Gestational Diabetes in India - Risk Factors, Screening Tests, Diet Measures, and Treatment

1. HEALNT MD HEALNT BLOG CATEGORIES ← Failing to Lose Weight? Gestational Diabetes - Cause for Concern? → Child Health (1) GESTATIONAL DIABETES - DETECTION AND MANAGEMENT Diabetes (8)    04 July 2017 Dr-Suman-Mian Diabetes, Pregnancy, Women's Health Exercise and Fitness (5) Health Management (7) Healthy Diet (6) Healthy Heart (2) Healthy Living (12) Mental Health (2) Oral Health (2) Personal Health Records (2) India has approx. 62.4 million diabetics and this number is likely to increase to 101 million by 2030. It is estimated that about Pregnancy (2) 16% of women who get pregnant every year develop diabetes during gestation period. So, considering the deliveries per annum being twenty-seven million, it is estimated that about three to four million women suffer from Gestational Diabetes Sleep & Health (1) every year. Of these three million women - 30% go on to develop type-2 diabetes in 5-10 years, and more than 50% become diabetic over a period of 20 years. Weight Management (2) Risk Factors Women's Health (3) Asian / Indian women are ethnically more prone to get diabetes Overweight women (age group 30-39, 20% more than ideal body weight) Gestational diabetes Family history of diabetes (parents or siblings) Women with PCOS (polycystic ovarian syndrome) Women and Diabetes Previously delivered a large baby or a stillborn Screening tests Diabetes Having too much amniotic fluid (polyhydramnios) Gestational diabetes in previous pregnancy Diabetes affects pregnancy Screening for Gestational Diabetes Gestational Diabetes risks to baby Gestational Diabetes Complications To combat the tsunami of Diabetes, World Diabetes Association recommends the universal screening of all pregnant women irrespective of risk factors during early and late pregnancy. Normal procedure to diagnose gestational diabetes is by Mother ad baby WHO recommended OGTT (oral glucose tolerance test) wherein after giving 75gms of glucose drink, 2hr plasma glucose is measured and level ≥ 140mg/dl warrants treatment visits to lab to complete the test. DIPSI (Diabetes in Pregnancy Study gestational Diabetes Treatment group India) has come up with modified OGTT where pregnant women are given 75gm glucose load irrespective of last meal timing and 2hr plasma glucose ≥ 140mg/dl is considered for treatment. This test should be done during first visit to Diet modification for gestational Diabetes doctors clinic and repeated at 24-28 weeks and again at 32 -34 weeks to diagnose and incorporate early intervention. Diet control for pregnant women with diabetes Treatment Pregnancy Gestational Diabetes Mellitus is a common medical complication during pregnancy. Due to large number of cases (second in world) in India, DIPSI stresses on the following guidelines to manage gestational diabetes: Pregnant with Diabetes Key in the Antenatal care is achieving good glycemic control by reassuring, psychological support, and educating patients Euglycaemia about the implications of disease on child and maternal health. Oral Glucose tolerance test Self-monitoring of blood sugar (SMBG) using glucometers is cost-effective and superior method than less frequent monitoring in the labs. Insulin Target glucose level at Fasting – 90, 2hr PP – 140mg/dl At least weekly monitoring should be encouraged exercise and Gestational diabetes

2. Normal sugar or Euglycaemia is achieved by: Blood glucose in pregnant women Glucose control during pregnancy Diet Exercises Gestational Diabetes in India Oral medicines Insulin Procesure to doagnose Gestational Diabetes Any diabetic treatment and medication must be taken only in consultation with your Gynecologist/ Physician. Self Normal sugar level in Pregnant women medication can be dangerous. Also consult your doctor & dietician about the type of exercises and diet. Diet Dietary modifications are the mainstay of diabetes treatment modules. Carbohydrate, Proteins and, Fats are individually adjusted as per Caloric requirements depending on age, activity, pre-pregnancy weight and stage of pregnancy. Approx.300 cal. above basal requirement is ideal to gain optimum recommended weight i.e. (normal weight 10-12kg, BMI ≥30,0-5 kg). Focus on carbohydrate controlled meal plan and overall healthy food choices with good cooking practices and portion control is emphasized. The carbohydrates that produce only small fluctuation in blood glucose and insulin levels (low Glycemic index foods) are recommended. Get in touch with us at info@healnt.com Get the Healnt App: https://goo.gl/Dmguo0 Get the Healnt MD App (For Doctors): https://goo.gl/q4yscr Be the first to rate this post     Related posts Gestational Diabetes - Detection and Management Gestational Diabetes holds various risks to both mother and the foetus which is why – timely detecti... Diabetes - 5 ways Diabetes can impact your body Diabetes can lead to numerous complications, thereby affecting your entire body. Learn what uncontro... Gestational Diabetes - Cause for Concern? Gestational Diabetes occurs during pregnancy and even though it doesn't have significant symptoms, D... Do our diet choices affect our mental health? click here The Mission  Like us on Facebook View us on Youtube   Blog Monitoring blood glucose levels: Why, an ... click here  Terms of Use nd Address: A1, 2 Floor, Sector-58 Noida, U.P. 201301, India Privacy Policy Healnt users cross 100 mark!! Healnt and ... click here  Email:info@healnt.com