for a mother than the joy of giving birth to a healthy child.

But sometimes, for some expectant mothers, the joy and promise of the pregnancy can be clouded by the possibility that they will develop a form of diabetes called gestational diabetes mellitus (GDM).

GDM is a temporary form of diabetes, a condition in which higher than normal blood sugar levels exist in the blood. While any form of diabetes can cause problems if allowed to go untreated, the pregnant mother can, by following the advice of her doctor and with the assistance of her health care team, look forward to a healthy and happy pregnancy that will provide a great start in life for the new baby.

Gestational diabetes only occurs in about 4 to 7 percent of pregnant women but is more frequent at up to about 10 percent and above in certain higher risk populations, those of African, Hispanic and South Asian descent and even higher for pregnant women of aboriginal descent. There are some other known factors that also increase the risk, all of which are well known and monitored by the medical profession.

If it should occur, gestational diabetes commences during the second and third trimesters and lasts until the baby is delivered. It is important to treat gestational diabetes during pregnancy to avoid complications to mother and baby.

Why sugars are in the blood

Sugars are needed by the cells of the body and occur in the blood quite naturally after eating food. The primary nutrients in food are classified as proteins, fats and carbohydrates, and together with water are essential for life to exist. The main source of the sugars are the carbohydrate portion of foods such as potatoes, pastas, breads, beans, and vegetables and they are also found in sweets, candies and soft drinks. The cells of the body use the sugars as fuel to provide the energy to maintain the complex processes of life. The problem of diabetes arises when the cells cannot take up the sugars because of an impaired system of control within the body.

The ways to manage and minimize the effects of gestational diabetes are well understood but they do depend to a large degree on the cooperation and understanding of the mother to be. That is not a lot different than all types of diabetes, but in the case of GDM, the condition normally ends when the baby arrives whereas for the full diabetic it lasts for a lifetime.

The treatment of gestational diabetes

Since the condition involves higher than normal levels of blood sugars, the objective is to do what is necessary to bring them down to safe levels and keep them there, the safe levels being those normally experienced by pregnant women who do not have GDM.

Treatment usually includes the adoption of a special but easy to follow meal plan that provides adequate nutrition while controlling blood sugar levels. The right amount of physical activity and weight gain are also factors that help a successful pregnancy and these would be monitored by the doctor to ensure the intensity of the activity is reasonable and the amount and rate of weight gain is appropriate for the pregnancy and any related risk factors.

If difficulty is encountered in achieving and maintaining recommended blood sugar levels, the doctor may prescribe medication including insulin, a special type known to be safe for use during pregnancy.

It may be necessary to self monitor blood sugar levels, a simple process done with a hand held metering device, the same as that used every day by most persons with diabetes. It is easy and quick, it takes about 30 seconds to get a reading, one soon gets used to it. It is valuable because it immediately shows how close to the necessary levels that the measured blood sugars are are at the time of the reading.

The recommended target levels for blood glucose during pregnancy:

The values listed below are guidelines only and are based on publications of the Canadian Diabetes Association (CDA) dated 2008. As for everything related to diabetes, always follow the advice of the doctor. The Canadian Diabetes Association's data is equal to the best available in the world, Canada is a leader among nations in the treatment of diabetes and the CDA has an aggressive stance in promoting good practices and treatment of the disease.

Early this year, 2010, a report of gestational studies was published by Chicago's Northwestern University stating the belief of researchers that the currently accepted blood sugar levels should be lowered to reduce the risks of the disease. If this was to happen, it would increases significantly the number of cases of gestational diabetes in North America,

Target levels for most pregnant women:

· Level after fasting are: 68.4 to 93.6 mg/dL (3.8 to 5.2 mmol/L)

· Level 1 hour after eating a meal are: 99 to 139 mg/dL (5.5 to 7.7 mmol/L)

· Level 2 hours after eating a meal are: 90 to 119 mg/dL (5.0 to 6.6 mmol/L)

· A1c Levels are: 6.0 % or less

Fasting is usually for about 8 to 10 hours overnight from the last meal in the evening until before breakfast the following morning

The A1c test provides an average read of blood glucose levels during the previous 120 days and measures the percentage of hemoglobin molecules that have glucose attached to them. Hemoglobin makes up about 35 percent of blood constituents.

After the arrival of the baby, that lovely bundle of joy, a warning



When labor begins, the gestational diabetes usually ends, but if the blood sugar levels of the mother are still high at the time of birth, which means that higher than normal levels of insulin may also be in the blood of mother and baby, the baby might immediately experience a significant drop in blood sugar levels, the opposite of diabetes. The doctor will be aware of and be prepared for this and may need to give a glucose injection to the baby to avoid a seizure or other complications. For this reason it is wisest for the birth to take place in a hospital where every care for mother and baby is readily available.

In cases where GMD has been a factor, and as a precaution, it is usual to test the blood of the new baby for glucose between about 6 weeks and 6 months after birth.

It should also be noted that a mother who has had gestational diabetes has a statistically increased risk, later in life, of developing type-2 diabetes, the most common form of all types of diabetes. Knowing that, it is wise to continue to follow a healthy diet and include physical activity in a daily lifestyle. Also, check periodically with your doctor who can order a blood test to monitor for the possibility of diabetes developing. Prevention beats cure but for type-2 diabetes there is no cure anyway.

It is also recommended, in order help reduce the risks of developing type-2 diabetes at a later time, that mothers breast-feed their new baby. And check with the doctor when planning another pregnancy.




Author's Comments:

For more information on gestational diabetes, including the conclusions from the Northwestern University report, referred to above, see the article titled: "Currently Accepted Blood Glucose Levels in Pregnancy Pose Risks to Mother and Child", here: Gestational Diabetes and for many other diabetes topics see Normal Blood Sugar Levels.





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