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Diabetes in Pregnancy

Gestational diabetes is a serious health issue during pregnancy and it may have negative implications both on the mother as well as the fetus. During pregnancy, the hormones secreted by the placenta cause elevation in blood glucose levels. If pancreas fails to make enough insulin to compensate the rise in the blood sugar levels, it leads to gestational diabetes. About 10% of pregnant women in India develop gestational diabetes at some point during their pregnancy. Women who have conceived after the age of 35, have family history of diabetes or is obese has greater risk of diabetes during pregnancy.

Signs and symptoms

Most women with gestational diabetes do not have any noticeable signs and symptoms. However, some women may experience the following symptoms associated with diabetes:

  1. Unusual thirst
  2. Increased appetite
  3. Nausea
  4. Fatigue
  5. Blurred vision
  6. Increased urinary frequency

How to find out whether I have gestational ?

 

Glucose tolerance test is the most reliable test to confirm the diagnosis of gestational diabetes. This test is done between 24th – 28th weeks of pregnancy.

Before taking a glucose tolerance test

  • Do not alter your diet plan. Eat a normal diet, which you follow on regular days.
  • Avoid consuming caffeinated and any other beverages, as they can meddle with the test results.
  • Inform your doctor if you are taking any diuretics, beta-blockers or other medications, as they can interfere with your test results.

During the test

In order to assess gestational diabetes, fasting as well as post-meal blood samples are collected. You will be asked to consume a sugary drink which would raise your blood sugar levels. Following this, your blood sample would be collected and the blood glucose levels would be analyzed

How to read your test results?

Increase in blood sugar levels beyond normal indicates gestational diabetes. Refer to the table below to find out the normal blood sugar levels during pregnancy

   Time of sample collection

Blood sugar levels (normal range)

          Fasting    <110 mg/dL
1 hour after meal      180 mg/dL
2 hours after meal      155 mg/dL
3 hours after meal      140 mg/dL

Complications

If gestational diabetes is not carefully managed, it can pose a significant health risk to you and the developing foetus.

The maternal complications associated with gestational diabetes are

  • Miscarriage: Women having gestational diabetes are at a high risk of losing the pregnancy.
  • Preeclampsia: Gestational diabetes may cause high blood pressure during pregnancy which may have deleterious effects on the mother and baby.
  • Polyhydramnios: Women with gestational diabetes may have excessive amniotic fluid.

 The fetal complications associated with gestational diabetes are

  • Birth defects: Infants of mothers with gestational diabetes are more prone to have birth defects such as neural tube defects and are at a greater risk of developing congenital abnormalities.
  • Excessive weight: Macrosomia is the most common fetal complication of gestational diabetes. In this condition, where the baby weighs relatively more than normal and caesarean birth may be needed.
  • Premature birth: Gestational diabetes increases the risk of early labour, which can, in turn, lead to respiratory distress syndrome or jaundice in the infant.

If gestational diabetes is left untreated, it can cause fetal or neonatal loss. However, it is quite possible to reduce the risk of complications of gestational diabetes, if it is diagnosed and treated on time.

How to treat gestational diabetes?

It is required to check for any problems and closely monitor your pregnancy while having gestational diabetes.

Lifestyle measures

  • Monitor your blood sugar levels: Women with gestational diabetes should monitor their blood sugar levels regularly and should try to maintain the sugar levels within a healthy range.
  • Diet: Follow a diabetic diet plan and eat small frequent meals to prevent excess weight gain and maintain normal blood sugar level.
  • Exercise: Exercising utilizes the glucose that is stored in your body and converts it to energy. Thus, regular exercise helps in reducing blood sugar levels.

Medical intervention

The doctor would closely monitor your baby growth and prescribe you certain medications such as metformin to control blood sugar. If the blood sugar levels are too high, you may be prescribed insulin therapy.

Why choose Apollo Diagnostics?

We have the expertise of 34 + years in healthcare. Our labs are equipped with EQUAS (External Quality Assurance System) and loaded with full automated machines to ensure error free reports, with a quick turnaround time, and at an affordable price. For your convenience, we offer free home collection of samples.

For appointments, please call 4444 2424.

References

  1. Gestational Diabetes. http://americanpregnancy.org/pregnancy-complications/gestational-diabetes/  Accessed on 03-10-2017
  2. What is Gestational diabetes?. https://www.webmd.com/diabetes/gestational-diabetes-guide/gestational_diabetes. Accessed on 03-10-2017
  3. Gestational Diabetes. http://www.mayoclinic.org/diseases-conditions/gestational-diabetes/symptoms-causes/dxc-20317176 . Accessed on 03-10-2017
  4. Managing gestational diabetes. http://www.nhs.uk/Conditions/gestational-diabetes/Pages/Treatment.aspx. Accessed on 03-10-2017


Patient Testimonials

“Finding the best place for a diagnostic test is as important as consulting the best doctor. The Apollo name was what guided me to Apollo Diagnostics and I am indeed glad that I came here. From attending us on time to sample collection, everything flowed so smoothly. I was particularly impressed by the hygiene. It was definitely a value for money experience. Thanks a lot Apollo Diagnostics…keep up the good work!”

Mrs. Ferha Jabeen, Old Bowenpally, Secunderabad

“I Have heard a lot of good things about Apollo Diagnostics from our family physician as well as from relatives and friends. So then next time I needed a diagnostic centre, I visited Apollo Diagnostics and I was really glad I did. For one, I didn’t have to wait. The technician was extremely good, and the place was really clean. It was certainly a value for money experience. Great job Apollo Diagnostics!”

Ms. T. Jaya, Nakkalagutta, Hanmakonda

“I must say Apollo Diagnostics places a great value on time and patient comfort! I am a fan of their home collection service which is not only on time and technically sound, but the hygiene and cordiality of the visiting technician is also commendable. Hats off! I’ll continue to recommend Apollo Diagnostics to my family and friends.”

Mr. B. Pochaiah, Mallikarjuna Nagar Colony, Old Bowenpally, Secunderabad

“I have always had a great experience with Apollo Diagnostics. The calls are unfailingly answered. The scheduled appointment is kept to the minute. The phlebotomist is well-trained in both technique and putting the patient at ease. Apollo Diagnostics undoubtedly delivers value for money. They will always be my top option for all the diagnostic needs of my family.”

Mr. Prasanta Kumar Jena, JP Nagar, Bengaluru

“I came to know about Apollo Diagnostics from my relatives and friends. So, when I required a check up to be done, I thought about trying their service once. From sticking to the appointed time to accuracy of technique, it was really a great experience overall. Hygiene of the technician and the centre as well, was also quite admirable. I certainly felt it delivers value for money service. From now on, I’ll always visit Apollo Diagnostics for all my checkups.”

Mr. Venkateshwar Rao, Hanmakonda

“I was looking for a good diagnostic centre to get some checkups done. I was confused as there are so many of them all over the city. Some of my friends recommended Apollo Diagnostics as the best one. I’ll always remain thankful to them. The technician at Apollo Diagnostics was not only punctual but his competency was certainly praiseworthy. I never felt any discomfort as he was so confident and compassionate. Great job Apollo Diagnostics!”

Mr. T Radhakishan Rao, Hanmakonda

“My experience with Apollo Diagnostics has been consistently good. Securing the appointment was very easy and the schedule was maintained to the dot. The behaviour of the technician was pleasant and he was well–versed with his job. The place was noticeably clean and I did not face any discomfort during the process. The reports were delivered as promised and surprisingly, the service was pretty affordable. I would recommend Apollo Diagnostics to my circle without any hesitation!”

Mr. Arif Ameer, JP Nagar, Bengaluru

“Apollo Diagnostics came highly recommended by my friends. I was particularly impressed by their cordiality, time management and process competence. Another must mention is the hygiene factor that is impeccable. Given the quality delivered, this is certainly a value for money experience. Thanks a lot Apollo Diagnostics…keep up the great work!”

Ms. A.Madhavi, Warangal

“Our family physician strictly instructed me to get the checkup done at Apollo Diagnostics. I am glad I respected his opinion. I was attended to as soon as I went in. The technician was a true expert at his job and made it a painless experience for me. I also observed that the centre was spotless and all the staff members were particular about maintaining hygiene. Apollo Diagnostics certainly delivers value for money. I’ll always recommend Apollo Diagnostics to my family and friends.”

Ms. Vimala, Hanmakonda

“My Apollo Diagnostics experience has thus far been truly amazing. Besides unfailingly maintaining the schedule – be it sample taking or report delivery, their sense of cleanliness is also tops. The technicians are well-trained and do their job with diligence and in a friendly manner that puts patients at ease at once. Apollo Diagnostics is setting a very high standard indeed! Now that’s what I call a fine job!”

Ms. G. Jyothi, Warangal

“My mother needed a blood test, but was unable to walk due to pain in her leg. A Phlebotomist from Apollo Diagnostics came home and collected the sample. I was informed, via SMS, that the report could be collected from any of the 3 centres in Dibrugarh, downloaded online or even delivered home for a nominal fee. Although the rates were reasonable, my mother also received a senior citizens discount too! This saved my time, money & energy. My aachhe din really seemed to have arrived! Thank you Apollo Diagnostics and hats off for displaying true professionalism.”

Mr. Alokk Kar Dowerah, Dibrugarh

“Whenever I need to have a blood sample collected from home, I ask for Vasu. He is punctual, courteous and so skilled I hardly feel any pain when he draws the sample. Plus, I truly appreciate how quickly the reports are delivered. Thanks Apollo!”

Mr. Sukumar, Film director, Sriram Nagar, Hyderabad