Gestational Diabetes (Obstetrics – Third Trimester / High Risk)



gestational diabetes is diabetes that gets diagnosed while you're pregnant so according to the diagnosis any person that didn't know they were diabetic and then gets diagnosed with diabetes during pregnancy is a gestational diabetic but true gestational diabetes is really only a factor of pregnancy itself it usually doesn't develop until the very end of the second or very early third trimester and so we generally test for it between 26 and 28 weeks the test is kind of a yucky test you got to go in fasting before you eat they'll check your blood sugar and then they give you the sweet stuff to drink that's pretty nasty and then you wait an hour and they recheck you then the idea is we want to see what your body does with this measured amount of sugar to make sure that it's processing the sugar correctly if you fail that test you may need to do another test in which you do this similar kind of thing but for three hours to really make sure that you have the problem now if you have gestational diabetes it's going to be very very important that it gets treated because if your blood sugars get totally out of control it can cause a stillbirth where the baby dies inside of you and that it's just a terrible thing even if it doesn't get that bad but it's still not well controlled it can make the baby too big which can cause birth injury or other problems during the time of delivery it's really important that you control your blood sugars if you have gestational diabetes now the good news about gestational diabetes is that delivery cures the problem now it takes a few days for everything to clear out but essentially you're going to go back to your normal self your non-diabetic self after eventually after you deliver however we're never really sure when we diagnose someone if this really is just a tional diabetes or did you really have diabetes before and didn't know about it so we always recommend that people follow up with their family doctor or internist with their primary care specialist to get some blood sugar check about six to eight weeks after delivery to make sure that the diabetes is gone but for the most part this is only a short-term issue that you're going to have to deal with while you're pregnant the primary way to treat your sectional diabetes is wood diet you really need to decrease the amount of carbohydrates in your diet so what is a carbohydrate well the obvious stuff is the sweet things the sugars and the ice cream and the candy and the desserts and all the things it tastes sweet those you need to completely get rid of in your diet that includes juices even fruit juices have a lot of sugar in them and really aren't safe when you're diabetic tea that's sweetened with sugar is also a no-no now the the Nutri Swedes saccharin the the sugar substitutes those are safe and won't increase your blood sugar and they're actually safe in pregnancy so those you can use you also want to avoid other types of carbohydrates which are starchy foods that would be things like bread pasta tortillas cereal potatoes corn rice all that starchy stuff those foods are also carbohydrates so what happens when you eat a piece of bread is that it gets into your stomach and your intestines and it gets broken down into sugar so I tease that eating bread is like eating a candy bar just eventually gets turned into sugar so you want to be careful about that now people say well what if I have complex carbohydrates in whole-wheat bread well honestly that is a little bit better only because it takes longer for your body to digest it and so the sugar release is a little bit slower rather than all at once it so it's a little easier for the body to handle it but it's still carbohydrates and it's still putting sugar into your system so for the most part you want to try and avoid those things as much as possible so what does that leave you with really mostly meats and vegetables and that's basically what a diabetic diet is going to be is primarily meats and vegetables with some fruits and a small amount of carbohydrates your doctor is pluggin I want you to check your blood Sugar's at home and usually that's checked in the morning before you eat and then after meals some people like to do it two hours after meals some people like to do it one after one hour after meal part of it has depends really on how people are trained but there's going to be tight controls and your doctor is going to want to see those numbers to help you adjust now if you're unable to get the blood Sugar's under control with diet then insulin is probably going to be added some people will add oral medication and those are safe and they do work in my opinion it's a little bit of a slow process and since there's not a whole lot of time between the time we diagnosed and you time to deliver I don't like messing around with the oral agents it's certainly a safe way to do it it's very acceptable for me I'm a little bit more aggressive so if I have someone that fails diet I'll put them directly on to insulin just so that we don't lose a week or two seeing if the oral medications work don't worry about insulin a lot of people have this idea that if they take insulin it's going to make the baby diabetic absolutely won't it's going to protect your baby you having gestational diabetes is not going to make your baby diabetic either so you don't have to worry about that but it's very very important that the blood sugars are in the goal range to keep your baby healthy so gestational diabetes is it's a big hassle if you have it because you have to change your diet which is really difficult you have to sometimes use insulin and then exercise is the other thing exercise will also help bring your blood sugars down so there's some big lifestyle changes on the other hand it's one of the few things that you actually can control so the health of your baby in a great part is going to depend on what you put in your mouth so if you're able to take it seriously and do what you need that gestational diabetes is not going to be a big problem and you're going to have a normal healthy baby enjoys calm

17 Replies to “Gestational Diabetes (Obstetrics – Third Trimester / High Risk)”

  1. Vit B6 100mg everyday for two weeks shown to reverse GD (research it yourself), ween off before birth as it reduces breast milk production. Make sure the b6 is P5P version as it is more absorbable. It doesn’t hurt to take it with magnesium and methyl b12 as these help with absorption as well. You’re welcome

  2. I have GD and have been losing weight since before the diagnosis.

    Is the weight loss going to negatively affect the baby?
    Is it important to gain weight throughout the pregnancy?
    What do I eat to ensure proper weight and maintain low blood sugar levels?

  3. My good friend recommended this “Gαjοjο Fivu” (Google it) for my weight and diabetic issues. I`d been following firm fitness as well as diet plan. I was able to reduce 35 points from my blood sugar levels after a day on the diet program. Right after Four days, I lost Sixty points from my blood sugar levels. It`s been effective for me. I`m very pleased which I was able to stabilize my blood sugar..

  4. I failed my test by 11 points. Prior to pregnancy, I’ve been tested for diabetes 4 to 5 times but it always comes back normal.
    The problem is that I’ve been struggling with eating disorders over the years, and I’m terrified of that restriction if I do have GD 🙁 .. I keep reminding myself that it’s for my son but it’s so tough to deal with and so overwhelming.

  5. I m 26 week pregrant and my sugar lever is 156 and Dr call me after 4 days i I m trying to control plz tell me i m talking carror orange and pomgranate mix fresh juice should I take and I take tea without sugar is it ok ? Please tell me

  6. Im 27 weeks and my test came back 111 (pre-diabetic numbers) but my son was born over 10 lbs 3 years ago and I did not have GD. I got my A1C tested six months ago and it was fine 😏 kinda pissed

  7. I understand what is being said but I don't understand the whole testing and the science behind it. I'm 28 weeks and my test came back positive today. I've had a healthy lifestyle and get a yearly phand labs one so I'm not sure how one can get this stuff while pregnant and how it " goes away" after pregnancy.

    I'm just very annoyed about this that's all.

  8. If i got tested for diabetes in my first trimester and it came back negative, and my 1 hr glucose came back positive… do I really need to take the 3 hr test?

  9. it makes me so mad that people like myself look for these videos to learn about the condition and before the video plays i am forced to watch an advertisement for a sugar packed cereal. Better product advertising laws really need to be introduced.

  10. I have gestationaldiabetes and I am seeing a ob and a diabetes team. And I was told I must eat carbohydrates such as brown bread and rice and berries, apples and pears, otherwise I would end up losing weigh and starving my baby, I was told to always combine the complex carb with protein and fiber to further slow the absorption of sugar, rather than just complex carbs by itself. For example I make a smoothy with frozen cherries, half a small banana, sugar free almond milk, brown rice protein powder, plain Metamucil ( extra fiber) plain Greek yogurt, my dietician approved this. I eat this with 2 hard boiled eggs. So far so good. I was also approved to eat oatmeal with 1/2 cup fruit and hemp seed. I was told to play with the diet a bit if needed. She said she'd put me on metaformin or insulin before she'd cut out all my carbs (complex) I can reduce carbs a bit more if need be but she said absolutely not to do an Atkins style diet.

  11. very helpful !! was diagnosed yesterday and this is the clearest and most informative video I've seen. Not too long either

  12. The hospital didn't want my GTT repeated when midwife had concerns over blood result of 7.1 now I'm 33 weeks and 3 days and have only just been diagnosed with GD after glucose was found in my urine 🙁 what does it mean being diagnosed so late in pregnancy.

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