Gestational diabetes (diabetes occurring during pregnancy)
The disease that does not have diabetes before and progresses with increased sugar during pregnancy is called gestational diabetes (gestational diabetes). The risk of developing gestational diabetes is increased in pregnancies of advanced maternal age, high-weight mothers, those with a family history of diabetes, and those who had the same disease in their previous pregnancy. Gestational diabetes occurs in approximately 5% of all pregnant women. It usually begins at the 24th week of pregnancy and continues until the 6th week after delivery. In order to ensure the development of the baby during pregnancy, blood sugar naturally has a general tendency to increase, but in mothers who are prone to diabetes, this situation may go out of control and cause gestational diabetes. This situation should not be overlooked in mothers who gain excess weight during pregnancy, recurrent urinary tract infections and resistant vaginal yeast infections. As a screening test between 24-28 weeks of pregnancy, all pregnant women are tested with a 50 g sugar load test. Since gestational diabetes is seen after the 24th week, there is no risk of anomaly or disability in the baby, but unexplained baby losses in the womb close to birth, shoulder strapping of the baby at birth due to an excessively large baby. , difficult birth and increased cesarean rates are seen, and after birth, intensive care follow-ups may be required due to the incomplete development of the lungs of the babies. Every diagnosed patient should be followed up intensively and, if necessary, treated with insulin hormone (oral diabetes medications are not used during pregnancy!).
It is necessary to follow up very strict sugar levels in those who have diabetes before pregnancy and become pregnant. Contrary to gestational diabetes that occurs in late periods, high sugar in the blood in the first 12 weeks of pregnancy may cause disability in the baby. A strict sugar monitoring should be done, if necessary, insulin hormone should be started again. It would be healthy to plan such pregnancies in advance and with a strict follow-up of sugar before getting pregnant.
