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06/11/06 11:32 PM

"I was pregnant and lost my 8 months baby to gestational diabetes. Two months ago, i am trying again to have a baby and was wondering if it would come back again in this pregnancy. My baby died in me i was 8 months pregnant."
Asked By: hotnails  

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Expert Answers (1)

06/11/06 11:32 PM

First, please accept my sincere regrets about the loss of your baby.

Gestational diabetes is a condition that causes high blood sugar when hormones produced from the placenta affect the mother’s ability to use the insulin she produces to use or store fuel (sugar). This condition is known as insulin resistance. The sugar remaining in the blood stream when tested will be higher than normal levels or high blood sugar (hyperglycemia). Gestational diabetes occurs in about 7% of women during pregnancy. It usually develops after the sixth month of pregnancy and generally goes away after the baby is born. It is more common in Hispanic, African, and Asian Americans and in American Indians. Because you had it with one pregnancy it is likely to occur in later pregnancies. Gestational diabetes cannot be prevented, but early recognition is important.

About 8% of women who have experienced gestational diabetes find that although they do not develop diabetes they have blood sugars that are higher than normal levels following the pregnancy. This condition is called impaired glucose tolerance. You should start by asking your healthcare provider to test you for this condition prior to becoming pregnant. If your blood sugars are within normal range than proceed with planning your next pregnancy. Be sure the healthcare provider knows your history and is looking for anything unusual. You may be asked to start testing your blood sugars at home early in the pregnancy so any high blood sugars are caught early and can be treated.

Gestational diabetes can be managed but high blood sugars that are untreated can lead to complications for the baby and the mother. Babies can have a large birth size, low blood sugar at delivery, jaundice, early delivery, and increased risk of cesarean delivery and stillbirth. The mother has an increased risk for infection, toxemia of pregnancy, difficult labor and about 60% of women with gestational diabetes develop type 2 diabetes later in life. Work with your healthcare team to learn ways to take good care of yourself and your baby.

Pam Doyle RN, BC, MSN, CDE

Financial Disclosure

Answered By: Pam Doyle
Accreditations: RN, BC, MSN, 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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