Gestational Diabetes Millitus(GDM)

Gestational Diabetes Mellitus is a kind of diabetes associated with high levels of blood glucose in pregnant women who is not known to have diabetes before pregnancy.

Causes:

The mother develops insulin resistance, it starts when the body is not able to use insulin because the hormones that are produced by the placenta to support the pregnancy also block the action of mother’s insulin. As a result, glucose builds up in the bloodstream causing hyperglycemia.

Risk Factors

Diagnosis:

For every pregnant woman, screening test will be preformed, which is checking the blood sugar two hours after a regular main meal.

If it is high or one of the mentioned risk factors exists, Oral Glucose tolerance Test is preformed to confirm diagnosis. It starts with testing fasting blood sugar (10-12 hours), and then testing blood sugar 2 hours after gluco-cola drink containing 75 gm of sugar to test the body’s ability to digest sugar.

Treatment:

First: Diet

Second: Exercise

Exercise is one of the cornerstones of GDM treatment as it causes blood sugar levels to drop by burning sugar and improving insulin resistance in the body.

Third: Insulin Therapy

Complications:

First: For the baby

Second: For the mother