BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuGestational diabetesGlucose intolerance during pregnancyGestational diabetes is high blood sugar (glucose) that starts or is first diagnosed during pregnancy. Causes Pregnancy hormones can block insulin from doing its job. When this happens, glucose level may increase in a pregnant woman's blood.You are at greater risk for gestational diabetes if you:Are older than 25 when you are pregnant Come from a higher risk ethnic group, such as Latino, African American, Native American, Asian, or Pacific Islander Have a family history of diabetes Gave birth to a baby that weighed more than 9 pounds (4 kg) or had a birth defect Have high blood pressure High blood pressureBlood pressure is a measurement of the force exerted against the walls of your arteries as your heart pumps blood to your body. Hypertension is the ...ImageRead Article Now Book Mark Article Have too much amniotic fluid Have had an unexplained miscarriage or stillbirth Were overweight before your pregnancy Gain too much weight during your pregnancy Have polycystic ovary syndromePolycystic ovary syndromePolycystic ovary syndrome (PCOS) is a condition in which a woman has increased levels of male hormones (androgens). Many problems occur as a result ...ImageRead Article Now Book Mark Article Symptoms Most of the time, there are no symptoms. The diagnosis is made during a routine prenatal screening.Mild symptoms, such as increased thirst or shakiness, may be present. These symptoms are usually not life threatening to the pregnant woman.Other symptoms may include:Blurred vision Blurred visionThere are many types of eye problems and vision disturbances, such as: Halos Blurred vision (the loss of sharpness of vision and the inability to see...ImageRead Article Now Book Mark Article Fatigue FatigueFatigue is a feeling of weariness, tiredness, or lack of energy.Read Article Now Book Mark Article Frequent infections, including those of the bladder, vagina, and skin Increased thirst Increased thirstExcessive thirst is an abnormal feeling of always needing to drink fluids.ImageRead Article Now Book Mark Article Increased urination Exams and Tests Gestational diabetes most often starts halfway through the pregnancy. All pregnant women should receive an oral glucose tolerance test (glucose challenge test) between the 24th and 28th week of pregnancy to look for the condition. Women who have risk factors for gestational diabetes may have this test earlier in the pregnancy.Oral glucose tolerance testA glucose screening test is a routine test during pregnancy that checks a pregnant woman's blood glucose (sugar) level. Gestational diabetes is hi...Read Article Now Book Mark Article Once you are diagnosed with gestational diabetes, you can see how well you are doing by testing your glucose level at home. The most common way involves pricking your finger and putting a drop of your blood on a machine that will give you a glucose reading. Treatment The goals of treatment are to keep blood sugar (glucose) level within normal limits during the pregnancy, and to make sure that the growing baby is healthy.WATCHING YOUR BABYYour health care provider should closely check both you and your baby throughout the pregnancy. Fetal monitoring will check the size and health of the fetus.A nonstress test is a very simple, painless test for you and your baby. Nonstress testWhile you are pregnant, your health care provider may do tests to check your baby's health. The tests may be done at any time while you are pregnant...Read Article Now Book Mark Article A machine that hears and displays your baby's heartbeat (electronic fetal monitor) is placed on your abdomen. Your provider can compare the pattern of your baby's heartbeat to movements and find out whether the baby is doing well.If you take medicine to control diabetes, you may need to be monitored more often toward the end of your pregnancy.DIET AND EXERCISEIn many cases, eating healthy foods, staying active, and managing your weight are all that are needed to treat gestational diabetes.The best way to improve your diet is by eating a variety of healthy foods. You should learn how to read food labels and check them when making food decisions. Talk to your provider if you are a vegetarian or on another special diet.In general, when you have gestational diabetes, your diet should: DietGestational diabetes is high blood sugar (glucose) that starts during pregnancy. Eating a balanced, healthy diet can help you manage gestational dia...Read Article Now Book Mark Article Be moderate in fat and protein Provide carbohydrates through foods that include fruits, vegetables, and complex carbohydrates (such as bread, cereal, pasta, and rice) Be low in foods that contain a lot of sugar, such as soft drinks, fruit juices, and pastries Talk with your provider about the physical activities that are right for you. Low-impact exercises, such as swimming, brisk walking, or using an elliptical machine are safe ways to control your blood sugar and weight. If managing your diet and exercising don't control your blood sugar, you may be prescribed diabetes medicine or insulin therapy. Outlook (Prognosis) There are many risks of having diabetes in pregnancy when blood sugar is not well controlled. With good control, most pregnancies have good outcomes.Pregnant women with gestational diabetes tend to have larger babies at birth. This can increase the chance of problems at the time of delivery, including:Birth injury (trauma) because of the baby's large size Delivery by C-sectionC-sectionA C-section is the delivery of a baby by making an opening in the mother's lower belly area. It is also called a cesarean delivery.ImageRead Article Now Book Mark Article Your baby is more likely to have periods of low blood sugar (hypoglycemia) during the first few days of life, and may need to be monitored in a neonatal intensive care unit (NICU) for a few days.HypoglycemiaLow blood sugar is a condition that occurs when the body's blood sugar (glucose) decreases and is too low. Blood sugar below 70 mg/dL (3. 9 mmol/L) i...ImageRead Article Now Book Mark Article Mothers with gestational diabetes have an increased risk for high blood pressure during pregnancy and increased risk for preterm delivery. Mothers with seriously uncontrolled blood sugar have a higher risk for stillbirth.High blood pressure during pregnancyPreeclampsia is high blood pressure and signs of liver or kidney damage that occur in women after the 20th week of pregnancy. While rare, preeclamps...ImageRead Article Now Book Mark Article After delivery:Your high blood sugar (glucose) level often goes back to normal. You should be closely followed for signs of diabetes over the next 5 to 10 years after delivery. When to Contact a Medical Professional Contact your provider if you are pregnant and you have symptoms of diabetes. Prevention Early prenatal care and having regular checkups helps improve your health and the health of your baby. Getting prenatal screening at 24 to 28 weeks of pregnancy will help detect gestational diabetes early.If you are overweight, getting your weight within the normal body mass index (BMI) range will decrease your risk for gestational diabetes.Body mass indexA good way to decide if your weight is healthy for your height is to figure out your body mass index (BMI). You and your health care provider can us...ImageRead Article Now Book Mark Article Open ReferencesReferencesAmerican Diabetes Association. 14. Management of diabetes in pregnancy: standards of medical care in diabetes-2020. Diabetes Care. 2020;43(Suppl 1):S183-S192. PMID: 31862757 pubmed.ncbi.nlm.nih.gov/31862757/.Landon MB, Catalano PM, Gabbe SG. Diabetes mellitus complicating pregnancy. In: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Gabbe's Obstetrics: Normal and Problem Pregnancies. 8th ed. Philadelphia, PA: Elsevier; 2021:chap 45.Metzger BE. Diabetes mellitus and pregnancy. In: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Adult and Pediatric. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 45.Moyer VA; US Preventive Services Task Force. Screening for gestational diabetes mellitus: US Preventive Services Task Force recommendation statement. Ann Intern Med. 2014;160(6):414-420. PMID: 24424622 pubmed.ncbi.nlm.nih.gov/24424622/. AllVideoImagesTogPancreas - illustration The pancreas is located behind the liver and is where the hormone insulin is produced. Insulin is used by the body to store and utilize glucose.PancreasillustrationGestational Diabetes - illustration Gestational diabetes is defined as glucose intolerance during pregnancy. During your pregnancy, hormonal changes can cause the body to be less sensitive to the effect of insulin. These changes can lead to high blood sugar and diabetes. High blood sugar levels in pregnancy are dangerous for both mother and baby.Gestational DiabetesillustrationPancreas - illustration The pancreas is located behind the liver and is where the hormone insulin is produced. Insulin is used by the body to store and utilize glucose.PancreasillustrationGestational Diabetes - illustration Gestational diabetes is defined as glucose intolerance during pregnancy. During your pregnancy, hormonal changes can cause the body to be less sensitive to the effect of insulin. These changes can lead to high blood sugar and diabetes. High blood sugar levels in pregnancy are dangerous for both mother and baby.Gestational DiabetesillustrationSelf Care Gestational diabetes - self-care Tests for Gestational diabetes Glucose screening tests during pregnancyRelated Information Carbohydrates(Nutrition)Blood sugar test(Medical Test)Overweight(Symptoms)Low blood sugar(Condition)Weight control and diet(In-Depth) Review Date: 6/3/2020 Reviewed By: LaQuita Martinez, MD, Department of Obstetrics and Gynecology, Emory Johns Creek Hospital, Alpharetta, GA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. 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