2000 Calorie Gestational Diabetes Diet

2000 Calorie Gestational Diabetes Diet

2000 Calorie Gestational Diabetes DietThe good news about a 2000 calorie gestational diabetes diet is that it’s not nearly as restrictive as some of the other diets you’ll hear about these days. In fact, when done well, many women have a hard time eating all the food their diets call for. That’s great news when you’re pregnant and eating for two. Here are a few important details to remember when working with a 2000 calorie gestational diabetes diet.

Eat Frequently

Limiting calories does not limit hunger. If you spread five meals and a bed-time snack throughout the day you enjoy multiple benefits. First, you get to spread the calories and carbohydrates throughout your day so that your sugar isn’t as likely to spike immediately after a large meal. Second, you’re avoiding some pretty intense hunger pains by not giving your stomach time to empty out between the next snack. Finally, and most importantly, you’re giving the little one a steady stream of nutrients.

You must consistently eat three meals and three snacks as part of the 2000 calorie gestational diabetes diet in order to receive the full benefit. Furthermore, you must eat your final snack no more than 10 hours before breakfast.

Avoid Sugar or Concentrated Sweets

The purpose of the 2000 calorie gestational diabetes diet is to help maintain a steady level of glucose in the systems throughout the day while avoiding harmful highs and lows. Any sweets consumed can through the entire diet off track. Don’t forget that beverages are sources of hidden sugars and calories you should avoid. Stick to drinks that have no sugar. Alternatively, choose drinks that are designed maintain healthy glucose levels as long as they fit within your 2000 calorie gestational diabetes diet plan.

Consult with a Dietitian

Everyone is different. People have different tastes, interests, and abilities in the kitchen. More importantly, you’re all starting from different places as far as health and fitness needs are concerned. A 2000 calorie gestational diabetes diet is good in theory. However, consulting with a qualified dietician can help you create a 2000 calorie gestational diabetes diet that fits your unique lifestyle and glucose management needs.

Plan Your Menus Ahead of Time

Life gets hectic. When you’re pregnant, and have so many things on your mind all the time, it can get downright nutty. Planning menus for the week, breakfast, lunch, dinner, and three snacks daily helps to ensure that you’ll stick to your 2000 calorie gestational diabetes diet. You know what foods you’re going to eat, what you need to prepare, and when you’re going to eat. You have a road map to follow.

Planning ahead also helps you resist the temptation to turn to other, unhealthy, resources for last-minute substitutions. These fill-in meals and snacks can leave you going well over your calorie, fat, and sugar allotment for the day placing you and your baby at risk of complications.

Sticking with a 2000 calorie gestational diabetes diet isn’t difficult as long as you plan properly and remain committed to the result. Developing these healthier eating habits now can prepare you for a lifetime to balanced eating once your baby is born.

TO SEE THE MEAL PLAN FOR A 2000 CALORIE GESTATIONAL DIABETES DIET CREATED BY MATHEA FORD REGISTERED DIETITIAN, CLICK HERE

 

 

Complications in a Gestational Diabetes Baby

Complications in a Gestational Diabetes Baby

Gestational Diabetes Baby

Gestational_Diabetes_Cover_for_KindleOne of the reasons why gestational diabetes should be treated is because of the risk of developing complications, especially on the part of the baby. A gestational diabetes baby might suffer not just after being delivered but even later in life. The good news is that most women with controlled gestational diabetes turn out to deliver healthy babies, as long as they keep their diet, exercise, and medications in check. But for those who don’t, here are the possible complications for a gestational diabetes baby:

Macrosomia-Complications in a Gestational Diabetes Baby

Macrosomia means excessive birth weight because the gestational diabetes baby is too large. Large is defined as having a birth weight of more than 9 pounds and 15 ounces or 4500 grams. In fact, the baby is very large that he might have difficulty exiting through the birth canal. Because of this, the mother might need to undergo Caesarean section in order to safely deliver the gestational diabetes baby.

Shoulder dystocia-Complications in a Gestational Diabetes Baby

If your gestational diabetes baby is delivered normally, there is a risk that the head will be able to enter the canal, but the shoulders will remain stuck. This condition, known as shoulder dystocia, requires maneuvers by the health care provider in order to deliver the gestational diabetes baby. Forcing the shoulders into the birth canal might sometimes lead to a fractured bone or nerve damage. The good news is that both of these can heal without permanent problems in 99% of the babies. However, the mother might also suffer because this can lead to larger episiotomies in the vaginal area, hence requiring longer wound healing time.

Respiratory distress syndrome-Complications in a Gestational Diabetes Baby

Although this happens rarely, a gestational diabetes baby might suffer from breathing difficulties known as respiratory distress syndrome. This can happen during normal delivery when4 the baby’s shoulders are stuck in the vaginal canal for a long time. Early or preterm labor due to the gestational diabetes baby’s size might also happen, and if the lungs are not yet mature, this can lead to respiratory distress syndrome.

Hypoglycemia-Complications in a Gestational Diabetes Baby

Immediately after delivery, a gestational diabetes baby might develop hypoglycemia or low blood sugar. This happens because in the womb, the baby’s pancreas was used to produce high amounts of insulin to counter the glucose levels in the mother’s bloodstream. Once delivered, the baby’s pancreas might continue to produce insulin, thus causing hypoglycemia. In some cases, severe episodes of hypoglycemia might cause the baby to have seizures. This can be remedied by intravenous glucose solutions and prompt feedings.

Jaundice –Complications in a Gestational Diabetes Baby

The gestational diabetes baby might experience jaundice, which is the yellowish discoloration of the skin and the whites of the eyes. This happens when the baby’s liver is not yet mature enough to break bilirubin, a side product of damaged red blood cells. Fortunately, jaundice is not a big cause of concern for a gestational diabetes baby, although it needs to be monitored.

Development of type 2 diabetes –Complications in a Gestational Diabetes Baby

Studies have shown that a gestational diabetes baby has a higher risk of developing type 2 diabetes mellitus later on in life compared to normal babies.

Knowing these complications of gestational diabetes to a gestational diabetes baby will encourage you to keep to your treatment regimen so that your baby does not suffer from your condition.

Once diagnosed with gestational diabetes it is very important to track your condition, to see my Gestational Diabetes Journal, Click Here!

And for my Meal Plans and Recipes Please follow this link below…..

How To Avoid Gestational Diabetes

How To Avoid Gestational Diabetes

Avoid Gestational Diabetes

Gestational_Diabetes_Meal Plan CoverGestational diabetes is a condition wherein there are high levels of glucose in the bloodstream. It occurs to pregnant women, especially to those who have high risk factors of getting the condition. In reality, there are no surefire ways to avoid gestational diabetes. The best that you can do is to adapt healthy habits not just during pregnancy but even before you decide to get pregnant. This way, you are lessening your risk of developing gestational diabetes, as well as avoid gestational diabetes in later pregnancies and type 2 diabetes later in life. Here are some guidelines on how to avoid gestational diabetes:

 

 

Plan your pregnancy-How To Avoid Gestational Diabetes

It is best to talk to your doctor before deciding to get pregnant. This is especially true for women who are at high risk of developing gestational diabetes during pregnancy. A pregnancy plan might not help you totally avoid gestational diabetes, but it will prepare you physically, emotionally, and mentally. If you are overweight, which is one of the modifiable risk factors in gestational diabetes, your doctor will advise you to lose some weight first to avoid gestational diabetes. After all, weight loss is no longer encouraged once you are pregnant.

Undergo blood sugar testing-How To Avoid Gestational Diabetes

You can ask your doctor to check your blood sugar levels before getting pregnant just to make sure that they are within the normal range and will help you avoid gestational diabetes. For all you know, you might be on the pre-diabetes stage already, and this will make it hard for you to avoid gestational diabetes during pregnancy. You can have your glucose levels checked as early as three months before pregnancy. If the results are highly elevated, then you might need to do something about your weight and diet so that you can avoid gestational diabetes once you get pregnant.

Go for nutritional counseling-How To Avoid Gestational Diabetes

In order to avoid gestational diabetes, you need to have a healthy diet and watch what you eat. You have to commit to a healthy food plan that will help keep your blood glucose levels within the target range and at the same time supply your baby with enough nutrition. You can ask help from your nutritionist in devising a meal plan that will help you avoid gestational diabetes. Meal plans should consist of a combination of carbohydrates, fats, and proteins, although you need to regulate your carbohydrate intake. In addition, you need to control your portions as well as the timing of your meals, as these can affect your blood glucose levels.

Have an exercise plan-How To Avoid Gestational Diabetes

Even if you don’t need to lose weight, you need to exercise if you want to avoid gestational diabetes. An exercise plan will help you have some physical activity not just before pregnancy but even during your pregnancy period. It will help you maintain your weight, which is one of the modifiable risk factors in gestational diabetes. You can talk to your health care provider regarding a safe exercise plan that you can d throughout your pregnancy to avoid gestational diabetes.

Even if there is no guaranteed way to avoid gestational diabetes, it does not mean that you should already give up your hope of doing so. Keep in mind that a healthy lifestyle lowers your risk for gestational diabetes, hence sparing you and your baby from the complications of the said condition.

The best way to control gestational diabetes once diagnosed is with a meal planner and recipes, find the full meal plan that I developed by clicking here, Mathea Ford Registered Dietitian and Gestational Diabetes Sufferer!

Valentine’s Day Ideas for Gestational Diabetes

Having gestational diabetes (GDM) should not hinder couples from enjoying Valentine’s Day. Of course, chocolates and candies are already out of the picture, but those things do not comprise the whole of Valentine’s Day. The important thing here is to spend the day together, no matter what kind of activities you engage into. As a partner to a woman with gestational diabetes, moral and emotional support can go a long way in relieving stress caused by GDM. Here are some of the ways in which couples can enjoy each other’s company during the most romantic time of the year:

  1. Schedule a visit to the doctor together. Unlike other women with normal pregnancy, a woman with GDM would need extra prenatal visits to the doctor to monitor the baby and take care of you accordingly. Why not schedule a visit to the doctor with your partner on Valentine’s Day? This is a good way to promote bonding between couples, and also to involve the partner in the care of both the baby and soon-to-be mom. The woman will feel as if she is not alone in this phase of her life, and it would help her a great deal emotionally.
  2. Shop for cookbooks on gestational diabetes. For couples who love to cook, planning a meal together can be romantic. Do not make your partner feel alone by restricting her from eating foods with too much carbohydrates or simple sugars. Instead, try to plan your meals accordingly so that both of you enjoy delicious yet low sugar foods. Buying a cookbook exclusively catering to meals that are best for people with gestational diabetes is a good way to show your empathy towards your partner. And of course, don’t forget to cook these foods for her!  You can read more about our cookbook here – Gestational Diabetes Diet Meal Plan and Recipes: Your Guide To Controlling Blood Sugars & Weight Gain
  3. Learn about gestational diabetes. In order for you to be able to help your partner in coping with her condition, you also need to learn about what GDM is all about. You can schedule to attend a seminar about GDM so that you can learn about the different aspects of the condition. Another way is to buy books about GDM and read them together. Women with GDM can also share their feelings to their partners about the condition so that their partners will know how to act accordingly.
  4. Exercise together. Physical activity is also a part of GDM coping, since this can enhance the woman’s response to insulin, thus lowering her blood sugar levels. You can plan an exercise routine that both of you can do together, and then have the doctor approve it before executing it. A study made by the American Diabetes Association showed that women with GDM are more likely to stick to an exercise routine if they are being encouraged and supported by their partners.
  5. Do chores together. Traditionally speaking, women are supposed to do the household chores and responsibilities at home. But then, a woman with GDM easily gets fatigued because glucose is not readily converted into energy. What you can do is to help her in doing the chores at home so that she does not get tired easily. And for Valentine’s Day, why not volunteer to do the work altogether? Aside from helping her relieve her fatigue, you also make her feel like your queen. That, perhaps, is one of the most romantic gestures that you can do, far more romantic than chocolates and candies.  Trust me, she will really appreciate a night off from doing her regular “stuff”.

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Using the Medela Pump for Breastfeeding After Having the Baby

Assembled pump

Assembled pump (Photo credit: treehouse1977)

In today’s world, women play certain roles in society other than being a mother. She is also a daughter, a wife, a sister, a friend, and a career woman. To keep up with the changing times, women who are always on the go now make use of breast pumps to allow them to give their babies breast milk without compromising their hectic schedule at work and at home. Breast pumps are also great ways to let the father feed breast milk to the child, thus promoting father and child bonding.
Hence, it is very important for moms to select a trusted brand of breast pump that they can use whenever they are unavailable to breastfeed their babies physically. One such brand is the Medela Pump In Style Advanced Breast Pump w/ Backpack breast pump.

Why trust Medela?

Medela is one of the leading companies that manufacture breast pumps for lactating women of all ages. This company has been manufacturing breast pumps for more than 30 years already, and has made a commitment to quality and safety with regard to manufacturing breast pumps and other breastfeeding needs. They also make sure that they continuously research for ways to make breastfeeding an enjoyable experience, and apply these researches to their manufacturing of breast pumps. Medela has also made a commitment to protect the environment so that it makes efforts to recycle materials that they use for their products, thus making them eco-friendly.

There are many different types of breast pumps that a mother can choose from. There is the double electric breast pump, which is an all in one breast pump kit that can be used every day and can easily be transported to and from work. There is also the manual breast pump, perfect for moms who only use the breast pump occasionally. It is also a good backup pump for the electric breast pumps.

Aside from breast pumps, Medela also manufactures other breastfeeding needs such as specialty feeding devices for babies who need to be fed in a different way other than through breastfeeding, and even cleaning solutions for their products. Materials for breast care and other spare parts for breast pumps are also being made and sold by Medela.

There are many benefits to using breast pumps not just for women who are working, but even for full time moms. It increases efficiency as compared to manual expression of milk. You can pump ½ to 2 ounces every pumping session, thus making sure that your baby’s supply of milk will last. Remember that the rule for breastfeeding is that the more milk you express, the more milk your body makes. Therefore, it is important to express milk to make sure that your breasts do not dry up. If you miss nursing even just for a few days, you might be surprised to know that your breasts are no longer producing milk. Breast milk is a lot better than formula milk because this is the best food that you can give to your child in terms of nutrients. Also, this is a great way to promote bonding between father and child by letting him feed the expressed milk to the baby.

I used a Medela pump to make sure I was getting the most milk in the least amount of time.  As a mom, you can’t have enough time, and trying to pump and get your baby taken care of can be rough, but the Medela pump I used worked through both pregnancies and my babies had fresh milk whenever they needed it.

To learn more about breast pumps and their importance in breastfeeding your child, you can sign up for our monthly newsletter.

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Can I Breast Feed My Baby If I Had Gestational Diabetes?

breastfeeding

breastfeeding (Photo credit: sdminor81)

Breastfeeding is one of the most important things that a mom has to do after giving birth to her baby. Milk coming from the mother’s breasts is rich in nutrients that can help the baby grow strong during his or her first months of life. However, mothers suffering from gestational diabetes during pregnancy often wonder whether it is safe for them to breastfeed their babies or not. Even though gestational diabetes stops right after pregnancy, mothers often worry about the possibility of passing their condition to their newborn babies. Hence, one of the dilemmas that they have is whether to breastfeed or not.

I breastfed both my children – first I pumped because they were preemies, but later breastfed at home and pumped to keep the supply up.  It is a very important part of taking care of a newborn or preemie, and I encourage you to breastfeed.

To Breastfeed or Not to Breastfeed?

The answer to the aforementioned question is pretty simple. If you want your baby to grow healthy, then you should breastfeed your baby. If you don’t want to breastfeed your baby, using formula is also acceptable, as whatever formula your doctor recommends will contain healthy nutrients to help your baby grow. Breastfeeding is best, especially if your child has allergies or is delivered early, but you have the choice.

Having GDM is not a hindrance to breastfeeding. It will not have any impact on your ability to breastfeed your child. In fact, breastfeeding is highly encouraged, if not sorely needed, by the newborn. A baby borne of a mother with GDM is at risk of developing hypoglycemia or low blood sugar after birth because of the pancreas’ continuous production of insulin as conditioned inside the womb of the mother. Hence, early breastfeeding within 30 minutes to one hour after birth is needed to maintain the normal blood glucose levels in your baby’s body. Moreover, because of the nutrients that can be found in breast milk, you are actually lowering the risk of you baby’s incurring diabetes later on in life.

How Important is Breastfeeding?

It is often said that breastfeeding is best for babies up to two years of age. That is because breast milk contains many nutrients that can be beneficial to your baby not just for the time being but also later in his or her life. Breast milk contains antibodies that help protect your baby against illnesses during his or her first few months of life. This prevents the baby from getting colds, gastroenteritis, and infections, in which he or she is very prone to because of the immature immune system that the baby has right after birth.

Allergies like eczema and asthma are also prevented by breastfeeding. Contrary to popular belief, breast milk can also help reduce the risk of diabetes, leukemia, and other types of cancer later in life, regardless whether the mom had gestational diabetes or not.

Breastfeeding also has a couple of advantages for the mother. Constant breastfeeding can help you lose the weight that you gained during your pregnancy. In fact, continuing breastfeeding beyond six months is a great way to naturally control your weight. It also has long-term benefits, such as reducing your risk of developing cancer and osteoporosis. Hence, breastfeeding is not only good for the baby, but also for the mother.

If you are worried about breastfeeding and gestational diabetes, learn more about gestational diabetes in general by signing up for our newsletter and getting great information to help you understand how your body works.

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Studies Show Gestational Diabetes Risk Increases with Every Pregnancy

Newborn

Newborn (Photo credit: Wikipedia)

People often say that each pregnancy is different. What you may experience during your first pregnancy may not be the same as your experiences in your subsequent pregnancies. However, a recent study published in the American Journal of Obstetrics and Gynecology showed that women with gestational diabetes during their first pregnancy have higher risks of developing the same condition in their subsequent pregnancies. In fact, according to this study, the risk increases with each pregnancy.

In the research, 65,132 first-time pregnant women with gestational diabetes were used as the sample population by a group of researchers led by Dr. Darius Getahun. One of the findings was that the risk of these women getting gestational diabetes during their second pregnancy is 13.2% increased. There is also an increase of 6.3% in the third pregnancy of women who initially had gestational diabetes but did not suffer from the condition during their second pregnancies. Those who have experienced gestational diabetes during the first and second pregnancies had a 26% risk for developing the same condition during the third pregnancy. Getahun was quick to point out that having gestational diabetes during the first pregnancy already means that the woman will likely also have the same condition in her second pregnancy.

Aside from the aforementioned risks, women with gestational diabetes are also at risk for developing type 2 diabetes mellitus. That is why it is highly recommended by the American Diabetes Association and the American College of Obstetrics and Gynecology for women with gestational diabetes to undergo counseling when it comes to lifestyle modifications, like diet, exercise, and weight loss or maintenance.

One of the limitations of the study was that the researchers did not look into other lifestyle factors that may have had contributed to a woman’s increased risk on gestational diabetes. They did not consider that the obesity of a woman can actually contribute in increasing the risk of developing gestational diabetes. Instead, the researchers recommend that early identification of pregnant women who are at risk for developing gestational diabetes and timely postpartum care should be exercised so as to prevent gestational diabetes and other adverse pregnancy situations from happening.

The study also showed that a person’s race or ethnicity may play a role in the return of gestational diabetes. According to the survey in the said study, Hispanic and Asian/Pacific islander women had the highest risk of developing gestational diabetes among other races. This can be due to the fact that the food in these races contains a high glycemic index, which means that they easily affect the levels of glucose in the bloodstream, thus causing sudden spikes.

According to Dr. Manju Monga of the University of Texas Health Sciences Center in Houston, the findings in the aforementioned study reflect consistency in the results of more recent studies as of late.

As a recommendation, Dr. Monga further advises women with gestational diabetes to have themselves screened for type 2 diabetes after six months of giving birth. This will give them a head start on modifying their lifestyle to avoid developing type 2 diabetes later on in life.

You can learn more about the truths of gestational diabetes by signing up for our newsletter by entering your name and email in the box below!

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What Are The Blood Sugar Levels For The OGTT?

What Are The Blood Sugar Levels For The OGTT?

How Does The Doctor Diagnose Gestational Diabetes?

OGTTMonitoring one’s blood sugar levels in gestational diabetes (GDM) is essential. To be able to diagnose gestational diabetes in a pregnant woman, it is not enough to only rely on the physical manifestations, such as blurring of vision, increased thirst, increased appetite, and increased urination. The woman also has to undergo glucose screening tests in order to prove that she is really suffering from gestational diabetes. One of the tests that are being done on women to finalize their diagnosis of gestational diabetes is the oral glucose tolerance test (OGTT).

What is OGTT?

OGTT determines the amount of sugar or glucose present in the blood at a given time. In this test, the woman has to fast for at least eight hours before the test. A blood sample will be taken to measure the woman’s normal fasting blood glucose level. Afterwards, she will be asked to drink a liquid with around 75 grams of glucose in it. 30 minutes after finishing the solution, her blood sample will be taken once again. Three more blood extractions will be done every hour for the succeeding three hours, hence the test will last for approximately 3 hours. The values derived from the OGTT will determine whether a pregnant woman has gestational diabetes or not.

Normal and abnormal values

As a general rule, the normal value of the fasting blood sugar should be between 60-100 mg/dl. Anything higher than that is a candidate for gestational diabetes. The 1-hour sample should yield less than 180 mg/dl in order to be considered normal. As for the 2-hour sample, abnormal values are 155 mg/dl and above. For the sample for the third hour, 140 mg/dl and higher are already considered diabetic.

If only one of the readings is abnormal, this does not automatically mean that the woman is already diabetic. Another OGTT might be needed later on in the pregnancy. The doctor might also advise her to make some modifications in her diet and physical activities.

However, if two or more readings are interpreted as abnormal, they are already conclusive enough to be diagnosed with gestational diabetes.

Factors affecting OGTT

There are several things that might yield false results in the OGTT. Some of these are:

  • Medications, such as phenytoin, and corticosteroids. You should consult your doctor first before having an OGTT while taking the aforementioned drugs.
  • Acute stress
  • Heavy exercise

What should I do if I am diagnosed with GDM?

The important thing in GDM is to control the blood sugar level and keep it within the normal limits so as to prevent any complications from arising. This can be achieved through proper diet and exercise. Diet should include moderate fats and proteins, complex carbohydrates, and less sugar. Exercise is also important to use up excess glucose during pregnancy. It is also essential to visit the health care provider to monitor not only the condition of the mother, but also of the baby.

Take a moment and check out my book on gestational diabetes, and if you are diagnosed with gestational diabetes you can get more great information and meal plans for your condition.

To learn more about gestational diabetes and how alcohol addiction enhances the effects, you can click here  Enter your name and email in the box below and we will send you 3 dinner meals and an ebook about how gestational diabetes can be managed.

Will I Deliver My Baby Early With Gestational Diabetes?

Will you deliver your baby early if you have gestational diabetes?

Childbirth

Childbirth (Photo credit: popularpatty)

Just like what its name suggests, gestational diabetes mellitus (GDM) is a type of diabetes that only happens during pregnancy. The high levels of various hormones during pregnancy can impair the function of insulin in your body. Since insulin is the hormone that regulates glucose, its inhibition can result to high sugar levels in the body.

There’s a good side and bad side to this condition. The good news is that blood sugar levels usually return to normal after delivery, although the mother becomes at risk for developing Type II diabetes later on. As for the bad news, gestational diabetes can have certain adverse effects on delivery, and that includes premature delivery.

What has GDM got to do with it?

For majority of the women suffering from controlled GDM, there are no problems concerning the health and delivery of the baby. However, if GDM is uncontrolled during pregnancy, this can result to problems for both the mother and the baby, including premature delivery of the latter. There are two common reasons why premature delivery happens for women with GDM, and they are as follows:

  • Macrosomia – Macrosomia is a condition in which the baby appears large for its gestational age. This excessive birth weight occurs because of the extra glucose that crosses the placenta from the bloodstream. In this case, the obstetrician might recommend giving birth to the baby through C-section to avoid birth injuries. If the baby continues to grow too large, the doctor might be forced to have the baby delivered prematurely.
  • Pre-eclampsia – High blood during pregnancy is known as pre-eclampsia, and it is a life-threatening condition not just for the mother but also for the baby. Because glucose makes the blood thicker, it can also pave the way for high blood pressure to develop. Continuous hypertension can result to seizures or even stroke, in which cases the baby needs to be born earlier than its term.

Does preterm delivery affect me and my baby?

Although preterm babies beyond seven months are not uncommon, they inarguably become at risk for several conditions, such as the following:

  • Acute respiratory distress syndrome (ARDS) – Since the baby’s lungs only reach maturity during term, they may find it difficult to breathe once they are born pre-term. A pre-term baby might need to be taken care of in the NICU and be hooked to a breathing machine.
  • Jaundice – The liver of the premature baby is also not yet mature enough to break down bilirubin, hence causing a yellowish discoloration of the skin and even the whites of the eyes. Usually, this is not very alarming or life-threatening, but it would still require careful monitoring.
  • Type 2 DM and hypoglycemia – In the womb of a mother with GDM, the baby’s pancreas get used to producing lots of insulin in response to the high level of glucose coming from the mother. When the baby is delivered, it is possible that it might initially suffer from hypoglycemia because of its pancreas’ continuous production of insulin. There is also a possibility that the baby might suffer from Type II diabetes mellitus later on in life.

The key to GDM is to monitor one’s blood sugar during pregnancy to avoid any complications to the mother and the baby. Consult one’s obstetrician so that blood sugar level is controlled. It is also important to watch one’s diet and engage in regular exercise.

Sign up for our email list to learn more about how gestational diabetes affects all parts of your pregnancy, and get a free e-book and some meal planning resources.  Enter your name and email in the boxes below for more information!

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What Is An OGTT or a 3 Hour Glucose Tolerance Test?

What Is An OGTT or a 3 Hour Glucose Tolerance Test?

English: Photograph of abdomen of a pregnant woman

English: Photograph of abdomen of a pregnant woman (Photo credit: Wikipedia)

3 Hour Glucose Tolerance Test Is the Gold Standard

OGTT is an oral glucose tolerance test.  For most women, around week 24-28, they do a 1 hour glucose test in the doctor’s office.  Now, if you had gestational diabetes with an earlier pregnancy or your risk factors are high, you might get tested earlier in your pregnancy, and your doctor might go straight to the 3 hour glucose tolerance test.

The doctor is doing a quick check to see if you need to take the 3 hour glucose tolerance test.  So, if you fail the 1 hour test, they send you for an OGTT.  OGTT is the standard to measure and diagnose you with gestational diabetes.  This test also tells your doctor how “bad” your gestational diabetes is.  So, he/she will know if you are going way high or just a little over.  That information may or may not affect their decision about medication and diet.

So, you arrive at the lab for your 3 hour glucose tolerance test.  You will sit in the lab waiting area for a little over 3 hours so bring something to read or write to keep you busy.  It’s a lonely place and the only thing on the TV’s is the news or Jerry Springer.  Not much fun.  Trust me, you will need something in addition to the 3 year old magazines they have in the lobby.

You come in fasting, not having eaten anything after midnight the night before.  You may or may not be able to drink water.  If you can, drink water so that your blood is easier to draw.  The last thing you want is to be dehydrated and not be able to get blood or take forever.  They take your blood sugar level first as a fasting level for the baseline of the 3 hour glucose tolerance test, then you drink a “glucola” which is a concentrated sugary drink.  (I would say it tastes like coke, but it doesn’t.) It’s pretty sugary, and there may or may not be flavor options.  Then in 1 hour increments they take a sample of your blood to measure.  Otherwise, you sit in the waiting area between blood draws for the 3 hour glucose tolerance test.

Then What Happens?

Once it’s over, you leave and your doctor gets the results fairly quickly.  Then you find out if your body has done a good job of removing the sugar from your blood stream or not.  Some women view it initially as a judgement and feel that they have done something wrong.  You should know that it’s just the hormones and your body is not handling the amount of hormones well, but that does not make you a good or a bad person.

Either way, you will be fine and so will your baby.  Gestational diabetes is very treatable with diet, exercise and sometimes medication.  Read about gestational diabetes meal planning in my recently published book on amazon, and find out how to plan your day to make your pregnancy healthier and happier.

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