*aka ‘gestational diabetes mellitus’ (GDM)*
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(‘gestational diabetes’ is the 3rd main form of ‘diabetes’)
(occurs when ‘pregnant women’ without a previous history of ‘diabetes’ develop high ‘blood-sugar levels’)
(‘gestational diabetes’ is when a woman without ‘diabetes’ develops high ‘blood sugar levels’ during ‘pregnancy’)
(‘gestational diabetes’ generally results in few ‘symptoms’)
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(however, it does increase the risk of…)
‘pre-eclampsia’
‘depression’
*requiring ‘caesarean section’*
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(‘babies’ born to ‘mothers’ with poorly treated ‘gestational diabetes’ are at increased risk of…)
*being too ‘large’*
*having ‘low blood sugar’ after ‘birth’*
‘jaundice’
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(if untreated, it can also result in a ‘stillbirth’)
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(in the ‘long term’ (how long?), these children are at higher risk of being ‘overweight’ + developing ‘type 2 diabetes’)
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(‘gestational diabetes’ is caused by not enough ‘insulin’ in the setting of ‘insulin resistance’)
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(‘risk factors’ include…)
*being ‘overweight’*
*previously having ‘gestational diabetes’*
*a ‘family history’ of ‘type 2 diabetes’*
*having ‘polycystic ovarian syndrome’*
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*diagnosis is by ‘blood tests’*
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For those at normal risk screening is recommended between 24 and 28 weeks gestation
(for those at high risk testing may occur at the first prenatal visit)
Prevention is by maintaining a healthy weight and exercising before pregnancy.
Gestational diabetes is a treated with a diabetic diet, exercise, and possibly insulin injections.
Most women are able to manage their blood sugar with a diet and exercise.
Blood sugar testing among those who are affected is often recommended four times a day.
Breastfeeding is recommended as soon as possible after birth.
Gestational diabetes affects 3β9% of pregnancies, depending on the population studied.
It is especially common during the last third of pregnancy.
It affects 1% of those under the age of 20 and 13% of those over the age of 44.
(a number of ‘ethnic groups’ (including ‘asians’, ‘american indians’, ‘indigenous australians, and ‘pacific islanders’) are at higher risk)
(in 90% of people gestational diabetes will resolve after the baby is born)
(women, however, are at an increased risk of developing ‘type 2 diabetes’)
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π₯π₯π₯π₯π₯π₯*we won the war* π₯π₯π₯π₯π₯π₯