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05/16/06
08:54 AM
"Ihad gestational when I was pregnant last year. I am now pregnant again. Will I get it again. Also...if I have a bmi of 50% is it safe for me to continue exercising and losing weight?"
Asked By:
webdiva
Category:
Gestational Diabetes
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Expert Answers (1)
05/16/06
08:54 AM
Usually if you have gestational diabetes in one pregnancy, the chances are high that you will have it again. However, not in all cases.
Are you the same weight you were with your first pregnancy? If you have lost weight, then you may not get gestational diabetes this time. When you state that your BMI is 50% do you mean that you are right where you should be (ie at the 50th percentile)? Or are you saying that your BMI is 50? A BMI of 50 would mean you are medically obese. As in everything, there is a difference in opinion when it comes to weight loss and pregnancy. If you are normal weight, then you should not be on a weight loss diet. Of course you can continue to exercise as long as you have been cleared by your physician. However, if you are obese, then losing a small amount of weight during pregnancy may be considered safe. This is an issue that I would discuss with my physician. Some physicians will say that no weight loss should be attempted during pregnancy. Since you had gestational diabetes in the past, even if you do not have it with this pregnancy, you still have between a 20% and 50% risk of developing type 2 diabetes in the next five to ten years. If you are African American, Hispanic, Asian, or Native American, your risk is higher. One other issue to be aware of , recent studies have shown that children of mothers with gestational diabetes have a higher risk of developing diabetes later in life, they also have a higher risk of being obese. The best way to delay or prevent the onset of diabetes is to continue to follow the guidelines for gestational diabetes, which are mainly a healthy lifestyle. A diet low in fat, daily exercise and lower calories to maintain a healthy body weight is the key to preventing diabetes.
The following links may provide you with some more helpful information:
Risk of Type 2 Diabetes After Pregnancy
Gestational Diabetes
Deborah Greenwood APRN,BC-ADM, MEd, CDE
Financial Disclosure
Are you the same weight you were with your first pregnancy? If you have lost weight, then you may not get gestational diabetes this time. When you state that your BMI is 50% do you mean that you are right where you should be (ie at the 50th percentile)? Or are you saying that your BMI is 50? A BMI of 50 would mean you are medically obese. As in everything, there is a difference in opinion when it comes to weight loss and pregnancy. If you are normal weight, then you should not be on a weight loss diet. Of course you can continue to exercise as long as you have been cleared by your physician. However, if you are obese, then losing a small amount of weight during pregnancy may be considered safe. This is an issue that I would discuss with my physician. Some physicians will say that no weight loss should be attempted during pregnancy. Since you had gestational diabetes in the past, even if you do not have it with this pregnancy, you still have between a 20% and 50% risk of developing type 2 diabetes in the next five to ten years. If you are African American, Hispanic, Asian, or Native American, your risk is higher. One other issue to be aware of , recent studies have shown that children of mothers with gestational diabetes have a higher risk of developing diabetes later in life, they also have a higher risk of being obese. The best way to delay or prevent the onset of diabetes is to continue to follow the guidelines for gestational diabetes, which are mainly a healthy lifestyle. A diet low in fat, daily exercise and lower calories to maintain a healthy body weight is the key to preventing diabetes.
The following links may provide you with some more helpful information:
Risk of Type 2 Diabetes After Pregnancy
Gestational Diabetes
Deborah Greenwood APRN,BC-ADM, MEd, CDE
Financial Disclosure
Answered By:
Deborah Greenwood
Accreditations: MEd, CNS, BC-ADM, CDE
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