Linnet Steinman talks about the symptoms and diagnosis process of gestational diabetes.
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Most women that have gestational diabetes have no symptoms. It is noticed when they do a routine screening typically at about 28 weeks, our women are routinely screened for insolvent where they are given a quantity about 50 grams of sugar, pure sugar a glucose level is checked. If that is high, this is just a screening, if that level is high then they go in and have a three hour glucose tolerance test where they have come in to the lab, fasting. They are given a 100 grams of sugar and we challenge the body, we challenge the pregnant woman to see how their blood sugar response. If their blood sure levels are quite high, at one hour, two, hours or three hours, then we diagnose gestational diabetes. But most women are totally asymptomatic. If someone has pre-existing diabetes, before they become pregnant and this is not a gestational diabetes, they have pre-existing diabetes before they become pregnant. I want them to have pre-conception counseling. I want them to get their hemoglobin A1c less than six percent to get the best possible outcome for the baby. With gestational diabetes, I do want them to make sure that they’re taking their pre-natal vitamins and taking other supplements as needed. Eating a healthy meal plan and most women who go in for their prenatal care are educated on healthy meal plans and the increase in calories, the increase in protein, the increase in calcium that is required. Just follow physician instructions.
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