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The Question
Mon Oct 17 17:52:36 UTC 2011

If I only have gestational diabetes and the Dr wants me to take insulin, will taking the insulin increase my risks of ending up with diabetes later?
Asked By: kcweaghington  
Category: Insulin

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I heard that after a while your pancreas starts depending on insulin. If that is the case, I do not want to use it. I do not want to end up needing insulin for the rest of my life.
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Expert Answers (1)
2011-10-25 13:24:54.0

Thank-you for contacting dLIfe.com. regarding your question about Gestational diabetes. It is important to control your glucose during your pregnancy for the fetus sake.

Gestational diabetes is your bodies inability to handle carbohydrates as efficiently due to the hormones secreted by the placenta. Glucose crosses over the placenta to the fetus. The insulin you produce does not. So essentially the baby has to produce his or her own extra insulin to deal with the higher level of glucose you are dealing with.

If you control your glucose with insulin then the fetus is not exposed to high levels of glucose. Insulin is the treatment of choice to control your glucose levels that the fetus is exposed to. I have not found any evidence based science that supports your thoughts on taking insulin.

The insulin you are taking is solely for glucose control of what your glucose levels are and inturn what crosses over the placenta. If your glucose levels stay within range the baby will be a healthy recommended weight and there is a reduced chance of macrosomia, large head and shoulders at birth as well as high birth weight.

Please revisit this discussion with your MD and diabetic educator to have a more clear understanding that these recommendations are for your babies health as well as yours.

Stay well and stay self managed.

Accreditations: RN BSN 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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