Conditions InDepth: Gestational Diabetes

Gestational diabetes is a form of diabetes that begins during pregnancy and usually resolves after the baby is born. During pregnancy, placental hormones (growth hormone, prolactin, cortisol, placental lactogen, progesterone) are produced that can block the effectiveness of insulin, leading to a relative insulin resistance. Insulin is a hormone that helps the body convert food into energy. Without insulin, glucose from the food you eat cannot enter cells, and glucose builds up in the blood.In most women, the pancreas increases insulin production enough to offset this resistance. When the pancreas fails to keep pace, gestational diabetes occurs. In addition to causing problems for the mother, the excess glucose in the blood can cross the placenta and cause problems for the baby.Complications for women with gestational diabetes mellitus include an increased chance of:

Complications affecting the fetus or infant include: Children whose mothers had gestational diabetes are at higher risk for developing type 2 diabetes . If you have gestational diabetes, maintaining good control over your glucose levels during pregnancy significantly reduces the risk of complications to you and to your baby.What are the risk factors for gestational diabetes?What are the symptoms of gestational diabetes?How is gestational diabetes diagnosed?What are the treatments for gestational diabetes?Are there screening tests for gestational diabetes?How can I reduce my risk of gestational diabetes?What questions should I ask my doctor?Where can I get more information about gestational diabetes?

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June 2015

A meta-analysis found that mothers participating in a prenatal exercise group were less likely to have a large newborn, less likely to need a cesarean section, and no more likely to have a low birthweight baby than those who did not exercise. The study supports proper prenatal care advice which advocates for mothers to exercise during pregnancy if allowed by the physician.

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