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The Question
06/18/06
09:28 AM
"Can I expect to deliver before my due date?
If I am taking insulin to mange my diabetes, will my baby be a normal birth weight?"
Asked By:
sweetpea
Category:
Gestational Diabetes
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Expert Answers (1)
06/18/06
09:28 AM
Diabetes can contribute to large birth weight babies, also called macrosomia. The likelihood of having a large baby increases with uncontrolled diabetes and high blood sugars. Therefore, it is important to follow your meal plan as closely as possible and exercise to keep your blood sugars within the desired range, usually less than 95 fasting and less than 130 one hour after meals (or less than 120 two hours after meals). Babies with mothers who have gestational diabetes and babies with a large birth weight have a higher risk of developing diabetes later in life. They are also at a greater risk of being obese.
Ideally all pregnancies will be full term to allow the baby the best chance at a healthy life. However, gestational diabetes can cause some complications that may result in an early delivery of the baby. Mothers with gestational diabetes are at a higher risk for preeclampsia, or a sudden spike in blood pressure. When this condition happens, the only way to treat the problem and lower the blood pressure is to deliver the baby. Also, there may be a complication called Polyhydramnios, where too much amniotic fluid builds up in the uterus. If this complication happens, the baby may be born earlier than desired. These conditions are not common but it is important to know that they exist. All the hard work you are doing to keep your blood sugars in a normal range will help you to have a healthy pregnancy and prevent these and other complications.
The following links will provide more detailed information.
http://www.ndep.nih.gov/diabetes/pubs/FS_Post-GDM.pdf
Gestational Diabetes
http://www.diabetes.org/gestational-diabetes/pregancy.jsp
Deborah Greenwood, R APRN,BC-ADM, MEd, CDE
Financial Disclosure
Ideally all pregnancies will be full term to allow the baby the best chance at a healthy life. However, gestational diabetes can cause some complications that may result in an early delivery of the baby. Mothers with gestational diabetes are at a higher risk for preeclampsia, or a sudden spike in blood pressure. When this condition happens, the only way to treat the problem and lower the blood pressure is to deliver the baby. Also, there may be a complication called Polyhydramnios, where too much amniotic fluid builds up in the uterus. If this complication happens, the baby may be born earlier than desired. These conditions are not common but it is important to know that they exist. All the hard work you are doing to keep your blood sugars in a normal range will help you to have a healthy pregnancy and prevent these and other complications.
The following links will provide more detailed information.
http://www.ndep.nih.gov/diabetes/pubs/FS_Post-GDM.pdf
Gestational Diabetes
http://www.diabetes.org/gestational-diabetes/pregancy.jsp
Deborah Greenwood, R APRN,BC-ADM, MEd, CDE
Financial Disclosure
Answered By:
Deborah Greenwood
Accreditations: MEd, CNS, BC-ADM, CDE
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