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Similaire à Diabetes during Pregnancy - Risk Factors, Detection, & Treatment
Similaire à Diabetes during Pregnancy - Risk Factors, Detection, & Treatment (20)
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Diabetes during Pregnancy - Risk Factors, Detection, & Treatment
- 1. Gestational Diabetes Detection & Treatment
- 2. Backdrop • India has approx. 62.4 million diabetics and this number is likely to increase to 101 million by 2030 • It is estimated that about 16% of women who get pregnant every year develop diabetes during gestation period • Considering the deliveries per annum being twenty-seven million, it is estimated that about three to four million women suffer from Gestational Diabetes every year • Of these three million women - 30% go on to develop type-2 diabetes in 5-10 years, and more than 50% become diabetic over a period of 20 years
- 3. Diabetes in India • Over 62 million diabetics; likely to increase to over 100 million by 2030 • ~ 16% pregnant women develop diabetes during gestation period • 3 to 4 million women suffer from Gestational Diabetes every year • ~ 30% develop type-2 diabetes in 5-10 years; > 50% become diabetic over a period of 20 years
- 4. Risk Factors • Asian / Indian women ethnically more prone to get diabetes • Overweight women (age group 30-39, 20% more than ideal body weight) • Family history of diabetes (parents or siblings) • Women with PCOS (polycystic ovarian syndrome) • Previously delivered a large baby or a stillborn • Having too much amniotic fluid (polyhydramnios) • Gestational diabetes in previous pregnancy
- 5. Screening for Gestational Diabetes • Normal detection process - WHO recommended OGTT (oral glucose tolerance test). Glucose levels measured 2hrs after giving 75gms of glucose drink. Level ≥ 140mg/dl warrants doctor consultation. • DIPSI (Diabetes in Pregnancy Study group India) has come up with modified OGTT. This test should be done during first visit to doctor’s clinic and repeated at 24-28 weeks and again at 32 - 34 weeks to diagnose and incorporate early intervention
- 6. Treatment DIPSI stresses on the following guidelines to manage gestational diabetes: • Good glycemic control by providing psychological support and educating patients about the impact on child and maternal health • Self-monitoring of blood sugar (SMBG) using glucometers a better option in comparison to infrequent lab testing • Target glucose level at Fasting – 90, 2hr PP – 140mg/dl • At least weekly monitoring should be encouraged
- 7. Normal sugar or Euglycaemia is achieved by: • Diet • Exercises • Oral medicines • Insulin Any diabetic treatment and medication must be taken only in consultation with your Gynecologist/ Physician. Self- medication can be dangerous. Also consult your doctor & dietician about the type of exercises and diet. … Treatment
- 8. Diet • Carbohydrate, Proteins and, Fats adjusted as per Caloric requirements depending on age, activity, pre-pregnancy weight and stage of pregnancy • Approx.300 cal. above basal requirement is ideal to gain optimum recommended weight i.e. (normal weight 10-12kg, BMI ≥30,0-5 kg) • Emphasis on overall healthy food choices (portion control & good cooking practices) and carbohydrate controlled meal plan • The carbohydrates that produce small fluctuation in blood glucose and insulin levels (low Glycemic index foods) are recommended
- 9. Find out more about Gestational Diabetes – risk factors, screening tests, appropriate diet measures, and treatment methods at Healnt. To read more related articles, check out the Healnt blog. Take complete control of your health with the Healnt App. Monitor the health of your loved ones, keep track of your baby’s growth, immunization schedule, medicine intake, and more with Healnt.