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Gestational Diabetes: Everything You Need to Know

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Chapters

0:09 Introduction
1:07 Causes of Gestational Diabetes
2:49 Diagnosis and treatment
4:07 Treatment

Gestational diabetes is a condition in which a woman without diabetes develops high blood sugar levels during pregnancy.[2] Gestational diabetes generally results in few symptoms;[2] however, it does increase the risk of pre-eclampsia, depression, and requiring a Caesarean section.[2] Babies born to mothers with poorly treated gestational diabetes are at increased risk of being too large, having low blood sugar after birth, and jaundice.[2] If untreated, it can also result in a stillbirth.[2] Long term, children are at higher risk of being overweight and developing type 2 diabetes.[2]

Gestational diabetes can occur during pregnancy because of insulin resistance or reduced production of insulin.[2] Risk factors include being overweight, previously having gestational diabetes, a family history of type 2 diabetes, and having polycystic ovarian syndrome.[2] Diagnosis is by blood tests.[2] For those at normal risk, screening is recommended between 24 and 28 weeks’ gestation.[2][3] For those at high risk, testing may occur at the first prenatal visit.[2]

Prevention is by maintaining a healthy weight and exercising before pregnancy.[2] Gestational diabetes is treated with a diabetic diet, exercise, medication (such as metformin), and possibly insulin injections.[2] Most women are able to manage their blood sugar with diet and exercise.[3] Blood sugar testing among those who are affected is often recommended four times a day.[3] Breastfeeding is recommended as soon as possible after birth.[2]

Gestational diabetes affects 3–9% of pregnancies, depending on the population studied.[3] It is especially common during the last three months of pregnancy.[2] It affects 1% of those under the age of 20 and 13% of those over the age of 44.[3] A number of ethnic groups including Asians, American Indians, Indigenous Australians, and Pacific Islanders are at higher risk.[3][2] In 90% of cases, gestational diabetes will resolve after the baby is born.[2] Women, however, are at an increased risk of developing type 2 diabetes.[3]

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Now diabetes and pregnancy. So many people actually think that you know when you are diabetic you won’t be able to conceive and that mindset is there in men and women both. Let’s take it one by one what happens with diabetes in men and what happens in diabetes with women. So diabetes as we all know it is a metabolic disorder it’s a glucose abnormality usually what happens is with diabetes being present usually it is associated with obesity. So obesity with diabetes in men are known to have some amount of detrimental factors, detrimental to sperm. So it increases the DNA fragmentation in the sperm thereby decreasing the ability of the sperm to fertilize the egg. So this is the most important aspect of this. This happened only if the sugar levels that is the diabetic status is not well controlled. If it is well controlled this status and the semen abnormalities will not be present and they won’t have much effect in their fertility profile. So having diabetes is not wrong. But taking care of it and then maintaining it at the proper level is very important. Now what happens to women. If there is a predispostion to diabetes or if there is diabetes which is detected earlier to pregnancy diabetes has to be controlled. Your HbA1c level has to be less than 6%. If the HbA1c levels are within control only then miscarriages that is abortion rate will be reduced, abnormality rates ,that is baby being born with nervous system abnormalities or renal, kidney system abnormalities or heart abnormalities the chances of baby being abnormal also gets reduced. The more uncontrolled your diabetes will be the more chances of miscarriages and more chances of baby being born as abnormal would be high especially in a uncontrolled diabetic mother . This is about the abnormalities. What happens as pregnancy advances and the pregnancy advances? There is something called fluid around the baby. The fluid might increase so we call it as polyhydramnias. The most important aspect of diabetes during pregnancy would be a risk of intrauterine death. If there is no control of diabetes there should not be any glucose fluctuations. So whenever this happens baby won’t be able to tolerate the stress and there will be more chances of intrauterine death in such pregnancies. Having diabetes is not bad is not wrong but this is something which can be controlled easily with your diet with medications and with the presence of good diabetologist around and insulin. So these are the saviors so that you know you can sail to the pregnancy easily.

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High Blood Pressure: What You Need to Know About Medications

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Dr. Luke Laffin, staff cardiologist in Preventive Cardiology and Clinical Specialist in Hypertension at Cleveland Clinic answers questions that patients often ask about taking high blood pressure medicines: types of medications, side effects, when to call the doctor, role of self-blood pressure monitoring (including how often), the best time to take blood pressure medications, and if there is a chance that patients can come off medications. He ends the program with three important points for patients with high blood pressure.

Why is it important to know how diabetes medications work?

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To learn more visit: http://www.AnimatedDiabetesPatient.com
Patients with diabetes should understand how safe their medications are, how they work in the body, what side-effects to expect, and what to look out for in terms of treatment.
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Know the Warning Signs of Diabetes

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23 million Americans already have it, but another 5 million don’t even know they have diabetes. This episode of Health Matters looks at the warning signs of diabetes.

How to Tell if You Have Diabetes? There are 10 of the most common early signs of diabetes that will help you spot the disease in time.
Diabetes is often called “the silent killer”. This is because the early symptoms of this disease are really easy to miss. Watch this video till the end and share it with your friends so that you all will be aware of these most common signs.

Remember that timely diagnosis can extend lives! The first symptoms can be so subtle that some people might brush them off as insignificant.
Diabetes is a chronic disease that can lead to many serious complications if left untreated. The earlier it’s diagnosed, the easier it will be to manage and the longer your life could be. 
If you notice any of these symptoms, especially several of them combined, make an appointment with your doctor as soon as possible.

TIMESTAMPS
You always feel thirsty and often go to the bathroom 0:41
You’re always hungry 1:33
You feel tired and weak all the time 2:19
Your vision is blurred 3:15
You lose weight while eating normally 3:59
Your skin became itchy 4:56
Yeast infections 5:26
Your wounds heal slowly 6:02
Dark patches of skin 6:39
Numb or tingling hands or feet 7:13

SUMMARY
There are different tests used to find out if you do have diabetes, so doing just one of them isn’t enough for correct diagnosis. But you should never brush off, postpone, ignore, or avoid going to the doctor if you notice a change in your health, whether it be the symptoms on this list or anything in general.
You have to be ready to invest some money and time in your well-being because it’s the most precious thing you have, after all!

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