Top gynaecologist in Gorakhpur

Pregnancy and diabetes, what not to do?

Pregnancy diabetes or Gestational diabetes: This is a condition where high blood sugars in blood are found for the first-time during pregnancy. Gestational diabetes imposes risk for delivery and baby. The mother with Gestational diabetes is at a higher risk of developing type 2 diabetes.

Dr. Rashmi Rai, gynaecologist in Rachit hospital Gorakhpur, elucidated gestational diabetes in a simple way. During pregnancy, a temporary organ develops to connect the mother and the fetus called the placenta. The placenta supplies nutrients and oxygen to the fetus. Placenta secretes a number of hormones that are required during pregnancy. Some of these hormones impair the action of insulin, making it less effective. Insulin counteracting effects usually begins at about 20 to 24 weeks of pregnancy and becomes more prominent in the last couple of months. Pancreas produce more insulin to adjust the levels but in some cases the amount of secretion of placental hormones is too much that pancreas cannot overcome it, which leads to gestational diabetes.

Risk factor for gestational diabetes:

  • Obesity
  • Familial history of diabetes
  • Personal history of diabetes or pre-diabetes
  • Pregnancy after 30 years of age
  • Previous history of delivery of large babies
  • Top gynaecologist in Gorakhpur

    Dr. Rashmi Rai, gynaecologist in Rachit hospital Gorakhpur, advised that maintaining your blood sugar level is important before, during, and after pregnancy. Gestational diabetes usually resolves on its own after delivery; complications may arise if the condition is severe and or poorly managed.

    Complications of gestational diabetes:

  • Premature delivery
  • An overly large size baby
  • Miscarriage
  • Preeclampsia (pregnancy related high blood pressure)
  • Stillbirths
  • Caesarean delivery or C- section
  • Poor health of the baby
  • Long term risk for mother
  • How to control gestational diabetes?

    Top gynaecologist in Gorakhpur

    Educate yourself: Knowing the difference between normal and high blood sugar level is an important factor if you are diagnosed with diabetes during your pregnancy. Your fasting blood sugar level on an empty stomach should be less than 95 mg/dl (milligrams per decilitre). Your post prandial blood sugar level (2 hours after meal) should be less than 120 mg/dl. (Check these values as per your condition with your gynaecologist). Self-monitoring of blood glucose levels is important in gestational diabetes, so that you can adjust your diet according to it. A blood glucose meter is a device just your fingers away. It measures your blood sugar level with only a drop of blood from your finger. Check your blood sugar level and keep a record. If blood sugar levels are coming high persistently, then contact a diabetes doctor.

    Diet: Glucose is an energy source required for the growth of a baby as well as it is required to keep up with body needs during pregnancy. Maintain a timetable for your daily food intake. Plan to eat 3 meals and two to three snacks. Eating too much at a time will increase your blood sugar level. Watch your portions; one cup of rice, 2 rotis or bread per meal is reasonable. Fruits have natural sugar, light fructose, and a source of vitamins and minerals. During snack time consume fruits as per the size, like at a time a small fruit or half of a large fruit, or one cup serving of combination of fruits. Avoid canned and preserved fruit juices, eat only fresh fruits. Do not eat junk food, ready to eat from packets like cookies, chips etc to fulfill your pregnancy cravings.

    Top gynaecologist in Gorakhpur

    Dr. Rashmi Rai, Top gynaecologist in Gorakhpur explained, breakfast is an essential meal to regulate your blood sugar level. Due to diabetes blood sugar levels are high before you eat in the morning. The best way is to include proteins and high fibre like whole grain into your breakfast. These will digest slowly and maintain your blood sugar levels. Dry cereals, fruits, and milk will digest quickly and give rise to high blood sugar levels in the morning. Always prefer freshly cooked homemade food.

    Milk consumption should be 8 ounces at a time. Drinking more milk at a time will lead to high blood sugars as milk is digested quickly. Do not add sugar, honey, or syrups to your milk.

    Maintain a healthy lifestyle:

    Healthy lifestyle will help you control blood sugar levels. According to Dr. Rashmi Rai, top gynaecologist in Gorakhpur, these are some important guidelines:

  • Eliminate stress factors
  • Take proper 8 hours of sleep.
  • Plan your meal after every two to three hours.
  • Top gynaecologist in Gorakhpur

  • Brisk walking or any other type of exercise, yoga will be beneficial
  • Practice Meditation has its own benefit in all aspects
  • Indulge in some hobbies like reading, music, swimming, or sports
  • While working, avoid sitting for long hours, take short breaks
  • Alcohol and smoking should be quit to take control over diabetes
  • Follow up visits: Do visit your gynaecologist, for regular diabetes screening and growth and development of the baby. Update them about your blood sugar record. Take your diabetes medications regularly. Women with gestational diabetes are more likely to cause type-2 diabetes in her lifetime, or diabetes in her next pregnancy, therefore regular screening of diabetes is important after delivery.

    It is possible to deliver a healthy baby, albeit you have a pregnancy associated with diabetes. So do not worry, consult your doctor for expert advice.

    Visit today! Dr. Rashmi Rai, Gynaecologist Rachit Hospital is amongst the top 5 hospitals in Gorakhpur, Uttar Pradesh

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