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Gestational Diabetes And Pregnant With Twins

Risk For Developing Gestational Diabetes In Women With Twin Pregnancies.

Risk For Developing Gestational Diabetes In Women With Twin Pregnancies.

J Matern Fetal Neonatal Med. 2009 Apr;22(4):293-9. doi: 10.1080/14767050802663194. Risk for developing gestational diabetes in women with twin pregnancies. Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02114, USA. To examine the risk of developing gestational diabetes mellitus (GDM) in women with twin compared with singleton pregnancies. We examined a cohort of 23,056 pregnant women who gave birth to a live infant between 1 September 1998 and 31 December 2006, 553 of whom had twin pregnancy. The primary exposure was twin versus singleton pregnancy, and the primary outcome was the development of GDM. Standard univariate analyses were performed, as were multivariable analysis with logistic regression to control for potential confounding variables. GDM was diagnosed using criteria of the National Diabetes Data Group. Patients with twin pregnancies had a higher rate of GDM when compared with singleton pregnancies (3.98% vs. 2.32%; p = 0.01). In a multiple regression analysis after adjusting for age, race/ethnicity, body mass index, maximal systolic and diastolic blood pressure, smoking and parity, twin pregnancy was associated with an approximately two-fold increase in risk for developing GDM (OR 2.2, 95% CI 1.4-3.6). In a stratified analysis, women between the ages of 25 and 30 years and African-American women had the highest risk of developing GDM in twin pregnancies. When compared with twins of non-diabetic mothers, twins of gestational diabetics had a higher rate of admission to the neonatal intensive care unit (37%vs. 52%; p = 0.05), had longer hospitalisation (8 +/- 0.5 vs. 16 +/- 4 days; p = 0.01) and higher rate for respiratory distress syndrome (7% vs. 27%; p = 0.001). There is a significant increase in the incidence of GDM in twin Continue reading >>

Twins And Gestational Diabetes...advice Anyone??

Twins And Gestational Diabetes...advice Anyone??

Twins and Gestational Diabetes...advice anyone?? I dont post on here very often, but im hoping you twin mums and twin mums to be could provide me with some advice or support if possible???? I am currently 28 weeks pregnant with non identical boys and have just been diagnosed with Gestational Diabetes As if the shock of having twins wasnt enough (concieved naturally after the first month of trying!) and having no twins in our family, i now am not only rhesus negative, but now have this too! Has anyone else experienced GD with twins at all and was everything ok, or do you know of anyon who has? Feeling really down and miserable right now, as I appear to be getting everything where odds are low which is making me worry even more!! Any advice or words of wisdom appreciated... HI hun. Firstly, please try not to worry. My twin pregnancy was my third, and I had GD diagnosed at 28wks too - but as it turned out, once I began to take my blood sugars, it actually wasn't. All my post meal bloods were normal, despite my fasting test being positive for GD. It was explained to me that when there are two placentas, the demands on the body are so much greater than in a singleton pregnancy. You are making more insulin, processing more and the strain can make GD show up, but it it isn't genuine GD. Even if it is GD, then it can be easily controlled with a few minor adjustments to your diet. Regular meals, less carbs less sweet stuff. It is quite rare for a lady to go on and require insulin to control it. In the end I took bloods for a few weeks, and once they looked ok carried on as normal - my diet was good anyway, so didn't have to cut back on anything. As it transpires my twins were huge at term due to genetics and NOT GD. As for rhesus negative satus, I have that too, and in 3 pregna Continue reading >>

Potential Complication: Gestational Diabetes With Twins

Potential Complication: Gestational Diabetes With Twins

Potential Complication: Gestational Diabetes With Twins Gestational diabetes is caused by a change in how your body responds to the hormone insulin . This hormone helps move glucose out of the blood and into the cells, so your body can use it for energy. When you are pregnant, your cells become slightly more resistant to insulin . That increases the amount of sugar in your blood , which helps make more nutrients available to your babies. However, if the level of glucose becomes too high, it can cause problems for you and your twins. If you develop gestational diabetes, you're at greater risk for: Risk of developing diabetes later in life The good news? If you receive treatment and control gestational diabetes, your risk of problems is similar to the risks of other women. Your chances of having healthy twins are excellent. And, after you deliver, glucose levels often return to normal. However, both you and your babies will have a higher risk of getting diabetes later. So your doctors will need to regularly monitor your blood sugar levels. Certain things raise your risk of getting gestational diabetes. You are at increased risk if you: Are Hispanic, African-American, Native American, Asian American, or Pacific Islander Had gestational diabetes in a previous pregnancy Had a previous very large baby (9 pounds or more) or a stillbirth Have had abnormal blood sugar tests before You can expect your doctor to assess your risk for gestational diabetes at your first prenatal visit. If you are at high risk, you should have a blood test for gestational diabetes as soon as possible. If your test is negative, you should still repeat the test about week 24-28. If you are not at high risk, you should still get screened about week 24-28. To test for gestational diabetes, your doctor ma Continue reading >>

Gestational Diabetes And Twin Pregnancy

Gestational Diabetes And Twin Pregnancy

It is important to be aware of gestational diabetes and other twin pregnancy complications. But it is also best not to worry, as long as you have the correct medical care and a healthy twin pregnancy which also includes a relaxed mommy. This is usually temporary and is common during a twin pregnancy . Most pregnant women will have a test done sometime during their 10 months. A mother expecting multiples have a slightly higher chance of experiencing diabetes, due to sugar levels and the bodys inability to produce enough natural insulin. Sugar in your urine, which is discovered by a test. This is really the only way to truly confirm the presence of diabetes. Regularly getting bladder infections, possible infections of the vagina and skin as well A scheduled test will be between your 24th 28th week of gestation, this is the time when the placenta(s) are producing larger amounts of hormones which could restricted insulin production. You will usually be asked not to eat anything before the test so its easiest make an appointment first thing in the morning. The test involves drinking a very sweet drink, which they will give you, then one hour later blood will be drawn for testing. This will determine whether or not you are producing enough insulin. The main goal when treating diabetes during pregnancy is to control your blood sugar levels. You will usually be asked to monitor your blood glucose levels yourself with a simple pin prick test. Managing your diet is an important part of controlling diabetes, a professional will advise you on proper nutrient. You and your twins will be closely monitored and depending on the level of diabetes you have insulin therapy may be needed.When diagnosed early with proper treatment there is little risk to yourself and your twin babies. When Continue reading >>

Did Gestational Diabetes Affect Delivery Date?

Did Gestational Diabetes Affect Delivery Date?

Did gestational diabetes affect delivery date? Anyone who has had gestational diabetes with your twins or singletons: Did it cause complications at the end; did it force you to deliver early? I had it with my first with no complications, but my doctor insisted I was induced right around 39 weeks. I am so hopeful to carry these twins full term and beyond, and I really don't want my gestational diabetes to change that! So far I've made it! I'm 35 weeks with twins and this whole time my doctors kept saying they'd deliever them at 36 weeks due to being identical (apparently identical can go to 36/37 and fraternal 38/39? Idk.) but even with having GD and my babies doing so well, now they want me to get to 37 weeks. So we will see. My GD has been diet controlled and lately I seem to get a few more spiked numbers but hopefully, if they chose to medicate me, I can still make it to 37. I want to keep them in as long as possible! I had GD with my second baby. She was a single and I was induced at 39 weeks. I didn't have complications but I felt comfortable doing so after speaking with MFM and my OB about the risks. My daughter was 8lbs 3oz, 3oz smaller than my first baby whom I did not have GD with and I also delivered at 39 weeks after my water broke on its own. Now with these twins I don't have GD but my OB and MFM won't let me go past 38 weeks which I have since learned is common for di/di twins and after learning the risks I am also comfortable with, but I want to make it to 38 as long as it's safe. Before the GD diagnosis, my doctor said her goal is 37 weeks for me, but she would let me go until close to 39 weeks if all looked good. I just don't want the GD to determine when I deliver. My first that I delivered right near 39 weeks was 8lbs, and there were no complications. Continue reading >>

What Food To Eat When Pregnant With Twins?

What Food To Eat When Pregnant With Twins?

You are here: Gestational Diabetes Gestational Diabetes Diet What Food to Eat When Pregnant with Twins? What Food to Eat When Pregnant with Twins? Posted by Admin on October 25th, 2017 08:13 AM If you are expecting twins, most likely you understand that your body requires extra calories to keep the advancement of the infants. If you are asking what food to consume when pregnant with doubles, you need to recognize that there are some foods that give you adequate power to take treatment of yourself and also of the babies. Proteins are extremely important for the infants growth and also for maintaining up the power degrees of the mom. The path mix includes various kinds of nuts that are rich in healthy proteins. Proteins, they also come with vitamin E, selenium, phosphorus, magnesium and iron. In instance you are looking for foods to eat throughout multiple pregnancy you should know that the bulk of morning meal grains come with additional folic acid that is vital for the growth and health of the children. While you are taking prenatal vitamins that have folic acid, you can additionally have foods that include the nutrient. When you are asking what food to eat when expectant with doubles, without a doubt you know that yogurt is rich in calcium which is necessary for the bone framework advancement of the babies. In the exact same time, yogurt likewise contains proteins. It is best to choose nonfat or low fat yogurt. In the majority of the instances fish and shellfish isnt suggested to pregnant ladies due to the mercury contents. However when it concerns the twin pregnancy foods to eat, you can have shrimp, which does not have mercury yet that includes selenium, vitamin D and also reduced fat protein. In order to boost your protein intake, when asking what food to consume w Continue reading >>

“i Had Gestational Diabetes When I Had Twins”

“i Had Gestational Diabetes When I Had Twins”

Zoe Hiljemark, 34, a PR consultant, lives in Poole with husband David and children Karl, 3, and twins Isaac and Sofia, 22 months. The first few months of pregnancy were tiring, but I put the extra exhaustion and dizziness down to carrying twins. Caring for my toddler took it out of me, and even walking up stairs left me breathless. When I was six months, a scan showed the babies were measuring large and, given my first son weighed almost 10lbs at birth, the doctors sent me for a glucose tolerance test. My blood was taken after overnight fasting, and again after a sweet drink. It showed that my body wasn't processing the glucose properly and that my sugar levels were high, meaning I had gestational diabetes. I followed the advice of a dietician and cut out processed sugar completely, as well as avoiding natural sugar like fruit It was a shock, especially since I don't fit the common criteria, like being overweight. I was gutted but determined to manage my condition. I followed the advice of a dietician and cut out processed sugar completely, as well as avoiding natural sugar like fruit. Testing my blood sugar levels daily using a finger prick machine showed my glucose levels still hadn't stabilised so I was prescribed insulin. I had to inject myself daily, as well as still managing my diet. Thankfully, it worked. My glucose levels normalised, the dizziness and exhaustion improved and I began to feel more positive. After a forceps delivery first time round, and this complication now, I wanted a quick, controlled birth The doctors wanted me to try for a natural birth but I requested a c-section. After a forceps delivery first time round, and this complication now, I wanted a quick, controlled birth. So one evening at 37 weeks, David took me to be admitted onto the ward for Continue reading >>

Pregnant With Twins Gestational Diabetes ??s - Mothering Forums

Pregnant With Twins Gestational Diabetes ??s - Mothering Forums

Parenting Multiples > Pregnant with Twins Gestational Diabetes ??s I'm 30 weeks preganant with twins and just failed that stupid 3-hour GTT test (just by a little they said). Now my Dr's are insisting I see a dietician. However, we live in a rural area and the small-town hospital here doesn't have a dietician that specializes in maternity cases (let alone multiples). I'm afraid this visit will just be a waste of time. Can anyone give me good advice about what I should be doing/expecting now? I'm a little freaked out at this point b/c the nurse they had call me with the results was going on and on about possible birth defects from GD as well as the possibility of stillbirth, etc. From what I've read this is only a problem if you have undiagnosed diabetes early in your pregnancy. Is this true? I want to take this seriously, but how much difference is changing my diet (which I have been very careful about up until now) is going to make at this point? Any thoughts from anyone who has gone through this stuff? Hi, I had GD during my pregnacy it was my first time dealing with it and was told that it is due to carrying twins. They told me it was slight but still insisted I tested my blood from my finger after each meal. OUCH it really got on my nerves after a while and I realized what made it go up, like after eating a bowl of oatmeal. So I did meet with a dietician and was told to cut out carbs. My biggest down fall was pasta I ate two bowls of it. You need to make you diet consist of high protein, meats, chicken eggs, bacon, fish all vegetables are good. Stay away from potatoes though. Cut out breads, pasta, muffins, oartmeal all things high in CARBS or have very small portions maybe once a day. If you eat a sandwich add mayo have one slice of toast instead of two. If you ha Continue reading >>

Twins And Gestational Diabetes

Twins And Gestational Diabetes

Started by Minimouse27, Sep 12 2013 08:40 AM I've had my second incident of thrush in this pregnancy (first confirmed with swab, second is my assumption based on symptoms in past few days) and I've never had thrush in my life before! Canesten seems to do the trick though, and works quickly and effectively on me. I'm also now treating DH. No thrush with DS pregnancy, also no GD - my sugar levels were really great in fact. In my early twenties however, I did have mild insulin resistance due to PCOS. I'm just wondering - I know GD is a higher chance with twins and two placentas - how many of you had it? When were you tested for it - my OB told me last week it is 28 weeks (like a singleton) but I am wondering if I should request the GTT test earlier this time to put my mind at ease? Also, for those with GD, was thrush a symptom for you? (sorry about all the questions. I'm starting a new even healthier eating plan today, with lots of low GI foods). I have my GD test at 28 weeks as per normal and had no issues passing it. That said besides the twins I don't have any risk factors or family history to make me suspect I'd get it. I had GD with my DD so OB said that I would absoloutely get it again with the twins. She was right. I was tested at 16 weeks and again at 28 weeks. I mangaged to hold it off til 28 weeks but went straight on to insulin at 28 weeks. Diabetic educator explained that twice the placenta means twice insulin resistance hormone floating around. I don't belong in the twins section, but I'm insulin resistant and had GD with DS and about 99% sure I will get it again this time. I have never had trush in my life, so for me they're certainly not related. I believe I will be tested for GD sometime around early or mid second trimester, rather than 28 weeks this time. Continue reading >>

Twins And Diabetes | Diabetes Pregnancy Canada

Twins And Diabetes | Diabetes Pregnancy Canada

Home Blog Twin pregnancy and diabetes Posted by ERyan on Apr 22, 2016 | Comments Off on Twin pregnancy and diabetes Pregnancy with twins is exciting but daunting. A twin pregnancy carries more risk for many things including preeclampsia, premature delivery and also gestational diabetes (GDM). The placenta is larger and there are more of the hormones that block how insulin works circulating in the mother. In addition the mother does not move around as much so there is less glucose being used by her muscles. This all generates a need for more insulin than a single baby pregnancy and hence GDM is more common. A woman with Type 1 or Type 2 diabetes who becomes pregnant with twins or triplets will need even more insulin than a routine pregnancy. The approach to diagnosing GDM in a twin pregnancy is just the same as a singleton pregnancy but some would suggest screening earlier. Once diagnosed the management is similar with just a couple of wrinkles. As with all GDM the first focus should be on lifestyle and diet and many will succeed in controlling the glucose with these modifications alone. A problem can be that with twin pregnancy exercise can be more challenging and sometimes the person is put on bed rest both of which will put upward pressure on the glucose levels. In our clinic we play the cards as they fall and if the glucose cannot be controlled with diet alone then we offer therapy with insulin of the option of metformin explaining that in most countries including Canada it use during pregnancy is not formally approved by our regulatory Health Agency and hence its use is off label. Insulin is used if needed and sometimes large doses of insulin are required. These are the same factors that necessitate higher doses of insulin in a woman with Type 1 diabetes who is pre Continue reading >>

Complications In A Multiples Pregnancy

Complications In A Multiples Pregnancy

Home / Multiples Pregnancy / Complications in a Multiples Pregnancy Of all the types of multiple births , twins normally face the fewest medical problems and complications. Each additional baby a woman carries during her pregnancy increases the possibility of developing pregnancy complications . What are the most common complications associated with multiples? Preterm labor/delivery is defined as delivery before 37 completed weeks of pregnancy. The length of gestation typically decreases with each additional baby. On average most single pregnancies last 39 weeks, twin pregnancies 36 weeks, triplets 32 weeks, quadruplets 30 weeks, and quintuplets 29 weeks. Almost 60% of twins are delivered preterm, while 90% of triplets are preterm. Higher order pregnancies are almost always preterm. Many times premature labor is a result of preterm premature rupture of the membranes (PPROM). PPROM is rupture of the membranes prior to the onset of labor in a patient who is less than 37 weeks of gestation. Low birth weight is almost always related to preterm delivery. Low birth weight is less than 5.5 pounds (2,500 grams). Babies born before 32 weeks and weighing less than 3.3 pounds (1,500 grams) have an increased risk of developing complications as newborns. They are at increased risk for having long-term problems such as mental retardation, cerebral palsy , vision loss, and hearing loss. Multiple pregnancies grow at approximately the same rate as single pregnancies up to a certain point. The growth rate of twin pregnancies begins to slow at 30 to 32 weeks. Triplet pregnancies begin slowing at 27 to 28 weeks, and quadruplet pregnancies begin slowing at 25 to 26 weeks. IUGR seems to occur because the placenta cannot handle any more growth and because the babies are competing for nutrien Continue reading >>

Gestational Diabetes: Twins On Board

Gestational Diabetes: Twins On Board

Are you pregnant? Have you been tested for gestational diabetes? Celeste Smith lost a baby due to this condition. Here's what she wishes she had known before she fell pregnant. Are you pregnant? Have you been tested for gestational diabetes? Gestational diabetes is a condition in which women without previously diagnosed diabetes have high blood sugar during pregnancy. This condition can lead to complications for mother and baby during the pregnancy, and, if left untreated, could also cause seizures, miscarriage and still birth.However, with early detection and treatment, you can manage these problems and still have a healthy baby. Capetonian Celeste Smith is no stranger to gestational diabetes: she has had it twice, most recently during her pregnancy with twins Connor and Adam. She tells Bridget McNulty of Sweet Life Magazine , what she wishes she had known before she fell pregnant. Why are you sharing this very personal story? I want to educate, encourage and motivate women with gestational diabetes, and prevent other women from having to go through what I and many others had to endure. How did you find out you had gestational diabetes? My first pregnancy was stillborn: Noah was born at 38 weeks. I didnt know I had gestational diabetes until after Noah was born. We suspected that I could one day become diabetic because it runs in my family, but my doctor at the time never picked it up. When I wanted to fall pregnant again, my new doctor, Dr Jansen immediately tested for glucose tolerance before I fell pregnant, and then again after I fell pregnant. Thats how we found out I had gestational diabetes again. Whats tricky about gestational diabetes is that it goes from nothing to full-blown diabetes very quickly. Its only when youre pregnant, so theres no warning beforehan Continue reading >>

The Low-down On Gestational Diabetes And How Best To Deal With It

The Low-down On Gestational Diabetes And How Best To Deal With It

The Low-down on Gestational Diabetes and How Best to deal with it A normal pregnancy is already an ordeal in itself. Cravings, backache, nausea, mood swings, frequent urination, stretch marks heaven only knows the last thing youll need is gestational diabetes. But unfortunately for 3-9% of pregnant women this is a condition theyre faced with. Even though theres very little you can do to prevent it, there are some measures you can take to keep it under control and reduce risks of complications. Gestational diabetes comes about when you develop high blood sugar levels during your pregnancy a time when your body has to make extra insulin. Insulin is the hormone that helps your body use glucose for energy, as well as store any extra. If you cant meet the increased demand when youre expecting, you may end up with gestational diabetes. What are the risks associated with gestational diabetes? Luckily, since its easily screened and treated, most women who are afflicted with gestational diabetes go on to have healthy babies. If it isnt controlled however, the excess sugar will cross the placenta and might cause your baby to grow bigger than normal, possibly making labor and birth more difficult, problematic and risky. Basically, it all boils down to lifestyle and monitoring: Get at least 30 minutes of exercise daily When youre working out, your body uses up that excess sugar from your bloodstream. Whether its a walk, jog, swim or a weight-lifting workout, its crucial that you include regular moderately intense physical exercise in your schedule. You need to make sure you dont put on too much weight, because especially towards the end of your pregnancy, any excess weight you put on might contribute to your having an even larger baby. Youre growing a baby, so you obviously need f Continue reading >>

Screening For Gestational Diabetes Mellitus In Women With Twin Pregnancies

Screening For Gestational Diabetes Mellitus In Women With Twin Pregnancies

Screening for Gestational Diabetes Mellitus in Women with Twin Pregnancies Mamoru Morikawa 1 , Takahiro Yamada 1 , Satoshi Ishikawa 1 , Takashi Yamada 2 , Rina Akaishi 1 , Kazutoshi Cho 3 and Hisanori Minakami 1 * 1 Department of Obstetrics, Hokkaido University Hospital, Kita-ku N15 W7, Sapporo, Japan 2 Department of Obstetrics and Gynecology, JCHO Hokkaido Hospital, Sapporo, Japan 3 Center for Perinatal Medicine, Hokkaido University Hospital, Sappro, Japan Hokkaido University Graduate School of Medicine Received date: June 25, 2016; Accepted date: August 01, 2016; Published date: August 10, 2016 Citation: Morikawa M, Yamada T, Satoshi I, et al. Screening for gestational diabetes mellitus in women with twin pregnancies. Crit Care Obst&Gyne. 2016, 2:4. doi: 10.2176 7/2471-9803.100030 Copyright: 2016 Morikawa M et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Visit for more related articles at Critical Care Obstetrics and Gynecology Background: The main purpose of screening and treatment for gestational diabetes mellitus (GDM) is to reduce dystocia arising from fetal overgrowth. This study was conducted to determine the risks of low-birth weight infants (LBWI) and overgrowth infants (OGI) defined as infants with birth weight<2,500 g and 3500 g, respectively in Japanese newborns. Methods and Findings: Retrospective observational study in 9,024 twins born to 4,512 women and 127,907 singletons born at gestational week 35 at the obstetric facilities participating in a registry system in Japan. GDM was diagnosed based on the previous criteria used in Japan until 2009. In twin vs. singl Continue reading >>

Having Twins? Beware Of Gdm

Having Twins? Beware Of Gdm

Home Blogs Jaclyn Stewart's blog Having Twins? Beware of GDM twins gestational diabetes (GDM) multiples Posted by Jaclyn Stewart on Aug 8th, 2012 Many pregnant women are at risk for developing gestational diabetes. Gestational diabetes, or GDM, is a form of diabetes that comes on only for the duration of pregnancy in women with no prior history of the condition. The symptoms of GDM are the same as those associated with Type 1 or Type 2 Diabetes. There are many circumstances that might increase your risk for GDM. If you are over the age of 25 when you enter your pregnancy, you have a higher risk. Also, if you are overweight, your chances for getting GDM increase. Women especially susceptible to GDM are those with a family history of Diabetes in any of its forms. While many of these risk factors make contracting GDM easy to predict, there is one risk factor that is difficult in itself to predict. Having twins will increase your likelihood of getting gestational diabetes. A recent study proved that women who were pregnant with twins were much more likely to contract gestational Diabetes. Obviously, you cannot control whether or not you will have twins or a singleton birth, but knowing youre more likely to get GDM might make it easier to prepare for and treat. Treating GDM is essentially the same as treating Type 1 or Type 2 Diabetes outside of pregnancy. Your goal should be to keep blood sugar levels consistent, and doing so is a matter of a balanced diet, regular exercise and checking blood levels often to see if insulin is needed. If you do get GDM when you are pregnant with twins, there might be some negative side effects. One of the major side effects of GDM is that babies are born larger than normal. Since twins are naturally smaller than other babies, their size inc Continue reading >>

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