Gestational diabetes: know the causes and know how to avoid it | EdiCase

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Gestational diabetes: know the causes and know how to avoid it


Some precautions are important to keep the disease under control and have a healthy pregnancy.

During pregnancy, the placenta produces several hormones that can partially block insulin, which is the substance responsible for transporting blood sugar into your cells. To reverse this action, the pancreas begins to release more insulin, allowing the woman to have a normal pregnancy.

Gestational diabetes occurs when the pancreas cannot reverse this condition, that is, it does not produce enough insulin for the body to properly process the excess glucose that is in the circulation. According to the gynecologist and obstetrician Glenden Prates, of the Hospital e Maternidade Santa Brígida, in Curitiba, gestational diabetes does not have a trigger mechanism, that is, it is not possible to signal something which is responsible for insulin deficiency.

“I believe that
Pregnant

who has this disease has a predisposition to diabetes. It is a pathology different from pre-pregnancy diabetes and which, in general, is already treated, sometimes even with insulin,” he explains. In most cases, the problem appears after the second trimester and, once diagnosed, persists until the end of pregnancy.


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Symptoms of Diabetes During Pregnancy

According to Glenn Prates, the symptoms of gestational diabetes are very subtle and can be varied. Weight gain is most common, but increased urination and thirst can also occur.

However, the traditional effects of the disease merge with sensations very familiar to the
future moms

such as fatigue, increased appetite and increased toilet urination.


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Risk groups

Obese women with a family history of diabetes are more prone to the condition, says Glenn Prates. But this problem can also manifest itself in those who do not have any kind of tendency.

Obese women or those who have gained a lot of weight during pregnancy should be careful. Also included in this group are women whose first baby was born overweight.

Gestational Diabetes Treatments

Most cases do not need medication, it is possible to control only with dietary modifications. “Treatment of gestational diabetes is usually limited to one
diet

where sweets and pasta are removed. Physical activity is increased and there is rarely a need for insulin,” says Glenn Prates.

If the woman already had diabetes before becoming pregnant, the treatment is different, because in this case the pregnant woman will probably need insulin. “The prescription of this drug should preferably be made by the endocrinologist”, he underlines.


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How to diagnose this disease?

To detect the problem, it is necessary to perform blood tests. According to the gynecologist of the Santa Brígida Maternity Hospital, it is more common for gestational diabetes to be detected later in pregnancy, around the third trimester.

“[O diagnóstico] can be done by measuring fasting blood sugar or by the so-called overload test, in which the woman takes a drug high in glucose [açúcar] and a blood test is taken 1 or 2 hours later to see how the blood sugar is reacting [quantidade de açúcar no sangue]“, explains the gynecologist.

After the examination, if the result shows high blood sugar, there is a high chance that the woman has gestational diabetes. “When we closed the diagnosis, it
the pregnant woman must be accompanied

by a specialized team and an endocrinologist,” he warns. Some doctors advocate that all pregnant women should take the test, other experts believe it should be limited to those who are prone to the disease.


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The risks of diabetes for the baby

If the diabetes predates the pregnancy and is decompensated, there may even be heart defects in that baby, warns Glenn Prates. But if diabetes comes only from pregnancy, the main complication is prematurity and macrosomia (large baby), which can make normal delivery difficult.

diabetes after pregnancy

Gestational diabetes disappears after childbirth. “This happens because the main cause of the disease is the placental lactogen hormone, which is produced by the placenta and is eliminated after childbirth”, explains the gynecologist. Some scientific studies show that there may be a relationship between gestational diabetes and the possibility of a woman developing diabetes over time.

“This is due to the fact that this woman already has a mild insulin intolerance and over the years, due to alterations in everyone’s metabolism, this can manifest itself”, adds Glenn Prates.

The fact that the woman had the disease during pregnancy serves as a warning to maintain a healthy life.
in good health

, avoid gaining weight and engage in physical activity. After all, the pancreas, which is responsible for releasing insulin, has already warned that it may not be able to handle excess sugar in the body satisfactorily.

To discover in the magazine take care of health
‘ Other diabetes information.

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