Although the expectant mother did not have diabetes before pregnancy, it is defined as the increase in the level of glucose, or sugar, in the blood during pregnancy. Diagnosis is made with a test known as the sugar water test, which is performed at 24-28 weeks of pregnancy.
What is the sugar overload test and how is it performed?
The sugar overload test should be applied to expectant mothers between 24 and 28 weeks. During the test, the expectant mother is first given 50 g of glucose (pure sugar). After an hour, the glucose (sugar) level in the blood is checked. When the glucose level is below 140 mg/dl during the determination of this rate, it is determined that the expectant mother does not have gestational diabetes. However, if the glucose in the blood exceeds this value, the test must be repeated with 100 g of glucose for 3 hours. After the 3-hour loading, it is precisely determined whether the expectant mother has gestational diabetes or not. After the sugar loading test, the expectant mother should not engage in excessive physical activity and should not eat anything during this period. These are important for the sugar loading test to give accurate results.
What are the risks of gestational diabetes?
The presence of diabetes before pregnancy or its emergence during pregnancy, the expectant mother and It creates some risks for the baby. In pregnant women with diabetes, the better the blood sugar levels are controlled and regular, the risks that may arise due to diabetes will be reduced. High blood sugar that occurs during pregnancy must be determined and treated with a sugar loading test. Otherwise, problems such as pregnancy poisoning, high blood pressure, premature birth and miscarriage are more likely to occur in expectant mothers than in pregnant women without diabetes. Babies of women who had diabetes before pregnancy may have some anomalies. However, diabetes that begins during pregnancy does not cause such a problem. However, in both types of diabetes, the baby may be born overweight, that is, macrosomic baby development may occur. In this case, since the expectant mothers will be given birth by cesarean section, they may experience some risks. When the blood sugar levels of expectant mothers are controlled during pregnancy, the risks that may occur will decrease proportionally. Therefore, monitoring HbA1C and glucose levels in expectant mothers is extremely important. It is important.
What are the possible risks for the baby in an expectant mother with diabetes?
Due to the underdevelopment of the lungs after birth, the baby may experience respiratory distress in the newborn period.
The baby is >4000 grams, which means it is very large.
The baby is smaller than it should be, that is, there may be developmental delay
Hypoglycemia, that is, low blood sugar in the baby after birth
Development of heart diseases in advanced stages
Kidney anomalies
Brain and central nerve anomalies in the digestive system
Ear anomalies
Anomalies in the digestive system
hypocalcemia, polycythemia in the neonatal period.
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