Borderline Gestational Diabetes – Symptoms, Treatment, and Prevention of GDM


If you think you are borderline for gestational diabetes, you may want to get checked right away. This article provides information on the symptoms, treatment, and prevention of GDM. Keep reading to learn more. The symptoms of GDM are quite common in pregnancy. The following table outlines what you should look for. For more information, visit the website of the American Diabetes Association. Read on for more information on this common condition.

Symptoms

If you’re pregnant and suspect you may have gestational diabetes, you should be tested as early as possible. Early screening is important, because a borderline diagnosis could mean a positive test result at another hospital. Your doctor will likely monitor your blood sugar levels daily and recommend insulin or oral medications depending on your specific needs. Your doctor may also recommend exercise and a special glucose-monitoring device. Women with borderline gestational diabetes should consult a doctor for an evaluation and treatment plan.

During pregnancy, your placenta produces hormones that affect your blood glucose levels. One hormone, called human placental lactogen or HCL, is released by the placenta. Like growth hormones, these hormones alter the mother’s metabolism. If you have high levels of HCG, you may develop gestational diabetes. To determine if you are at risk, speak to a doctor and begin a healthy diet.

Treatment

While the effectiveness of borderline gestational diabetes treatment varies, it has been shown to improve fetal outcomes in a recent trial. This treatment is not without controversy, however. It is best to start treatment as early as possible, to avoid complications during pregnancy and birth. Although the effects of treatment vary, insulin therapy is the mainstay of treatment. Other agents, including glyburide and metformin, may also become more widespread. Women receiving pharmacotherapy are monitored with antenatal testing, non-stress tests, and amniotic fluid indices. Although this type of diabetes is considered benign, the method of delivery date are controversial.

Insulin is given to pregnant women with borderline GDM for up to three months. The dosage varies based on individual response to treatment, but most studies reported a total dose of 0.7 to 2 units per kilogram. Glucose levels should be monitored daily to determine the correct dosage. Patients with borderline GDM may require insulin four times per day for optimal therapy. In twin gestations complicated by GDM, insulin requirements may double during pregnancy, so it is important to monitor the glucose level regularly during the pregnancy.

Prevention

If you have any of these risk factors, prevention of borderline gestational diabetes is crucial. You can begin reducing your risk with a few lifestyle changes and exercise. Your doctor may prescribe diabetes medicine, such as insulin injections or tablets. Your doctor will closely monitor your blood sugar levels during your pregnancy and deliver your baby. If you are diabetic, you should give birth before the due date, which is typically around 41 weeks. An earlier delivery may be recommended if your blood glucose levels are high and there are concerns about labour or your baby’s health.

While it is not necessary to go under the knife immediately, you should monitor your blood sugar levels regularly. Having diabetes during pregnancy can increase your risk of developing type 2 diabetes in the next five to ten years. Taking steps to manage your blood sugar during pregnancy and beyond will help you avoid any complications. In addition to your doctor, you should see a registered dietitian for guidance. During this time, she can create a dietary plan tailored for your specific needs and your pregnancy.