#stitch with @Trinidee | Lifestyle 🍒 Go to my diabetes playlist for more info! What causes GD? The body produces a hormone called insulin that keeps blood sugar levels in the normal range. During pregnancy, higher levels of pregnancy hormones can interfere with insulin. Usually the body can make more insulin during pregnancy to keep blood sugar normal. But in some people, the body cannot make enough insulin during pregnancy, and blood sugar levels go up. This leads to GD. What are the risk factors for GD? Several risk factors are linked to GD, including: being overweight or obese being physically inactive having GD in a previous pregnancy having a very large baby (9 pounds or more) in a previous pregnancy having high blood pressure having a history of heart disease having polycystic ovary syndrome (PCOS) GD also can develop in people who have no risk factors. When a person has GD, their body passes more sugar to her fetus than it needs. With too much sugar, her fetus can gain a lot of weight. A large fetus (weighing 9 pounds or more) can lead to complications for the patient, including: labor difficulties cesarean birth heavy bleeding after delivery severe tears. How do I track blood sugar levels? You will use a glucose meter to test your blood sugar levels. This device measures blood sugar from a small drop of blood. Keep a record of your blood sugar levels and bring it with you to each prenatal visit. Blood sugar logs also can be kept online, stored in phone apps, and emailed to your ob-gyn. Your blood sugar log will help your obgyn provide the best care during your pregnancy. Will I need to take medication to control my GD? For some people, medications may be needed to manage GD. Insulin is the recommended medication during pregnancy to help patients control their blood sugar. Insulin does not cross the placenta, so it doesn’t affect the fetus. Your ob-gyn should teach you how to give yourself insulin shots with a small needle. In some cases, your ob-gyn may prescribe a different medication to take by mouth. If you are prescribed medication, you will continue monitoring your blood sugar levels as recommended. Your ob-gyn should review your glucose log to make sure that the medication is working. Changes to your medication may be needed throughout your pregnancy to help keep your blood sugar in the normal range. Will I need tests to check the health of my fetus? Special tests may be needed to check the well-being of the fetus. These tests may help your ob-gyn detect possible problems and take steps to manage them. These tests may include the following: Fetal movement counting (“kick counts”)—This is a record of how often you feel the fetus move. A healthy fetus tends to move the same amount each day. You should contact your ob-gyn if you feel a difference in your fetus’s activity. Nonstress test—This test measures changes in the fetus’s heart rate when the fetus moves. The term “nonstress” means that nothing is done to place stress on the fetus. A belt with a sensor is placed around your abdomen, and a machine records the fetal heart rate picked up by the sensor. Biophysical profile (BPP)—This test includes monitoring the fetal heart rate (the same way it is done in a nonstress test) and an ultrasound exam. The BPP checks the fetus’s heart rate and estimates the amount of amniotic fluid. The fetus’s breathing, movement, and muscle tone also are checked. A modified BPP checks only the fetal heart rate and amniotic fluid level.
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