Late Onset Gestational Diabetes Symptoms

Nice Evidence Search | Late Onset Gestational Diabetes

The operation that you have selected will move away from the current results page, your download options will not persist. Please click "Confirm" if you are happy to lose these search results. - Publisher:Canadian Paediatric Society This Canadian position statement aims to identify practices that ensure the safe discharge from hospital of late preterm infants. These infants are premature, born before gestational age of 37... - Publisher:Canadian Paediatric Society Early-onset neonatal bacterial sepsis (EOS) is sepsis occurring within the first seven days of life. This statement provides updated recommendations for the care of term (=37 weeks gestational... - Publisher:Scottish Intercollegiate Guidelines Network (SIGN) (2010, udpated September 2013) Guideline 116: Management of diabetes - Full guideline. The Scottish Intercollegiate Guidelines Network (SIGN) develops evidence based clinical practice guidelines... Continue reading >>

I'm Having A Giant Baby: No More Fruit Salad?

Aware of the risks of gestational diabetes, Roma Kojima talks to her OB/GYN about food choices...but when did fruit become the enemy? Roma Kojima is a soon-to-be mom of a tiny, wriggly girl. Aside from growing a human, she works in business development at Rogers Media, loves to travel and cook, and obsesses about leather purses she can’t afford. Follow along as she shares her pregnancy journey. At 35 weeks now and in the throes of what everyone helpfully calls The Home Stretch. I feel neither at home in my body, nor stretchy. Mostly I feel overcrowded, grumpy and in pain whenever this kid kicks me in the junk from the inside. But whatever, one month (ish) to go. Read more: Is birth weight related to ethnicity? I had my 32-week ultrasound recently. Much fun was had by all, especially when this little diva decided she wasn’t going to entertain any pictures and insisted on covering her face with her hands the entire time. They took all her measurements anyway and off I waddled to see a doctor. The doctor, not my regular OB/GYN, informed me quite enthusiastically that I was having a “Giant Baby.” “What’s a Giant Baby?” I asked nervously. “Oh, your baby is within the 94th percentile in size—we measure the size of the head (ouch says future-me), abdomen and femur. By our estimates, the average weight at this point should be around 3.75 lbs. Yours is around 5.4 lbs.” I looked at my five-foot, four-inch-tall husband and I looked at myself—a towering five-foot-three. “Maybe she’s adopted?” Jokes aside, I would much rather she be bigger than too small. “But wait,” the paranoid side of my brain said. “Doesn’t a bigger fetus often mean gestational diabetes?” I have a family history of diabetes and my mother suffered from GD during more than one Continue reading >>

Gestational Diabetes

Gestational diabetes definition and facts Risk factors for gestational diabetes include a history of gestational diabetes in a previous pregnancy, There are typically no noticeable signs or symptoms associated with gestational diabetes. Gestational diabetes can cause the fetus to be larger than normal. Delivery of the baby may be more complicated as a result. The baby is also at risk for developing low blood glucose (hypoglycemia) immediately after birth. Following a nutrition plan is the typical treatment for gestational diabetes. Maintaining a healthy weight and following a healthy eating plan may be able to help prevent or minimize the risks of gestational diabetes. Women with gestational diabetes have an increased risk of developing type 2 diabetes after the pregnancy What is gestational diabetes? Gestational diabetes is diabetes, or high blood sugar levels, that develops during pregnancy. It occurs in about 4% of all pregnancies. It is usually diagnosed in the later stages of pregnancy and often occurs in women who have no prior history of diabetes. What causes gestational diabetes? Gestational diabetes is thought to arise because the many changes, hormonal and otherwise, that occur in the body during pregnancy predispose some women to become resistant to insulin. Insulin is a hormone made by specialized cells in the pancreas that allows the body to effectively metabolize glucose for later usage as fuel (energy). When levels of insulin are low, or the body cannot effectively use insulin (i.e., insulin resistance), blood glucose levels rise. What are the screening guidelines for gestational diabetes? All pregnant women should be screened for gestational diabetes during their pregnancy. Most pregnant women are tested between the 24th and 28th weeks of pregnancy (see Continue reading >>

Talk To Me About Late Onset Gestational Diabetes.

GwendolineMaryLacedwithBrandy Tue 13-Dec-11 14:47:31 I was told I had GD at 38 weeks last time. I had also passed the GTT and had 2++ glucose in urine at 38 weeks. I was given a blood sugar monitor and tested 4x per day for the remaining two weeks (over decking Christmas!). If there were any instances over 7.8 I was to call the diabetic clinic immediately. I also had a growth scan where they decided that dd was going to be massive. I was induced at 40 weeks exactly and she was 8lb 10oz. They admitted at my booking in this time that it doesn't look like I had it but, ironically I am now 37 weeks and the same thing is happening again but without the instances of glucose in urine. I am being made to monitor over Christmas and having regular growth scans. I'm fairly certain the next scan on the 21st will have them decide they want to induce me again. Tbh there's not a great deal they can do at such a late stage other than what I have said above. It's quite likely that it was your sugarfest that bumped up your glucose btw GwendolineMaryLacedwithBrandy Tue 13-Dec-11 14:49:20 As far as diet is concerned, they will probably advise you if there is a likelihood of GD but you have to watch white pasta, white rice, potatoes, pastry, white bread etc as well as sugar. I had a big baby, not a murmur about GD until I went on to present myself pregnant a second time. A routine blood test showed high blood sugar but the midwife said my lunch of beans on toast would probably be to blame I had the GTT and monitored blood sugars, managed to keep them within limits by diet. It did go haywire one week when I had a horrid flu-ey cold, midwife totally unconcerned and laid the blame for the high results firmly on the cold and said not to worry, obstetrician went mad and told me I was being admi Continue reading >>

Late Onset Gestational Diabetes - Pregnancy-info

I went to my regular doc yesterday because of a sinus infection and suspected UTI. Turns out I have a UTI, and I also have a ton of sugar in my urine. I just went to the OB last week, and they test my urine every week. I also had the blood test for GD about 5 weeks ago, and everything turned out fine. Is it possible that the results were skewed because I have two infections in my body? Can infection make your body go into sort of a temporary diabetic mode? I'm 33 weeks along. i had a diabetes test at 29 weeks and it was normal then i got sugar in my pee so they redid the diabetes test at 35 weeks and it was positive, so i got dianosed with GD at 35 weeks, but it could also be the infections No telling. Better to be safe than sorry and have the test retaken. I am 31 weeks right now and on insulin with my gestational diabetes. I am 34 weeks and spill sugar at almost every appointment, but my doctor is not worried about it... I pa__sed (barely) my 1 hr. glucose test and I am not gaining a lot of weight. My doctor told me to drink a lot of water the day that I have my appointments to flush out the sugar.........my last appointment this week I didn't spill any, but the week before I did because I ate a box of nerds before my appointment... It is not uncommon so spill sugar once in a while when you are pregnant and it doesn't mean that you have GD. Continue reading >>

Gestational Diabetes: What You Need To Know

This pregnancy complication is more common than you might think. Learn who's at risk for it, how it's detected, and what can be done to treat it. For years, doctors believed that gestational diabetes affected three to five percent of all pregnancies, but new, more rigorous diagnostic criteria puts the number closer to 18 percent. The condition, which can strike any pregnant woman, usually develops in the second trimester, between weeks 24 and 28, and typically resolves after baby is born. If gestational diabetes is treated and well-managed throughout your pregnancy, "There's no reason you can't deliver a very healthy baby," says Patricia Devine, M.D., perinatologist at New York-Presbyterian Hospital in New York City. But gestational diabetes that goes untreated, or isn't carefully monitored, can be harmful for both mother and baby. Consult our guide for risk factors, signs of gestational diabetes, and treatment options. What is gestational diabetes? Gestational diabetes, or diabetes that is diagnosed during pregnancy in a woman who previously did not have diabetes, occurs when the pancreas fails to produce enough insulin to regulate blood sugar efficiently. "A hormone produced by the placenta makes a woman essentially resistant to her own insulin," Dr. Devine explains. How does gestational diabetes differ from type 1 or 2 diabetes? Gestational diabetes affects only pregnant women. People who have type 1 diabetes, sometimes referred to as juvenile diabetes, are generally born with it. Type 2 diabetes accounts for 95 percent of all cases of diabetes in the U.S.; it occurs in adulthood, and is triggered by lifestyle factors such as obesity and lack of physical activity. What causes it? It's unclear why some women develop gestational diabetes while others do not. Doctors th Continue reading >>

Obstetric Outcome In Early And Late Onset Gestational Diabetes Mellitus.

Obstetric Outcome in Early and Late Onset Gestational Diabetes Mellitus. Dr Sabina Easmin, Junior Consultant, Obs & Gynae, Upazilla Health Complex (UHC), Trishal, Mymensingh, Bangladesh. Obstetric outcome in early onset and late onset GDM was compared in a prospective study conducted at the Department of Obstetrics & Gynecology in BIRDEM, Dhaka, Bangladesh. A total 120 pregnant women were recruited purposively for the study in which 60 were early onset GDM and 60 were late onset GDM during study period of January 2008 to December 2009. Patients were followed up in different periods of gestation, during delivery and early postpartum period & findings were compared between two groups. BMI & family history of diabetes were significantly higher in early GDM group (p<0.05). Evidence of increased glycaemia was observed in early GDM group & difference of glycaemic status was statistically significant (p<0.05). Insulin was needed in 85% of early onset GDM and 55% in late onset GDM. There was also significant difference (p<0.05). In this study, 23.3% of early onset GDM group developed pre-eclampsia while in late onset GDM it was 10% and was statistically significant (p<0.05). Regarding intrapartum & postpartum complications - perineal tear, PPH wound infection, puerperal sepsis were more in early onset than late onset GDM group with no significant difference. Regarding foetal outcome, 8.3% early GDM group delivered asphyxiated baby in comparison to 3.3% in late GDM group. Twenty percent (20%) of early onset GDM group had to admit their babies in neonatal unit while in late onset group it was 5%. There was significant difference between two groups (p<0.05). Neonatal hypoglycaemia was also statistically significantly (p<0.05) higher in early GDM group. Neonatal hyper-bilirubinaem Continue reading >>

Gestational Diabetes -- The Basics

Gestational diabetes -- diabetes that develops during pregnancy -- is a relatively common complication of pregnancy, affecting about 6% of all pregnant women. You may have a greater risk of developing gestational diabetes if you: Are obese when you become pregnant Have high blood pressure or other medical complications Have given birth to a large (greater than 9 pounds) baby before Have given birth to a baby that was stillborn or suffering from certain birth defects Have had gestational diabetes in previous pregnancies Have a family history of diabetes Come from certain ethnic backgrounds, including African, Hispanic, Asian, Native American, or Pacific Islander Are older than 30 But half of women who develop gestational diabetes have no risk factors. If left untreated, gestational diabetes can cause serious complications for your newborn. For example, babies of untreated mothers with gestational diabetes may grow too large (called macrosomia), increasing the risk of problems during delivery, such as injuries to the baby's shoulders and arms and nerves in these areas. Having a very large baby may also increase your risk for requiring a cesarean section or other assistance during delivery (such as a forceps or vacuum delivery). Your baby may also experience a sudden drop in blood sugar after birth, requiring treatment with a sugar solution given through a needle in the vein. Your newborn baby may also have a higher risk of developing jaundice (a condition that causes yellowing of the skin and whites of the eyes) and breathing problems. The risk of birth defects in infants whose mothers have gestational diabetes is very low because most pregnant women develop gestational diabetes after the 20th week of pregnancy, when the fetus has already fully developed. The risk of birt Continue reading >>

Gestational Diabetes Tendency

Finding out that you have gestational diabetes can be very frightening. Not only do you have to deal with all the emotions and the questions that come with being pregnant, but also the uncertainty of this new-found condition. Fortunately, there are several things you can do to control or eliminate the problem. It should, however, not be taken lightly, but instead as a warning that dietary and lifestyle changes should be made that you may want to continue beyond your pregnancy. Gestational Diabetes is diabetes mellitus that first appears during pregnancy. Gestational Diabetes occurs in 3-5% of all pregnancies. It is the hormonal changes in the second and third trimesters of pregnancy, along with the growth demands of the fetus, that increase a pregnant woman's insulin needs by two to three times normal. If your body cannot make this amount of insulin, sugar from the foods you eat will stay in your blood stream and become elevated. Glucose testing may begin as early as 16 weeks but will more often take place during week 24 to 28. You may think this is too late in your pregnancy to be finding out about such a problem, but in most cases screening before this time would be of little value. In most cases Gestational Diabetes is managed by diet and exercise, disappearing after the baby is born. Very few women with gestational diabetes require insulin to control it. Gestational Diabetes Tendency suggests the following may be present: Exercising during pregnancy stimulates glucose transport and can help control gestational diabetes without the use of insulin . Moderate workouts appear safe for most females with gestational diabetes . [The Physician and Sports Medicine, March, 1996;24(3): pp.54-66] By impairing pancreatic insulin production, vitamin B6 deficiency may increase th Continue reading >>

Gestational Diabetes

Overview Gestational diabetes develops during pregnancy (gestation). Like other types of diabetes, gestational diabetes affects how your cells use sugar (glucose). Gestational diabetes causes high blood sugar that can affect your pregnancy and your baby's health. Any pregnancy complication is concerning, but there's good news. Expectant women can help control gestational diabetes by eating healthy foods, exercising and, if necessary, taking medication. Controlling blood sugar can prevent a difficult birth and keep you and your baby healthy. In gestational diabetes, blood sugar usually returns to normal soon after delivery. But if you've had gestational diabetes, you're at risk for type 2 diabetes. You'll continue working with your health care team to monitor and manage your blood sugar. Symptoms For most women, gestational diabetes doesn't cause noticeable signs or symptoms. When to see a doctor If possible, seek health care early — when you first think about trying to get pregnant — so your doctor can evaluate your risk of gestational diabetes as part of your overall childbearing wellness plan. Once you're pregnant, your doctor will check you for gestational diabetes as part of your prenatal care. If you develop gestational diabetes, you may need more-frequent checkups. These are most likely to occur during the last three months of pregnancy, when your doctor will monitor your blood sugar level and your baby's health. Your doctor may refer you to additional health professionals who specialize in diabetes, such as an endocrinologist, a registered dietitian or a diabetes educator. They can help you learn to manage your blood sugar level during your pregnancy. To make sure your blood sugar level has returned to normal after your baby is born, your health care team wil Continue reading >>

Late Diagnosis Of Gestational Diabetes…

Well: this gestational diabetes thing has thrown a right spanner in the old works, I can tell you! (Photo above taken in last pregnancy, by the way, after I had polished off two whole desserts. I thought it was brilliantly inappropriate.) I just feel as though I’ve been diagnosed (my blood sugar readings, though not horrific, definitely indicate GD) and then left just to get on with things. No real advice, no explanations as to how the condition could affect the baby, or (more my concern) how my rampantly out-of-control blood sugar levels prior to diagnosis might have affected the baby… So it has been a crazy week or so of intense Google research, and speaking to my Dad and Uncle about how they keep their Type 2 Diabetes in check, and chatting to my oldest friend Tasha about how she coped during her two pregnancies with her Type 1 Diabetes. I’d like to say that it has all been very interesting, and it has to a certain extent, but overall my one word to describe the situation would be: STRESSFUL. Mainly, I think, because the diagnosis has been made so late. (I’m 38 weeks.) And wouldn’t have been made at all had I not sought a second opinion about baby size from a private obstetrician. (Always trust your instincts, people.) So I’m slightly consumed with low-level fury about the fact that I wasn’t given a fasting blood sugar test, despite the fact that my last baby was big and I have an immediate relative with diabetes, but I’m also frustrated and confused because keeping blood sugar under control is actually quite the learning curve, and I’ve been given approximately 14 days altogether to achieve it. In case you are wondering what the hell I’m on about, Gestational Diabetes is a specific kind of diabetes that affects pregnant women only and it usually Continue reading >>

Gestational Diabetes Warning Signs

The symptoms of gestational diabetes can be so subtle that a pregnant woman may not even realize she has the condition. According to the Mayo Clinic, this problem does not usually cause signs and symptoms but may occasionally cause excessive thirst or increased urination. One of the reasons why early prenatal care is so important is that an obstetrician can keep track of whether a pregnant woman has developed high blood sugar during the nine months of her pregnancy. The Development of Gestational DIabetes Although gestational diabetes usually develops during the last three months of pregnancy, it is possible during the earlier months. This condition should be controlled as soon as it is identified because it can affect a woman's pregnancy and her child. Controlling Gestational Diabetes Once gestational diabetes has been identified, it can be controlled so that complications from it are minimized. Eating a balanced, healthy diet is especially important, as is getting enough exercise. Medication can also be used if it cannot be controlled any other way. Most women find that their blood sugar returns to normal after their pregnancy, but they may develop type 2 diabetes later in their lifetime. Symptoms of Gestational Diabetes Very few women suspect that they have gestational diabetes because the symptoms are so similar to those that are often experienced during pregnancy by all women: excessive thirst, exhaustion, and frequent urination. It is important to get your blood sugar checked by your doctor because a condition called pre-eclampsia can develop in late pregnancy. This causes very high blood pressure that can be a risk to both the mother and baby. If it develops, labor may begin early and an emergency C-section is sometimes required. Your doctor may do a glucose tole Continue reading >>

Gestational Diabetes

Gestational diabetes is high blood sugar that develops during pregnancy and usually disappears after giving birth. It can occur at any stage of pregnancy, but is more common in the second half. It occurs if your body cannot produce enough insulin – a hormone that helps control blood sugar levels – to meet the extra needs in pregnancy. Gestational diabetes can cause problems for you and your baby during and after birth. But the risk of these problems happening can be reduced if it's detected and well managed. Who's at risk of gestational diabetes Any woman can develop gestational diabetes during pregnancy, but you're at an increased risk if: your body mass index (BMI) is above 30 – use the healthy weight calculator to work out your BMI you previously had a baby who weighed 4.5kg (10lbs) or more at birth you had gestational diabetes in a previous pregnancy one of your parents or siblings has diabetes your family origins are south Asian, Chinese, African-Caribbean or Middle Eastern If any of these apply to you, you should be offered screening for gestational diabetes during your pregnancy. Symptoms of gestational diabetes Gestational diabetes doesn't usually cause any symptoms. Most cases are only picked up when your blood sugar level is tested during screening for gestational diabetes. Some women may develop symptoms if their blood sugar level gets too high (hyperglycaemia), such as: But some of these symptoms are common during pregnancy anyway and aren't necessarily a sign of a problem. Speak to your midwife or doctor if you're worried about any symptoms you're experiencing. How gestational diabetes can affect your pregnancy Most women with gestational diabetes have otherwise normal pregnancies with healthy babies. However, gestational diabetes can cause problems s Continue reading >>

Diabetes In Pregnancy

Gestational diabetes refers to diabetes that is diagnosed during pregnancy. Gestational diabetes occurs in about 7 percent of all pregnancies, usually in the second half of the pregnancy. It almost always goes away as soon as your baby is born. However, if gestational diabetes is not treated during your pregnancy, you may experience some complications. Causes Pregnancy hormones cause the body to be resistant to the action of insulin, a hormone made by your pancreas that helps your body use the fuels supplied by food. The carbohydrates you eat provide your body with a fuel called glucose, the sugar in the blood that nourishes your brain, heart, tissues and muscles. Glucose also is an important fuel for your developing baby. When gestational diabetes occurs, insulin fails to effectively move glucose into the cells that need it. As a result, glucose accumulates in the blood, causing blood sugar levels rise. Diagnosis Gestational diabetes is diagnosed with a blood test. Your blood glucose level is measured after you drink a sweet beverage. If your blood sugar is too high, you have gestational diabetes. Sometimes one test is all that is needed to make a definitive diagnosis. More often, an initial screening test is given and, if needed, a longer evaluation is performed. Gestational diabetes usually does not occur until later in pregnancy, when the placenta is producing more of the hormones that interfere with the mother's insulin. Screening for gestational diabetes usually takes place between weeks 24 to 28. However, women at high risk are usually screened during the first trimester. Risk Factors There are a number of risk factors associated with gestational diabetes, including: Being overweight Giving birth to a baby that weighed more than 9 pounds Having a parent or siblin Continue reading >>

Late Onset Gestational Diabetes?

Anyone have experience with late onset GD? I was cleared earlier (at about 32 weeks I guess), but my doctor just made me redo the test a few days ago (at 38 weeks) and says she'll do a c-section (at 39 weeks) if it comes back positive so I'm curious if anyone else has had to deal with anything like this. was it based on ultrasound results? eg. amniotic fluid ratio or stomach circumference? Repeat ultrasound results. I've had 4 growth scans and just the last showed the higher end of fluid, but the baby has been big and getting bigger through them all. @MamaBash2013 Huh... My consultant is making me re-do the diabetes test as it may be a factor as to why my fluid is low and reduced growth. They can't decide between pre-e or diabetes. Either way looks like c section for me anyway. from what I understood my OBS told me uncontrolled diabetes causes high amniotic fluid and high fat percentiles... @MamaBash2013 I was diagnosed at 33 weeks and it sucks!!! Towards the end is when in having crazy cravings. Mine is diet controlled but may have to go on a pill this week because fasting numbers are creeping up! I have high amniotic fluid and at our last ultrasound he showed almost three weeks ahead!!! I'm hoping its a little more controlled but we shall see at next ultrasound this week ! Either way doc talking about inducing at 39 weeks. Continue reading >>