Everything you need to know about Gestational Diabetes described by Dr. Muthineni Rajini (Senior Consultant Obstetrician and Gynecologist, Laparoscopic Surgeon, and Infertility Specialist, at CARE Hospitals, Banjara Hills, Hyderabad).

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Sugars during pregnancy can be lowered naturally that is without even medications, are by exercise or diabetic diet. Exercise consist of walking, the main thing is walking about 2 times a day, one in the morning, and one after dinner just before you sleep and walking and the speed of walking depends on the comfort level of the patients. Some patients who don’t have too much of pain, they usually manage some amount of brisk walking, whereas patients who gain lot of weight they would usually like to have a light stroll. There are some exercises called as isometric exercises, wherein 1 kg weight is grasped on both the hands, that is dumbbells and if dumbbells are not available what she could do is fill the 1 litre water bottle and fill water in that and keep water in each hand and start flexing her upper limb at the elbow up and down, about 3 to 4 sets in a day and each set will be stopped when the patient has got shortness of breath and she feels tired and these type of exercises will bring the sugar down, the second type of way how she can lower her sugars is the diabetic diet. In the diabetic diet the whole meal has to be divided into 6 portions, that is 3 major meals, that is breakfast lunch and dinner and snacks in between that and may be a midnight snack because gestational diabetes patient generally feel a little more hungry than the rest of the population mainly because they are exercising and following some kind of a diet. Direct sugars like sugars and bakery items and pastries, cakes and ice-cream, milkshakes, in fruits, fruits like pineapple, chikoo, big banana will have to be avoided, brown bread has to be taken, rice has to be avoided, wheat and ragi to be encouraged, raw vegetables and ofcourse they can have light non-vegetarian food.
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Blood sugar during pregnancy is controlled in 3 ways, one is exercise diet and third is meditation. Usually diet and exercise are the first tried, if the blood sugars do not come under control with these two, then only medications are started. When we come to exercises exercise, as in she needs to go for half an hour to 45 minutes of walking everyday and the speed of the walk it depends on the comfort of the patient and there is something known as isometric exercise . Isometric exercises are done in the sitting posture at home. Here one kg weight are grasped in both the hands and there is flexion of the arm at the elbow joint, flexion and extension are continuous movements about 3 to 4 sets are done each set is topped when the patient is tired and when she has some amount of shortness of breath. These are isometric exercise and any other form of exercise can be performed like yoga she can go for swimming and some amount of light dancing can be done. Coming to diet, diet she has to follow a diabetic diet, she has to take regular frequent meals, she has to keep up her time an these meals are divided into 6 portions, one is breakfast lunch and dinner, and in between breakfast and lunch, and in between lunch and dinner and late midnight snack, here the carbohydrate should constitute about 50 to 55% and proteins about 20 to 25% and fat about 15% and in between snacks should consist about whole-wheat bread and some biscuits devoid of sugar and direct sweets to be avoided and pastries, cakes, chocolates, ice creams to be avoided and sugar has to be brought down, rice content to be brought down, and she needs to eat more of wheat and ragi and after every meal if she can do some amount of light walking, that would very very helpful and the last would be medications. Medications would be oral hypoglycemic agents and insulin. Insulin is given for all diabetic patients. But now oral hypoglycaemic agents like metformin and glipizide are used and the doses of these are adjusted according to the sugar of the patient.
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Dr. Siobhan Dolan of the March of Dimes explains why it’s important to manage high blood pressure during pregnancy. High blood pressure can cause pregnancy complications like premature birth, low birthweight, placental abruption and preeclampsia. Learn how you can get your blood pressure under control during pregnancy.
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There are some foods you should not eat when you’re pregnant because they might make you ill or harm your baby.

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Expecting mothers have to pay close attention to what they eat and make sure to avoid harmful foods and beverages. Certain foods should only be consumed rarely, while others should be avoided completely. Here are 11 foods and beverages to avoid or minimize during pregnancy.

Proper food hygiene and preparation is always recommended, especially during pregnancy. However, this is not always easy to do, since some foods may already be contaminated when you purchase them. For this reason, it’s best to avoid the foods on this list as much as possible. Your health and that of your unborn child should come first.

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View Part 2: https://youtu.be/HbnK-9m0ni0

Learn the basics of how to eat during pregnancy when you have diabetes. Liz Weinandy, MPH, RDN, LD, a dietitian at The Ohio State University Wexner Medical Center, leads this video for women with gestational diabetes (diabetes just during pregnancy) as well as for pregnant women who had diabetes before pregnancy.

You’ll learn the basics of how to eat, including timing of meals and snacks, why it’s important to limit carbohydrates to control your blood sugar and how to count carbohydrates.

For more information, visit: https://wexnermedical.osu.edu/nutrition-services

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