Gestational diabetes is a type of diabetes that occurs during pregnancy. This condition affects how your body processes sugar (glucose), and can cause high blood sugar levels.
Gestational diabetes typically develops later in pregnancy, around the 24th week, and usually goes away after giving birth. However, women who have had gestational diabetes are at a higher risk of developing type 2 diabetes later in life.
What are the Risk Factors for Gestational Diabetes?
There are several factors that can increase your risk of developing gestational diabetes.
Being Overweight
Being overweight or obese greatly increases your risk of developing gestational diabetes. This is because excess body fat makes it harder for your body to use insulin effectively, which can lead to high blood sugar levels.
Family History of Diabetes
If you have a family history of diabetes, particularly a parent or sibling with type 2 diabetes, you are at a higher risk of developing gestational diabetes. This is because type 2 diabetes has a strong genetic component.
Previous Gestational Diabetes
If you have had gestational diabetes in a previous pregnancy, you are at a higher risk of developing it again in subsequent pregnancies.
Polycystic Ovary Syndrome (PCOS)
Women with polycystic ovary syndrome (PCOS) are at a higher risk of developing gestational diabetes. PCOS is a hormonal disorder that causes enlarged ovaries with small cysts on the outer edges.
PCOS can make it harder for your body to use insulin effectively, which can lead to high blood sugar levels.
Age
Women over the age of 25 are at a higher risk of developing gestational diabetes than younger women. This is because the risk of developing type 2 diabetes increases as you get older.
High Blood Pressure
If you have high blood pressure, or if you have a history of high blood pressure, you are at a higher risk of developing gestational diabetes.
High blood pressure can make it harder for your body to use insulin effectively, which can lead to high blood sugar levels.
Low Physical Activity
If you are not physically active, you are at a higher risk of developing gestational diabetes. Regular exercise can help your body use insulin more effectively, which can help keep your blood sugar levels in check.
Certain Ethnic Backgrounds
Some ethnic groups are at a higher risk of developing gestational diabetes than others. For example, women of South Asian, Middle Eastern, African, and Hispanic descent are at a higher risk than women of European or East Asian descent.
How is Gestational Diabetes Diagnosed?
Gestational diabetes is typically diagnosed around the 24th week of pregnancy. Your doctor will likely order a glucose screening test, which involves drinking a sugary beverage and having your blood sugar levels tested an hour later.
If the results of the screening test are abnormal, you may need to undergo a more comprehensive glucose tolerance test to confirm the diagnosis.
What are the Complications of Gestational Diabetes?
If gestational diabetes is not properly managed, it can lead to several complications, including:.
Macrosomia
Macrosomia is a condition in which a baby is born weighing more than 9 pounds, 15 ounces. This can make delivery difficult and increase the risk of injury to both the baby and the mother.
Preeclampsia
Preeclampsia is a serious pregnancy complication characterized by high blood pressure and damage to the organs, such as the liver and kidneys. Women with gestational diabetes are at a higher risk of developing preeclampsia.
Low Blood Sugar (Hypoglycemia)
Low blood sugar levels can occur in babies born to mothers with gestational diabetes. This can lead to seizures, respiratory distress, and other complications.
Type 2 Diabetes
Women who have had gestational diabetes are at a higher risk of developing type 2 diabetes later in life. In fact, up to 50% of women with gestational diabetes will develop type 2 diabetes within 5 to 10 years after giving birth.
How Do I Prevent Gestational Diabetes?
While there is no surefire way to prevent gestational diabetes, there are several things you can do to reduce your risk:.
Maintain a Healthy Weight
Maintaining a healthy weight before and during pregnancy can help reduce your risk of developing gestational diabetes. Aim to gain a healthy amount of weight during pregnancy, and talk to your doctor about what a healthy weight gain looks like for you.
Eat a Balanced Diet
Eating a balanced diet that is low in sugar and refined carbohydrates can help keep your blood sugar levels in check. Focus on eating plenty of fruits, vegetables, lean proteins, and whole grains.
Exercise Regularly
Regular exercise can help your body use insulin more effectively, which can help prevent gestational diabetes. Aim for at least 30 minutes of moderate-intensity exercise, such as brisk walking or swimming, most days of the week.
Monitor Your Blood Sugar Levels
If you have a family history of diabetes or other risk factors for gestational diabetes, talk to your doctor about monitoring your blood sugar levels during pregnancy. This can help detect gestational diabetes early and allow for prompt treatment.
Conclusion
Gestational diabetes is a common condition that can occur during pregnancy. While it can lead to several complications, with proper management, most women with gestational diabetes have healthy pregnancies and deliveries.
Talk to your doctor about your risk factors for gestational diabetes, and work together to develop a plan for preventing and managing this condition.