Excess weight, obesity and Insulin Resistance are underlying
causes of Gestational Diabetes - a condition that develops in
the third trimester of pregnancy and affects 4-5 % of all
pregnant women in the U.S. That is 135,000 cases each year.
With Gestational Diabetes, the pancreas produces insulin but it
doesn't lower the mother's blood sugar levels. The symptoms are
only detectable by laboratory testing. Pregnant women get a
urine dip stick test with each pre-natal visit. This test may
show glucose in the urine, which will prompt a health care
provider to carry out further examinations for the presence of
Gestational Diabetes, also known as Gestational Diabetes
Mellitus (GDM).
To determine if a pregnant woman has this condition, she should
be tested between 24 and 28 weeks if she is at average risk i.e.
has no prior history of Gestational Diabetes and is of regular
weight. Women at higher risk should be tested earlier. A patient
is considered high risk if she is obese, has glycosuria (glucose
in the urine) or has a personal or family history of Gestational
Diabetes.
Laboratory diagnosis of the condition includes a fasting blood
glucose of greater than 126 milligrams per deciliter (mg/dL) or
a random blood glucose of 200 mg/dL. An Oral Glucose Tolerance
Test should also be carried out. If the glucose level exceeds
what is considered normal, this could result in a diagnosis of
Gestational Diabetes.
Obesity and Pregnancy
Women who are overweight or obese before they become pregnant
are most at risk from this disorder. The best way to avoid
Gestational Diabetes is to lose weight before becoming pregnant
via a low insulin, low Glycemic Index (GI) diet and regular
exercise. Gestational Diabetes usually disappears after
pregnancy but it can lead to the development of Pre- and Type 2
Diabetes years later.
As a baby grows, it is supported by the placenta. Hormones from
the placenta help the baby develop but these hormones can also
block the action of insulin in the mother's body. This problem
is called Insulin Resistance, which makes it difficult for the
mother's body to use insulin in the normal way and requires her
to need up to three times as much insulin as when she was not
pregnant.
The process starts when the body is not able to make and use all
the insulin it needs for pregnancy. Without enough insulin,
glucose cannot leave the blood through the cell wall and be
converted to energy. Glucose builds up in the blood to high
levels, which is called hyperglycemia.
Gestational Diabetes affects the mother in late pregnancy, after
the baby's body has been formed and is busy growing. Because of
its late development, the disorder does not cause the kinds of
birth defects sometimes seen in babies whose mothers had other
forms of Diabetes before pregnancy.
Gestational Diabetes' Effect on Babies
However, untreated or poorly-controlled Gestational Diabetes can
hurt the baby. Although insulin does not cross the placenta,
glucose and other nutrients do. As a result, extra blood glucose
gives the baby high blood glucose levels causing its pancreas to
make extra insulin to get rid of the blood glucose. Since the
baby is getting more energy than it needs to grow and develop,
the extra energy is stored as fat.
This can lead to macrosomia, or a "fat" baby. Babies with
macrosomia face health problems of their own, including damage
to their shoulders during birth. Because of the extra insulin
created by the baby's pancreas, newborns may have very low blood
glucose levels at birth and are also at higher risk for
breathing problems. Babies with excess insulin become children
who are at risk for obesity and, later, adults who are at risk
for Pre- and Type 2 Diabetes. Pre-Diabetes is a reversible
condition that occurs when a person's blood glucose levels are
higher than normal but not in the range of irreversible Type 2
Diabetes.
The best way of preventing Gestational Diabetes is to have a
more active lifestyle and not be overweight before pregnancy.
But if it does develop, early treatment is required because the
disorder can hurt both mother and baby. The treatment aims to
reduce and maintain normal blood glucose levels to those of
pregnant women. It includes special meal plans and scheduled
physical activity, though pregnancy is not a good time for
rigorous exercise.
Therapy may also include daily blood glucose testing and insulin
injections. You will need help from your doctor and other
members of your health care team so that your treatment for
Gestational Diabetes can be modified as needed.
Treatment for Gestational Diabetes helps lower the risk of a
cesarean section birth that very large babies may require. While
the disorder usually goes away after pregnancy, your chances are
2 in 3 that it will return in future pregnancies. In a few
women, however, pregnancy uncovers Type 1 or reversible
Pre-Diabetes, which, if left unchecked, can lead to Type 2
Diabetes, a disorder that must be managed throughout your
lifetime and may require daily insulin. It is sometimes
difficult to diagnose whether these women have Gestational
Diabetes or have just started showing their Diabetes symptoms
during pregnancy.
Gestational and Type 2 Diabetes – The Link
As mentioned, many women who have Gestational Diabetes go on to
develop Type 2 Diabetes years later. There appears to be a link
between the tendency to have Gestational and to develop Type 2
Diabetes, both which involve Insulin Resistance. This latter condition
causes an imbalance in glucose and insulin levels in the blood
stream by vastly reducing the number of "doorways" on the cell
wall that allow glucose to pass through and be converted into
energy. Unused glucose "bounces" off the cell wall and
free-floats to the liver where it is converted into fat and
stored throughout the body, which can lead to weight gain and
obesity.
Once Gestational Diabetes has disappeared after giving birth,
some basic changes in lifestyle can help prevent the later onset
of Insulin Resistance. If neglected, this latter condition may
lead to Pre-Diabetes and a severely increased risk of Type 2
Diabetes. These lifestyle changes are:
Losing weight – if you're 20 percent over your ideal body
weight, you're at risk. Losing even a few pounds can help you
avoid developing Type 2 Diabetes.
Making healthy food choices – follow simple daily
guidelines, 5-7 servings of fresh fruits and vegetables daily,
avoiding refined carbohydrates (e.g. sugar, bread, bagels,
pasta, cookies, crackers, chips, soda and candy), minimizing
intake of complex carbs (e.g. brown rice, whole wheat pasta and
whole wheat bread) and reducing your portion size. Healthy
eating habits can help prevent Type 2 Diabetes and a host of
other Insulin-Resistance-related health problems like the
cluster of cardiovascular risk factors called Metabolic Syndrome
(Syndrome X) and Polycystic Ovarian Syndrome (PCOS), a hormonal
imbalance which is a leading form of female infertility. All
Insulin Resistance-related conditions increase one's risk for
Cardiovascular Disease, which can lead to a heart attack or
stroke in both sexes.
Exercising – regular exercise allows your body to use glucose
without extra insulin. This helps combat Insulin Resistance, a
root cause of Pre-Diabetes leading to Type 2 Diabetes. But
always check with your doctor before starting an exercise
regime. Pregnancy is not a good time to either start or pursue
strenuous exercise. The ideal aim should be to lose weight and
reach a healthy level through regular exercise before becoming
pregnant.
There is no single pill that will reverse excess weight and
obesity, just as there are no pharmaceutical drugs that will
heal Gestational Diabetes. But there are ways to address Insulin
Resistance, which is often the underlying cause of all these
conditions.
If you wish to return to optimum health, you should consider a
system that combines nutraceuticals (vitamins, herbs and
minerals that are disease-specific), a realistic exercise
program, nutritional guidance and a support system that will
help you change unhealthy lifestyle choices.
Excess weight and obesity are key factors in Gestational
Diabetes. The Insulite System for Excess Weight and Obesity
promotes weight loss with formulations like InsulX, which is
designed to reverse Insulin Resistance by increasing the number
of insulin receptor sites on the cell wall.
You may be interested in some Frequently Asked
Questions (FAQs) about Gestational Diabetes and the Insulite System for Weight
Gain and Obesity.
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