When does the clock start ticking- just at what time should I check my blood sugars if I have gestational diabetes?
Gestational diabetes is typically a milder diabetes so does not have much in the way of symptoms or complaints. Most of what people feel that may be symptoms of diabetes, going to the bathroom frequently, tiredness, feeling warm or hungry relate much more to the pregnancy itself and not the diabetes. Because of this we have to check the blood sugar as how one feels does not give an accurate sense of how high the blood sugar may be. Some people may feel their sugar is high or low but it does not answer how high or how low. So we need real numbers as it is on these absolute values a decision on whether more treatment needs to be started is based. However, a question we face in the clinic is to decide when should one test the blood sugar and if we do suggest one or two hours after a meal just when does the clock start ticking?Read More
Gestational diabetes in someone who is lean
Typically we think of Gestational Diabetes (GDM) as due to an imperfect pancreas that cannot cope with the extra insulin needed in pregnancy. This need is there because the hormones from the placenta cause insulin resistance so one needs extra insulin just to keep the same glucose. The insulin resistance is worse if there is obesity present or the mom gains excess weight so that even more insulin is needed. The defect in the pancreas is poorly understood but almost certainly sets the stage for the later Type 2 diabetes that women who had gestational diabetes are more prone to develop.Read More
When the sugar test results are reported high and the pregnant woman comes to the diabetes clinic, frequently the first thing she says is “I failed the test”. I don’t think this is fair. You did not fail the test, your pancreas did so please do not dump on yourself, if you have to pick on anyone, pick on your parents who gave you a pancreas that was not up to the stress of pregnancy.Read More
Just providing good information.
I specialize in diabetes and pregnancy and have been conscious of the need for solid easily accessible information about gestational diabetes, Type 1 or Type 2 diabetes and pregnancy being available to people for whom this is a concern. This need became very apparent when I found out about a woman with Type 1 diabetes who was pregnant in a northern area of Alberta, Canada and was feeling lost. She did not know much about the changes that were happening to her diabetes, what risks her baby had and felt her local caregivers did not know enough to answer her questions. Just providing good information to her questions was a relief.Read More