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04/03/06 08:13 PM

"I have not been diagnosed with Gestational diabetes but my nurse practitioner is referring to my baby as a large gestational. If I do have this type of diabetes does the baby have or going to develop diabetes or any other problems?"
Asked By: littlemommie21  

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Expert Answers (1)

04/03/06 08:13 PM

Most likely your nurse practitioner is saying that your baby is “large for gestational age.” This means that your baby’s weight is estimated to be higher than would be expected for the “gestational age” of your baby. How many weeks pregnant are you? Usually women are screened for gestational diabetes between 24 and 28 weeks. If you have not reached that stage yet, they may be watching and evaluating the growth rate of your baby before they perform the test. However, you may have already had the oral glucose tolerance test, and tested in the normal range. Although most large babies are secondary to diabetes, a mother’s weight and genetics are contributing factors. Regardless of the reason, there are certain things the nurse practitioner will monitor during your pregnancy. They will most likely perform ultrasounds to evaluate the growth of the baby to decide if the baby can be delivered vaginally or if a c-section will need to be performed. Babies that are too large can damage the nerves in their shoulders when they are born vaginally. Recent studies have shown that mothers who have large babies have a higher risk of developing type 2 diabetes. Also, large babies have a greater risk of developing diabetes later in life and have a greater risk of becoming obese themselves. The following link will provide you with more information:

Large Babies and Gestational Diabetes

The more steps you can take towards a healthy lifestyle will reduce your risk and your child’s risk of developing diabetes. Eating a diet low in fat, exercising daily and eating moderate portions of healthy food will reduce your risk of developing diabetes.

Deborah Greenwood APRN,BC-ADM, MEd, CDE

Financial Disclosure
Accreditations: MEd, CNS, BC-ADM, CDE
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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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