Saturday, August 13, 2011
Gestational diabetes....fasting reading 100mg/dl or 5.5 mmo/l.....i am 39 weeks pregnant and baby is 4kg?
I had Gestational Diabetes with my 4th pregnancy. The fasting glucose reading of 100 is on the high side, but not dangerously so. It is a possible indicator that you need an adjustment of your insulin. Since you are very near to the end of your pregnancy a few more days or a couple more weeks of this is not going to be cause for great alarm. After the birth of your baby, it is most likely that he will be just fine. He will have several blood tests to check his glucose numbers, but most babies don't show any signs of problems. He may have hypoglycemia, low blood sugar, but beginning to nurse right away usually takes care of that. Rarely babies born to moms with GD require some IV glucose solution to balance the glucose numbers. There may be some jaundice that develops, but this is normal for babies born to moms without GD as well. It is easily treated and not generally cause for concern. While there is an increased risk of higher than normal birth weight for babies born to moms with GD, it is not a given. The baby I had when I had GD was born at 41 weeks and weighed 6 pounds 14 ounces. They predicted (via ultrasound) that she would weigh over 8 pounds, but ultrasound weight predictions can be off. Typically the biggest problem is a large baby which can cause l delivery problems so some doctors recommend an induction if the baby is getting too large and sometimes a c-section is necessary if the baby develops macrosomia, which basically is just a large baby with a big shoulders that make l delivery potentially problematic. After your baby is born, specifically after the placenta is delivered, the Gestational Diabetes should go away soon after. GD is caused by pregnancy hormones that make your cells insulin resistant. The hormones are made by the placenta so as soon as that is gone, your cells return to normal in most cases. You will be at greater risk for developing Type 2 Diabetes later in life and will want to be monitored and try to keep your weight down and exercise. My youngest is now 10 and I was diagnosed last year with Glucose Intolerance, a pre-diabetic condition, so I am back eating with a specific meal plan in order to ward of Type 2 as long as possible.
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