Gestational Diabetes In Pregnancy: Pregnancy is often considered a time full of happiness and excitement, but during this time some health problems can also arise which are not detected on time. One such serious problem is gestational diabetes, which is increasing rapidly these days. In view of the increasing cases of diabetes during pregnancy in India, the guidelines of Diabetes in Pregnancy Study Group of India (DIPSI) have been recently updated and have also been approved by the Health Ministry. Under this, diabetes testing of all pregnant women is considered necessary, so that the disease can be detected in time.
What is gestational diabetes?
The biggest problem of gestational diabetes is that its symptoms are often not clearly visible. In such a situation, many women do not come to know about it until the blood sugar is found increased in the test. For this reason, the World Health Organization (WHO) also recommends testing between 24 and 28 weeks of pregnancy. At the same time, DIPSI says that it is better to start screening in the first antenatal visit itself, so that treatment can be done in time.
For whom is testing necessary?
This test is also considered necessary for those women who do not appear to have any traditional risk of diabetes. By examining everything, the disease can be caught early and measures like diet control, blood sugar monitoring and safe exercise can be started in time. According to the 2023 recommendations of DIPSI, the 75 gram glucose test done without fasting is a reliable, cheap and easy method, which can also be adopted at primary health centres.
If blood sugar is not controlled during pregnancy, it can affect both mother and child. Due to excess sugar, the child’s weight can increase excessively, which is called macrosomia. This can cause problems like shoulder getting stuck during delivery. After birth, the newborn may suffer from low blood sugar or may have to be admitted to NICU. In severe cases, the risk of stillbirth also increases, hence timely identification and treatment is very important.
What do experts say?
As per doctor’s advice, doing light exercise like daily walking is also very beneficial for you. With this, insulin works better in the body. If sugar is not controlled by lifestyle changes alone, then insulin or necessary medicines are given under the supervision of the doctor. However, it should be kept in mind that even after delivery the risk does not completely disappear. Women who have diabetes during pregnancy have a higher risk of developing type 2 diabetes or prediabetes later on. Even if sugar becomes normal after delivery, almost half of the women may develop diabetes in the next 10 years, if precautions are not taken.
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Disclaimer: This information is based on research studies and expert opinion. Do not consider this as a substitute for medical advice. Before adopting any new activity or exercise, please consult your doctor or relevant specialist.
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