The whole purpose of managing gestational diabetes is to maintain normal blood glucose levels. So that you can have the best possible outcome for you and your baby.
A healthy pregnancy with a healthy birth is the greatest of rewards.
The disease itself is not addressed, only the results of the condition can be controlled. In other words, there is no treatment (yet) that will reduce the resistance to insulin.
Therefore, you should concentrate all your efforts in minimizing the effect of the disease. All that is needed is to keep your blood glucose levels in the normal range to successfully managing gestational diabetes.
Aim to maintain your blood sugar levels in the same range as in a non-diabetic. If the sugars do not harm non-diabetics, then how can it harm you or your baby, if it is kept at the same levels?
It is possible to have a healthy pregnancy with a healthy baby, even
with gestational diabetes. Many women have accomplished this.
Managing gestational diabetes, by following the treatment that their health care team set up for them.
You can do it, too! Managing gestational diabetes by just following the treatment plan your health care provider designs for you. It really is up to you.
It is important to make regular health care appointments and keep them. You need to have more frequent appointments than women without gestational diabetes do. This will ensure that your health care providers can catch any problems, before it becomes major health issues.
Not managing gestational diabetes is allowing it to progress unchecked. Unchecked gestational diabetes will increase the risk for growth and hormonal abnormalities in your baby.
A few medical professionals can make up the health care team. You might not need them all in managing gestational diabetes, your doctor will advise. These health care providers are there to assist you in having a healthier pregnancy, heed their advice.
An Obstetrician. A specialist in the care of pregnant women.A General practitioner who has an interest or training in gestational diabetes.
A Family doctor who has an interest or training in gestational diabetes.A Medical nurse who is trained in the care of pregnant women.
A Certified professional midwife.A physician's assistant who has training in the care of pregnant women.
A registered dietitian.
A certified diabetes educator (CDE)
An Endocrinologist. A Specialist in the study of the glands and hormones of the body and their related disorders.
A perinatologist. A doctor who specializes in high-risk pregnancies.
Even though all these professionals are ready to assist you, they cannot do it for you. You are the one that must make the decision to put their advice into actions.
Managing gestational diabetes is your responsibility.
It is a decision that you, and you alone can make. Nobody else can do it
for you, all they can do is to support, guide and assist you.
It really is up to you.
Your baby is depending on you!
The goal of managing gestational diabetes is to maintain normal blood glucose levels. In order to achieve this, you need to do the following:
A rather obvious instruction, work with your care team, not against them. It is the best way to managing gestational diabetes.
When you are advised on something that disagrees with you, do not ignore it! Together with the care provider, work out a plan that does suit your personal needs.
Remember, it is your body and your baby, accept responsibility and take charge.
The health care team is there to assist you to the best of their knowledge and experience.
However, it is still up to you to carry out their instructions, suggestions and advice.
It is up to you how you are managing gestational diabetes.
Call 911 or other emergency services when:
Do not wait for your next appointment, call your doctor when:
A journal will help your health care team in better assisting you. The more you record, the better it will be.
However, present the journal to your health care team as summaries. The full details are only necessary when a summary highlights a potential problem.
To summarize is easy, plot your blood sugar levels, and weight on graphs. At the end of each week jot down the highlights (and low points) for the week. Repeat for a monthly summary.
Record everything that you eat and drink, as well as the time and
volume. Keeping a record of your ingesting habits will keep you
It is easy to underestimate how much snacking you really do. That extra nibble, snack and second helpings really do add up.
Sometimes you know what you are doing is wrong, do not hide it, record it. All mistakes and wrong doings must be recorded.
Your health care provider can zero in on these errors and suggest suitable corrective actions. It is all about managing gestational diabetes.
Useful information to record in your journal:
Keeping a journal lets you take control of your situation. You cannot manage something that you do not measure.
Managing gestational diabetes will be much easier.
The journal is a record of your measurements. It is a tool that will
assist in analyzing your progress and failures. Keeping daily records
helps to track how well your treatment plan is working.
It shows how well you are managing gestational diabetes and where there is room for improvement.
You might think that keeping this journal is too much work. Actually, it is easier managing gestational diabetes with a journal, than without one.
The price you pay for a healthy baby can never be too high. You decide if you want to give your baby the best start in life. It is your choice!
You cannot manage something that you do not measure. Measuring your blood sugar levels helps you to stay in control of your condition.
Keeping your blood glucose levels normal is what managing gestational diabetes is all about.
Throughout the day, your blood sugar levels change, according to what you eat and your activity level.
The foods you eat, when you eat and how much you eat, influence your blood sugar.
Your level of physical activity and when you do physical activities also affect your blood sugar.
Knowing how your body utilizes glucose during the day is necessary for any treatment adjustment. It is also very useful in helping you managing gestational diabetes.
Taking your blood glucose levels often during the day, every day, will:
Enquire if your health insurance plan will cover the cost of the glucose testing supplies. Most drug stores, pharmacies or medical supply stores carry the meters, lancets and strips needed.
Your health care provider will advise you as to when to test your blood glucose.You might need to test as much as four or five times a day.
Shortly after waking in the morning, before you eat.
One or two hours after each meal.
Just before going to bed at night.
Sometimes at two or three o'clock in the morning.
Measuring of blood glucose and the healthy ranges.
Ways to describe concentrations of sugar in the blood.
The traditional unit for measuring blood glucose.
The number of molecules in a mole is about a six with 23 zeroes.
It is the world standard unit for measuring glucose in blood. The designated SI unit.
Desirable ranges for blood glucose levels.
Your treatment plan may need some adjusting, if your sugar levels are consistently outside these ranges.
Consult with your health care provider on how to get back to acceptable levels.
Healthy eating is a vital part of managing gestational diabetes.
We all know what is healthy eating (well, most of us do). So why do we not eat healthy at all times?
The answer boils down to one thing, and one thing only - attitude! The most difficult thing to overcome is to get into a healthy mindset. You are what you eat, and you eat the way you think.
Therefore, it is simple; get your thoughts on the right track! The best place to start is to educate yourself and apply your knowledge.
Applied knowledge that works, gives you confidence. Confidence boosts will improve your thinking, which will in turn adjust your attitude.
Having a positive attitude, will also reduce your stress levels.
Successfully managing gestational diabetes is depending a lot on what and how you eat.
Before understanding correct eating habits, you must first know how foods are handled in your body. Understanding how your body refines food will help you develop correct eating habits.
Food consists mainly of:
Your body has to work less in breaking down refined foods, like sugar. Therefore, when you eat sugar, the body converts it to glucose quickly.
The result is that your blood glucose levels rise fast. The pancreas now has to work hard to keep up with the production of glucose.
Unrefined carbohydrates take longer to digest and break down into glucose.
Glucose enters the blood stream in smaller amounts at a time. The pancreas can easily stay ahead with the production of needed insulin.
This is known as the glycemic index (GI). GI is a measure of the effects of carbohydrates on blood sugar levels.
Carbohydrates that break down quickly during digestion have a high GI. Carbohydrates that break down more slowly have a low GI.
Foods with a low GI have significant health benefits.
Eating mostly fibrous foods like vegetables will slow down the digestive process.
Including needed protein and fats in your diet, also aids in slowing down the digestive process. Therefore, improving the control over your blood sugar levels, and improving the managing of gestational diabetes.
Now you can look at what you eat with a fresh perspective, for example.
Eating a healthy diet is such an important part of managing gestational diabetes. It is therefore, essential that you work with a nutritionist to create a healthy diet plan.
It is even more important to follow the plan as outlined by your nutritionist. It will promote health throughout your pregnancy, for you and your baby.
For more on healthy eating, see this detailed overview on the gestational diabetic diet.
Physical activity is good for you, even more so when you are diabetic. Regular exercise is the other half in managing gestational diabetes.
Exercise is beneficial because it can give you a feeling of well-being. Exercise can also help improve your muscle tone, circulation and heart functions. Physical activity helps to increase fitness and prepares you for the birth of your baby.
Exercise normalizes blood glucose levels by making cells more sensitive to the action of insulin.
Scientists are not sure exactly how this happens. What they do know is that muscles use more glucose during exercise. This can be as much as seven to twenty times more than normal.
Physical activity also improves the production of insulin.
You should use this metabolic mini miracle to your advantage. Knowing that exercise use more glucose, gives you extra "bullets" to fire at your condition. Using exercise is one of the best methods in managing gestational diabetes.
Every woman is unique, that includes you. Therefore, it is important to find a level of exercise that is safe for you.
Exercise can be very beneficial, only when it is done correctly and at a safe level. It is very important to discuss an exercise program with your doctor, before you start.
Your doctor must determine if you are physically ready to exercise. Your doctor will also advise you on any changes needed as your pregnancy progresses.
In most cases, exercising lowers blood glucose. Sometimes, exercising can increase blood glucose levels.
Therefore, it is important to check your blood glucose levels before and after exercise. If your blood glucose is above 200 mg/dl (11 mmol/L) then exercising may raise it higher. This is when exercising would be a bad idea.
Furthermore, if your blood glucose reaches 240 mg/dl (13.2 mmol/L) contact your doctor immediately.
Exercise can affect your blood glucose levels up to 24 hours after you have stopped exercising. If you exercise different from planned, you may upset your blood glucose levels.
Work with your health care team to get you a personal exercise routine for managing gestational diabetes.
If you exercised regularly before, please continue, but at a more moderate rate during your pregnancy.
If you are not used to regular exercise, do not start a strenuous exercise program while pregnant.
Activities that involve twists, turns, jumping and sudden starts and stops should be avoided. These include things like racket sports, golf, volleyball and basketball.
Jogging is also out, apart from the danger of falling, the pounding can harm the baby. Abstain from anything where there is a danger of falling, like cycling or skiing.
The activity should be low intensity, as simple 20-30 minute walk a day is useful. Go at the pace that is comfortable for you. If you get tired or experience contractions, take a rest and continue later or stop.
For the exercise to be most effective at improving glucose metabolism, it must be regular. Although some days this is a pain, it beats having all the interventions for gestational diabetes.
Regular means every day, or at least every second day. Going for more than two days without exercise and it loses its benefits.
Swimming is an excellent exercise as the buoyancy of the water eases stress on your joints. In addition, it is not hard on the feet or legs, and it is not bone jarring.
If it is available in your area, join a water aerobics class.
Another great way to exercise is walking. A brisk walk after a meal could be ideal for managing gestational diabetes.
At least 30 minutes of activity that gets you slightly breathless each day is recommended for managing gestational diabetes. Although 30 minutes in one go is best, it can also be spread over the day.
There are numerous ways that you can use to make your everyday living more physically active. It is all in the mind, either you want to do it, or you do not! It really is up to you.
Here are some ideas that you can do to be more physically active.
Turn the stereo up a bit and dance while vacuuming the carpets.
How to stay motivated.
Stress, be it emotional, physical or mental, will contribute to diabetes.
An important part of managing gestational diabetes is to find ways to lower your stress levels. This can be done in a number of ways including education, breathing, prayer and meditation.
You are living with a condition that can affect your baby's health. Worrying about your baby can make it harder to take care of yourself.
Prolonged stress can even cause your blood sugar level and your blood pressure to rise.
Talk to your health care team, jot down questions you can ask them at your appointments. Read books and articles about gestational diabetes and proactive care for childbirth in general.
Join or start a gestational diabetes support group or even just a pregnancy support group. Pay it forward by playing a supporting role to someone else.
When helping others you help yourself even more. Assisting others is a great way to find peace within yourself.
When you are frustrated and stressed, logical thinking and reactions fly out the window. You must calm down and compose yourself; otherwise, the situation will get the better of you.
Correct breathing can slow down or halt the hormonal responses that cause the stress reaction.
Correct deep breathing will:
Steps in breathing deeply and correctly:
Nothing like the present to start with this breathing method. Do it now! Take ten super slow, deep breaths. Do you notice that you feel different?
Changing your diet and routine might be a bit overwhelming at first. It will get easier with practice. Take it day-by-day and soon it will be as natural as brushing teeth.
Managing gestational diabetes may seem like a lot of work. However, having a healthy, happy and beautiful baby makes it all worth it.
The first chance you get to be alone, read your journal to your baby. You will see that in comparison to your beautiful baby, all the effort, worries and struggles are nothing but trivial. Managing gestational diabetes will then be understood and appreciated.
Please consult the services of your
doctor and/or other members of your health care team
before implementing any of the advice contained on this site.
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